- Lincoln Financial Group (Austin, TX)
- …**Requisition #:** 72954 **The Role at a Glance** We are excited to bring on a Claims Customer Care Associate to join our claimant excellence team supporting ... Group Protection in a remote environment. Background Details The Claimant Excellence Team will...development to perform in this fast-paced environment. As a Claims Customer Care Associate , you… more
- Providence (TX)
- …Join our team and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, ... the best people, we must empower them._** **The Risk, Claims & Insurance Department undertakes risk financing activities on...certificates of insurance and surety bonds **Providence welcomes 100% remote work for applicants who reside in one of… more
- Kelsey-Seybold Clinic (Houston, TX)
- …dollar claims and present summary to management. **Job Title: Medicare Claims Analyst** **Location: Remote ** **Department:** ** Claims ** **Job Type: Full ... to education, work experience, certifications, etc.)** **Qualifications** **Education** Required: Associate degree or 2 years Claims Payment...continue to grow, our focus is providing quality patient care by adding to our team of clinical and… more
- The City of Houston (Houston, TX)
- SENIOR WORKERS' COMPENSATION CLAIMS COORDINATOR Print (https://www.governmentjobs.com/careers/houston/jobs/newprint/4653695) Apply SENIOR WORKERS' COMPENSATION ... CLAIMS COORDINATOR Salary $54,323.88 - $63,184.42 Annually Location 611...Reporting Location: 611 Walker St. *This is not a remote position* * Subject to Change Workdays & Hours:… more
- Humana (Austin, TX)
- …determination of the appropriate courses of action. **Where you Come In** As a Claims Process Organization Project Manager II you will manage all aspects of a ... **What Humana Offers** We are fortunate to offer a remote opportunity for this job. Our Fortune 100 Company...opportunity for this job. Our Fortune 100 Company values associate engagement & your well-being. We also provide excellent… more
- Takeda Pharmaceuticals (Austin, TX)
- …in order to bring life-changing therapies to patients worldwide. Join Takeda as Associate Director, Global Labeling Lead where you will be responsible for the ... labeling requirements to be provided to patients and Health Care Providers while minimizing the risk of write-offs. +...to ensure consistency with the overall product strategy, product claims and information in the CCDS and to ensure… more
- Sedgwick (Plano, TX)
- …work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer ( Remote ) Consumer Care Advocate | 10:00am-6:30pm CST **PRIMARY PURPOSE** **:** ... Taking care of people is at the heart of...voicemails from claimants, providers, clients, attorneys, etc., resolving their claims related questions and issues in accordance with designed… more
- Houston Methodist (Fort Worth, TX)
- …Classification (APC) Coordinator position is responsible for reviewing and correcting all claims edits related to the APC grouper, National Correct Coding Initiative ... key operational staff/stakeholders to ensure proper coding, charging, and compliant claims . **PEOPLE ESSENTIAL FUNCTIONS** + Promotes a positive work environment and… more
- J&J Family of Companies (Austin, TX)
- Associate Director, Signal Detection Scientist - 2406212640W **Description** Johnson and Johnson is currently seeking an ** Associate Director, Signal Detection ... NJ; Raritan, NJ; Horsham, PA; OR High Wycombe, UK. Remote work options in the US or UK may...international regulatory safety databases, and other data sources, eg, claims and electronic medical records. This position develops and… more
- Centene Corporation (El Paso, TX)
- …improve provider performance in areas of Quality, Risk Adjustment and Operations ( claims and encounters). + Assists in delivering provider specific metrics and ... outcomes. Reports critical incidents and information regarding quality of care issues. + Communicates with external data sources as...plus holidays, and a flexible approach to work with remote , hybrid, field or office work schedules. Actual pay… more
- Mass Markets (Dallas, TX)
- …+ Be a subject matter expert on your client's business + Manage remote employees as needed. + Other duties and responsibilities as assigned CANDIDATE QUALIFICATIONS ... REQUIRED QUALIFICATIONS + Minimum of 3-yearscall center managementexperience + Associate 's degree or equivalent combination of education and relevant work… more
- Elevance Health (Houston, TX)
- **Customer Care Representative I** **Location:** Remote , within 50 miles of an Elevance Health pulse point. **Hours:** An 8-hour shift, Monday - Friday, between ... the hours of 8 am - 6 pm EST. The **Customer Care Representative I** is responsible for successfully completing the required basic training. Able to perform basic… more
- Sprinklr (TX)
- …a law firm setting, including experience with copyright and patent infringement claims , intellectual property matters, and federal securities claims ._** + ... hiring a Legal Counsel to join Sprinklr's Legal team, reporting to the Associate General Counsel, Employment & Litigation. The Legal Counsel will have primary daily… more
- Humana (Austin, TX)
- …health first** Humana's Clinical Analytics Team is seeking a Research Scientist 2 ( Remote ). Healthcare is rapidly changing, and our members are living longer, often ... clinical concepts and extract clinical information from medical, pharmacy, and lab claims for analytics and modeling purposes + Translates analytic results into key… more
- Humana (Austin, TX)
- …put health first** Business Intelligence Engineers on the Provider Intelligence and Claims Analytics (PICA) team solve complex business problems and issues using ... of action. About Our Team The Provider Intelligence and Claims Analytics (PICA) team is a blend of experts...business outcomes and decisions **Additional Information** This role is " remote /work at home" and can be based anywhere in… more
- Humana (Austin, TX)
- …objective evaluation of physician performance related to our two key metrics: Efficiency of Care (cost) & Effectiveness of Care (quality). Humana is seeking a ... understanding of physician networks, physician performance and rating metrics ( claims , measures, conditions, specialties, etc.), product offerings, and analytics-based… more
- US Anesthesia Partners (Austin, TX)
- …without a reasonable accommodation) + Contacts insurance companies for status on outstanding claims . + Process and follow up on appeals to insurance companies. + ... Refiles claims as needed. + Works correspondence daily. + Maintains...Qualifications KNOWLEDGE/SKILLS/ABILITIES (KSAs): + Highschool graduate or equivalent. + Associate or bachelor's degree in business administration or related… more
- US Anesthesia Partners (Austin, TX)
- …a reasonable accommodation) + Contact s insurance companies for status on outstanding claims . + Process and follow up on appeals to insurance companies. + Refile ... s claims as needed. + Work s correspondence daily. +...Qualifications KNOWLEDGE/SKILLS/ABILITIES (KSAs): + Highschool graduate or equivalent. + Associate or bachelor's degree in business administration or related… more
- NASCO (Austin, TX)
- …and system issues, plus research and resolution of Model Office and Production issues so claims can be paid accurately and timely + Provides support to NASCO and the ... others being over the phone. (required if person is remote ) + Minimum 8 years of proven experience in...mentoring System Engineers. + In-Depth knowledge of the Health Care industry + Extensive working knowledge of and capabilities… more
- Ascension Health (Austin, TX)
- …**Schedule:** Full Time/8-Hour Day Shift, Monday-Friday + **Location:** This is a partially remote role in Austin, TX with some travel throughout the market as ... experience required, with 2 of those years being in leadership/management OR Associate 's degree/Bachelor's degree with 3 years of applicable cumulative job specific… more