- Owens & Minor (Austin, TX)
- …**POSITION SUMMARY:** This representative will be required to request Medical documentation and assure received documentation meets insurance payer guidelines. ... including: + Prepayment audits/development letters + Post payment requests for documentation + Overpayment refund requests + Medical necessity documentation … more
- Prime Therapeutics (Austin, TX)
- …our passion and drives every decision we make. **Job Posting Title** Client Audit Specialist , Sr. - Remote **Job Description** The Client Audit Specialist Sr is ... regulatory, client, and/or functional audit expectations. The Client Audit Specialist Sr provides consultation and strategic advice regarding audit management… more
- Baylor Scott & White Health (Austin, TX)
- **JOB SUMMARY** The Internal Sales Specialist obtains new enrollments and facilitates community outreach in the assigned service area. **ESSENTIAL FUNCTIONS OF THE ... ROLE** Coordinates and conducts sales activities for Individual and Medicare Advantage plans to enroll prospective members into the health plan to increase… more
- Prime Therapeutics (Austin, TX)
- …our passion and drives every decision we make. **Job Posting Title** Client Audit Specialist , Sr. - Remote **Job Description** As a member of the Client Audit ... Management (CAM) team, the Client Audit Specialist , Sr is accountable for managing regulatory and/or client-initiated audits. This role maintains a thorough… more
- Centene Corporation (Austin, TX)
- …departments to ensure timely and appropriate issue resolution. + Supports the documentation , tracking, and resolution to all assigned complaints and inquiries in ... escalations or resolution experience in healthcare is highly preferred. Knowledge of Medicare rules and guidelines is preferred. Pay Range: $17.50 - $27.50 per… more
- Evolent (Austin, TX)
- …Join our Utilization Management team as a Field Medical Director, Cardiovascular Specialist and use your expertise in interventional cardiology to help ensure the ... National Committee for Quality Assurance (NCQA) guidelines. + Ensures documentation of all communications with medical office staff and/or...by any state or federal health care program, including Medicare or Medicaid, and is not identified as an… more
- Humana (Austin, TX)
- …Owner 2 who is interested in becoming Salesforce Marketing Cloud Email Specialist certified to join the Marketing Regulatory and Operational Communications (MROC) ... Ensure clear and effective communication with existing or concurrent projects **SFMC Email Specialist Certification must be gained within 6 months of hire date.** To… more
- HealthEdge Software Inc (Austin, TX)
- **Overview** **Position Overview:** We are seeking a Senior Payment Integrity Specialist to play a key role in building and implementing proprietary healthcare edits ... payment integrity, and enterprise level. Our Reimbursement Transformation features Medicare and Medicaid content coupled with flexible contract configuration… more