- HCA Healthcare (Austin, TX)
- …**Introduction** Do you want to join an organization that invests in you as a Workers Compensation Claims Resolution Specialist? At Parallon, you come ... you have the opportunity to make a difference. We are looking for a dedicated Workers Compensation Claims Resolution Specialist like you to be a part of… more
- Prime Therapeutics (Austin, TX)
- …fuels our passion and drives every decision we make. **Job Posting Title** Pharmacy Claims Auditor - Remote **Job Description** The Pharmacy Claims Auditor is ... responsible for the selection and auditing of claims , educating Prime's network pharmacies and driving contract compliance, and supporting downstream claim… more
- Prime Therapeutics (Austin, TX)
- …passion and drives every decision we make. **Job Posting Title** Recovery & Resolution Analyst **Job Description** The Recovery & Resolution Analyst is ... coordination with an external collection agency + Evaluate audits, investigations and/or claims identified for potential recoupment to verify that results are final… more
- SHI (Austin, TX)
- …by the Americans with Disabilities Act (ADA). + Manage and process all workers ' compensation claims . This includes ensuring accurate documentation, timely ... benefits programs, handling leaves of absence and medical accommodation requests, managing workers ' compensation cases, and ensuring compliance with all relevant… more
- Prime Therapeutics (Austin, TX)
- …to elicit, define, and document the requirements for changes to Prime's claims systems. **Responsibilities** + Ensure understanding of business requirements and IT ... serve as subject matter expert and mentor for other members of Claims , business systems, including cross-training assigned Business Systems Analysts on system… more
- Datavant (Austin, TX)
- …via telephone, email or written correspondence. + Document all calls, inquiries and resolution in detail in appropriate areas of our software systems. + Follow all ... confidence. + Maintains a high level of professionalism and good rapport with co- workers and members of management + Maintain open lines of communication with other… more
- Highmark Health (Austin, TX)
- …internal audit and regulatory requirements. Audits consist of contract, commissions, surveillance, workers ' compensation and IME. In addition, this position will ... + Responsible for completing all necessary field (externally) investigative work for resolution or alleged fraud/waste and abuse cases or special projects. +… more
- Vighter Medical Group (Austin, TX)
- …the extension of job offers. + Oversight of benefits administration to include claims resolution , change reporting, approving invoices for payment, and annual ... is instrumental in overseeing recruitment, employee relations, performance management, training, compensation , benefits, and HR compliance on a national scale. This… more