• PPO Provider Contractor

    Sedgwick (Austin, TX)
    …to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer PPO Provider Contractor **PRIMARY PURPOSE** **:** To negotiate ... group contracts for multiple lines of business in managed care markets; to maintain provider participation within the network; and to expand and develop provider more
    Sedgwick (09/26/24)
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  • Plan Review Specialist - Planning

    City of Baytown (Baytown, TX)
    …codes, development codes, and other standards. Meets with the public to provide project specific requirements and solutions for development and code violation cases. ... Urban Planning and/or Zoning code administration, as an Inspector, Contractor , or Superintendent of Construction, or related experience. +...overtime. As a City employee you are required to provide services or perform duties for the benefit of… more
    City of Baytown (09/03/24)
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  • Patient Access Center Representative - Referral…

    Houston Methodist (Katy, TX)
    …HIPAA regulations. + Follows clinical protocols directly as indicated by Kyruss Provider Match, management, and physicians on an as needed basis and consistently ... and patient identification information to help facilitate an appointment with a SPG/PCG provider . - Screens and assesses patient calls received and assures that the… more
    Houston Methodist (09/28/24)
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  • Sr Customer Service Rep-Revenue Cycle (Katy)

    Houston Methodist (Katy, TX)
    …with the ability to differentiate between insurance plans such as Preferred Provider Organization ( PPO ), Point of Service (POS), Health Maintenance Organization ... and the organization + Ability to problem solve in the moment and provide recommendations in alignment with values + Proficient computer skills and ability to… more
    Houston Methodist (10/01/24)
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  • Construction Inspector I/II/III

    City of Baytown (Baytown, TX)
    …Identifies construction issues and initiates troubleshooting and problem solving with contractor . + Assists construction inspectors to troubleshoot project issues by ... the unique contributions that you bring. We strive to provide a workplace where differences are honored, with a...expenses + FREE virtual visits Dental + Cigna Dental PPO & DHMO + Effective the first day of… more
    City of Baytown (10/03/24)
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  • Administrative Specialist - Animal Control

    City of Baytown (Baytown, TX)
    …complaints, and investigation information, maintains filing system, and creates contractor work orders. Types and proofreads correspondence for Animal Control ... the unique contributions that you bring. We strive to provide a workplace where differences are honored, with a...expenses + FREE virtual visits Dental + Cigna Dental PPO & DHMO + Effective the first day of… more
    City of Baytown (10/02/24)
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  • Sr Patient Access Center Representative (Katy)

    Houston Methodist (Katy, TX)
    …management and physicians on an as needed basis. Leverages supervisor level access to Provider Match and Epic Gatekeeper access. + Serves as a liaison for agents, ... the ability to differentiate between insurance plans such as PPO , POS, HMO, etc. + Strong training, coaching to...the system level to help enable clinical departments to provide high quality patient care. Houston Methodist is an… more
    Houston Methodist (09/17/24)
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  • CMA (Certified Medical Assistant)/Patient Services…

    Kelsey-Seybold Clinic (Houston, TX)
    …finger sticks, heel sticks, and other collection services as ordered by the provider . Perform CLIA waived testing (ie, urine dip, pregnancy tests, finger stick blood ... ability to identify, understand and communicate plan details to patients with HMO, PPO , EPO, Medicare and other plans. 5+ years direct phlebotomy service experience… more
    Kelsey-Seybold Clinic (09/25/24)
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  • Medicare Claims Analyst

    Kelsey-Seybold Clinic (Houston, TX)
    …complete request for claims adjustments via CRM Module. Review and interpret provider issues and member reimbursement requests. Utilize DRG and other pricing tools ... **Experience** Required: 3 years of Facility Claims Adjudication experience in a HMO, PPO , or TPA environment. Preferred: 5 years' experience as Claims Payment… more
    Kelsey-Seybold Clinic (09/07/24)
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  • Utilization Review Specialist (LVN)

