• Senior Claim Benefit

    CVS Health (Austin, TX)
    …it all with heart, each and every day. **Position Summary** In this position, the senior Claim Benefit Specialist (OPS) reviews, researches and ... processing guidelines. May be required to learn multiple Medicaid plans. Medical claims processing experience is a basic requirement. * Works to research and… more
    CVS Health (05/16/25)
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  • Senior Corporate Compliance…

    Fujifilm (Austin, TX)
    **Position Overview** The accomplished Senior Corporate Compliance Specialist will support FUJIFILM's Corporate Compliance Program's operations to ensure high ... regulations (including Anti-Kickback Statute, Foreign Corrupt Practices Act (FCPA), False Claims Statute, and OIG's guidance of an effective compliance program) as… more
    Fujifilm (02/19/25)
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  • Senior Specialist , Provider Network…

    Molina Healthcare (Austin, TX)
    …timely validation and maintenance of critical provider information on all claims and provider databases. This multifaceted role supports both operational efficiency ... and FQHC/RHC reports. + Generates other provider-related reports, such as: claims report extractions; regularly scheduled reports related to Network Management (ER,… more
    Molina Healthcare (05/10/25)
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  • Senior Claim Benefit

    CVS Health (Austin, TX)
    …- Distributes work assignment daily to junior staff. - Trains and mentors claim benefit specialists. - Makes outbound calls to obtain required information ... handle customer service inquiries and problems. Additional Responsibilities - Reviews pre-specified claims or claims that exceed specialist adjudication… more
    CVS Health (05/16/25)
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  • Patient Services Specialist 3

    Baylor Scott & White Health (Round Rock, TX)
    **JOB SUMMARY** The Patient Services Specialist 3 provides a wide range of advanced-level administrative support services in a physician office, clinic or other ... area that assists patients, to ensure high quality, patient-centered care. This senior level position handles more complex tasks and escalations, assists the… more
    Baylor Scott & White Health (04/30/25)
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  • Accounting Specialist

    Robert Half Finance & Accounting (Austin, TX)
    Description We are looking for a detail-oriented Accounting Specialist to join our team in Austin, Texas. In this role, you will handle a variety of accounting tasks ... financial and operational reports. * Handle employee expense reports, ensuring all claims are verified and processed efficiently. * Provide administrative support to… more
    Robert Half Finance & Accounting (05/06/25)
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  • Senior Medical Stop Loss Underwriter

    Highmark Health (Austin, TX)
    …months in either Life Office Management Association (LOMA) Certified Employee Benefit Specialist (CEBS), or America's Health InsurancePlans (AHIP) **Language ... structure of a contract for a group based on claims experience, characteristics of the employee groups, etc. The...type of industry, characteristics of employee groups, or past claim experience to determine what benefits can… more
    Highmark Health (04/30/25)
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  • Senior Corporate Compliance Manager…

    United Therapeutics (Austin, TX)
    …first publicly-traded biotech or pharmaceutical company to take the form of a public benefit corporation. Our public benefit purpose is to provide a brighter ... you drive a culture of compliance with confidence and enthusiasm. The Senior Corporate Compliance Manager - Training, Communications and Policy will be responsible… more
    United Therapeutics (05/13/25)
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  • Associate Medical Stop Loss Underwriter

    Highmark Health (Austin, TX)
    …twelve months in either Life Office Management Association (LOMA) Certified Employee Benefit Specialist (CEBS), or America's Health Insurance Plans (AHIP) ... structure of a contract for a group based on claims experience, characteristics of the employee groups, etc. The...type of industry, characteristics of employee groups, or past claim experience to determine what benefits can… more
    Highmark Health (04/04/25)
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  • TVC - Staff Services Officer IV (Staff Services…

    Texas Veterans Commission (Austin, TX)
    …copy of the DD Form 214 (member #1 not accepted), NA Form 13038, VA Summary Benefits Letter, or a DD form 1300 must be provided before an interview can be ... take the place of this required information. *To learn more about TVC Employee Benefits , please click on this**link**.* *Submitted Through Work in Texas: * Work in… more
    Texas Veterans Commission (05/14/25)
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  • Medical Coder - Pedi Surgeon Clinic

    Ascension Health (Austin, TX)
    …Peds Medical Office + **Location:** 1301 Barbara Jordan Blvd Austin, Texas ** Benefits ** Paid time off (PTO) Various health insurance options & wellness plans ... Retirement benefits including employer match plans Long-term & short-term disability...health records for purposes of document retrieval, analysis and claim processing. + Abstract pertinent information from patient records.… more
    Ascension Health (05/09/25)
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  • Principal Regional Field Educator, CAS

    Medtronic (Austin, TX)
    …articulate to customers. + Execute engaging field sales and clinical specialist field education programs that are targeted, purposeful, and support electrophysiology ... Clinical Expert + Translates complex technical messaging, dispels competitive claims , resolves complex technical issues, and maintains customer relationships through… more
    Medtronic (04/16/25)
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