- Lincoln Financial (Austin, TX)
- …**Requisition #:** 74647 **The Role at a Glance** We are excited to bring on a Claims Customer Care Associate to join our claimant excellence team supporting ... coaching and development to perform in this fast-paced environment. As a Claims Customer Care Associate , you will be responsible for answering claimants… more
- Akumin (Austin, TX)
- The ** Associate General Counsel, Claims , Risk Management, and Insurance** (AGC-CRMI) serves as principal counsel supporting company insurance, claims , and ... enterprise to (i) identify potential areas of risk and exposure related to legal claims and (ii) to coordinate the effective mitigation or elimination of such risks.… more
- Sedgwick (Austin, TX)
- …(CPCU), Associate in Risk Management (ARM), Associate in Insurance Claims (AIC), Certified Professional in Health Care Risk Management (CPHRM) preferred. ... including but not limited to Bachelor of Science in Nursing, Legal Nurse Consultant, Associate in Claims (AIC), Chartered Property and Casualty Underwriter… more
- CVS Health (Austin, TX)
- …organizational, and interpersonal skills. + Previous experience with DG system claims processing. **Education** + Associate 's degree or equivalent experience ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more
- Otsuka America Pharmaceutical Inc. (Austin, TX)
- …Otsuka Precision Health is a health experience company that brings personalized care within reach through products and services for mental and physical well-being. ... **About This Role** We are seeking a strategic, entrepreneurial Associate Director to drive the evolution of OPH's connected...solutions that enhance peoples' lives, we also work to care for our teammates' professional and personal growth and… more
- Intermountain Health (Austin, TX)
- **Job Description:** Responsible for the timely follow-up of claims billed and resolution of accounts. Oversees the account receivables and maintains ... detailed/accurate account documentation. Follow up on open claims thoroughly, accurately, promptly, and with all supporting documentation. Responsible for… more
- Travelers Insurance Company (Austin, TX)
- **Who Are We?** Taking care of our customers, our communities and each other. That's the Travelers Promise. By honoring this commitment, we have maintained our ... Claim Counsel team conducts thorough investigation, analysis, evaluation, and disposition of claims and claim litigation to achieve superior customer service and to… more
- Evolent (Austin, TX)
- …people with most complex and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented health care ... system and ensure people get the same level of care and compassion we would want for our loved...our specialty programs and administrative platform. **Role Overview** The Associate Director role on Client Analytics will support both… more
- Walgreens (Round Rock, TX)
- …pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient ... Maintains knowledge of Company asset protection techniques, and files claims for warehouse overages (merchandise received, but not billed), shortages… more
- Walmart (Round Rock, TX)
- …Floor in accordance with Company policies and procedures by properly handling claims and returns, zoning the area, arranging and organizing merchandise, and ... digital tools to drive sales, improve the shopping experience, and elevate associate engagement; utilizing hand held technology to make immediate business decisions… more
- Walmart (Round Rock, TX)
- …thinking You will make an impact by: * Ensuring high-quality products are taken care of and available for our members * Ensuring shelves are clean, maintaining ... area in accordance with Company policies and procedures by properly handling claims and returns; zoning the area; receiving and stocking merchandise; setting up,… more
- Molina Healthcare (Austin, TX)
- …and regulatory requirements, while meeting production goals. * Communicates with health care providers to clarify questions and request any missing information. * ... credentialing database necessary for processing of recredentialing applications. * Reviews claims payment systems to determine provider status, as necessary. *… more
- Intermountain Health (Austin, TX)
- **Job Description:** Provides extraordinary care to our customers through friendly, courteous, and professional service through a broad understanding of account ... + Perform other duties as assigned **Skills** + Insurance Claims + Medical Billing + Explanation of Benefits (EOB)...hourly rate dependent upon experience. $18.81 - $26.65 We care about your well-being - mind, body, and spirit… more
- Highmark Health (Austin, TX)
- …is responsible for assisting in the processing and investigation of non-complex health care claims to determine the legitimacy of claim charges. The incumbent ... services and charges; will monitor internal referrals from sources such as claims , customer service, Medicare C&D Compliance, and Fraud Hotlines; will alert… more
- CVS Health (Austin, TX)
- …ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions ... every day. **Position Summary** Help us elevate our member care to a whole new level! Join our Aetna...advocate for themselves. The TOC team will review prior claims to address potential impact on current case management… more
- Humana (Austin, TX)
- …first** The Medical Director relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex ... and judgement to make determinations whether requested services, requested level of care , and/or requested site of service should be authorized. All work occurs… more
- Ascension Health (Austin, TX)
- …in the patient account record of all billing activities. Maintain documentation of claims processed as part of the daily claims reconciliation process. + ... account record of all billing activities. Maintain documentation of claims processed as part of the daily claims...up of over 134,000 associates and 2,600 sites of care , including more than 140 hospitals and 40 senior… more
- Sedgwick (Austin, TX)
- …claim adjustments, provider requests and operational expense check requests. + Queues claims for Managed Care ; transfers payment allocations; and runs manual ... required. Associate degree preferred. **Experience** Two (2) years of claims management or insurance experience or equivalent combination of education and… more
- Molina Healthcare (Austin, TX)
- …to Molina Medicare's maximum STAR ratings. **Job Qualifications** **Required Education** Associate 's degree or 4 years of Medicare grievance and appeals experience. ... **Required Experience** * 7 years' experience in healthcare claims review and/or member appeals and grievance processing/resolution, including 2 years in a manager… more
- Humana (Austin, TX)
- …this role, you will conduct quality reviews of coding processes within the Claims Cost Management organization, including offshore and vendor partners, with a focus ... and well-grounded medical coding auditor to quality review the inpatient hospital claims for proper reimbursement, handle provider disputes in a result-oriented and… more