    Kelsey-Seybold Clinic (Pearland, TX)
    …5 years utilization review experience at a health plan, ACO, IPA, or provider group or 3 years clinical nursing experience Preferred: N/A **License(s)** Required: TX ... skills Preferred: N/A **Other** Required: Experience working with insurance (HMO, PPO , and POS) companies to obtain authorizations and pre-certification for medical… more
    Kelsey-Seybold Clinic (07/20/24)
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  • Sustainability Program Manager - Buildings (New…

    Amazon (Austin, TX)
    …of work conversations with GC/Developers. * Redevelop, launch, and become the PPO of the Sustainability Initiative intake mechanism. This process path will be ... decisions and direction while remaining informed about site-level progress. * Provide visibility to leadership in challenging situations where tradeoffs have high… more
    Amazon (09/06/24)
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  • Medium Voltage Terminator - Master Electrician

    Quanta Services (Converse, TX)
    …desired. The MV Terminator should be comfortable leading a team of MV terminators and provide QC checks to ensure the highest standard is being met on all jobs. What ... You'll Do + Assist in obtaining Electrical Contractor 's license in various jurisdictions as we grow the...various jurisdictions as we grow the service offering. + Provide technical assistance to operations/estimating teams to ensure jobs… more
    Quanta Services (09/06/24)
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  • Utilization Management Representative

    Kelsey-Seybold Clinic (Pearland, TX)
    …non-clinical issues, and other administrative duties that are required to provide comprehensive coordination of services. Additional duties can include handling and ... System usage. **Special Skills** Required: Knowledge of medical terminology, HMO, PPO and referral processes. Excellent communication skills Alpha/numeric data entry… more
    Kelsey-Seybold Clinic (10/04/24)
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  • Per Diem Ambulatory Service Representative II-…

    Kelsey-Seybold Clinic (Spring, TX)
    …the ability to identify, understand and communicate plan details to patients with HMO, PPO , EPO, Medicare and other plans. 1+ years of cash handling or collections ... Program + Continuing Medical Education allowance Kelsey-Seybold Clinic strives to provide equal opportunity employment without regard to race, color, religion, age,… more
    Kelsey-Seybold Clinic (10/04/24)
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  • Ambulatory Service Representative II - Patient…

    Kelsey-Seybold Clinic (Missouri City, TX)
    …the ability to identify, understand and communicate plan details to patients with HMO, PPO , EPO, Medicare Advantage and other plans. 1+ years of cash handling or ... Program + Continuing Medical Education allowance Kelsey-Seybold Clinic strives to provide equal opportunity employment without regard to race, color, religion, age,… more
    Kelsey-Seybold Clinic (10/01/24)
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  • Ambulatory Service Representative II Radiology

    Kelsey-Seybold Clinic (Sugar Land, TX)
    …the ability to identify, understand and communicate plan details to patients with HMO, PPO , EPO, Medicare Advantage and other plans. 1+ years of cash handling or ... Program + Continuing Medical Education allowance Kelsey-Seybold Clinic strives to provide equal opportunity employment without regard to race, color, religion, age,… more
    Kelsey-Seybold Clinic (09/27/24)
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  • Ambulatory Service Representative III (SE)

    Kelsey-Seybold Clinic (Houston, TX)
    …communicate/articulate and understand the difference between insurance plans (HMO, PPO , EPO, etc.) **License(s)** Required: N/A Preferred: N/A **Special Skills** ... Program + Continuing Medical Education allowance Kelsey-Seybold Clinic strives to provide equal opportunity employment without regard to race, color, religion, age,… more
    Kelsey-Seybold Clinic (09/27/24)
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  • Ambulatory Service Representative III- Patient…

    Kelsey-Seybold Clinic (Cypress, TX)
    …communicate/articulate and understand the difference between insurance plans (HMO, PPO , EPO, etc.) **License(s)** Required: N/A Preferred: N/A **Special Skills** ... Program + Continuing Medical Education allowance Kelsey-Seybold Clinic strives to provide equal opportunity employment without regard to race, color, religion, age,… more
    Kelsey-Seybold Clinic (09/10/24)
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