Pharmacy Prior Authorization Specialist Onco360Pharmacy Prior Authorization SpecialistHouston, TexasWhat You’ll Do The Pharmacy Prior Authorization Specialist will ensure patients receive the medication that requires pre-authorizations from insurance carriers by receiving prescriptions, addressing and rectifying rejected claims and conducting necessary third party authorization requests. Knowledge of pharmacy terminology, pharmacy insurance claims, Medicare, Medicaid, and commercial insurance, pharmacy test claim and NCPDP claim rejection resolution, coordination of benefits, NDC medication billing, experience with CoverMyMeds.
Eligibility Specialist / Plano Texas Retina AssociatesEligibility Specialist / PlanoPlano, TXTexas Retina Associates is Texas’ largest, most experienced ophthalmology practice focused specifically on the diagnosis, medical and surgical management of diseases of the retina and vitreous. The Eligibility Specialist is responsible for payer and patient account authorizations, predeterminations, insurance verifications that are obtained in a timely and decisive manner and answering routine and non-routine account inquiries.
Facilities Specialist-Austin Celestica IncFacilities Specialist-AustinAustin, TXAs a leader in design, manufacturing, hardware platform and supply chain solutions, Celestica brings global expertise and insight at every stage of product development - from drawing board to full-scale production and after-market services for products from advanced medical devices, to highly engineered aviation systems, to next-generation hardware platform solutions for the Cloud. Monitors and reports progress status of projects along with quality, schedule, safety, security, productivity, administration, worksite appearance to site management team and evaluates contractors on these aspects.
Client Services Specialist D&M Auto LeasingClient Services SpecialistAddison, Texas$22–$26 / hourRESPONSIBILITIES: Aptitude for discretion given sensitive and confidential information Answer phones and respond to incoming email requests File and process insurance claims Provide accurate payoffs to dealers upon request by communicating with lenders Process daily Welcome Letters for new lessees Assist with insurance tracking Scan and index all lease correspondence Process returned mail and address changes Audit funding documents for accuracy Assist with personal property questions and documents Assist with special projects QUALIFICATIONS High sense of urgency and ability to work at a fast pace Leadership traits and/or supervisory experience Excellent customer service and organizational skills Self-motivated, goal-oriented and enthusiastic presence in a team environment Ability to manage repetitive tasks day to day to stay ahead Ability to use creative thinking and resolve one-off scenarios Proficient computer skills (Microsoft Office Suite – Word, Excel) Professional appearance with reliable work ethic Being bilingual is a plus! #LI-Onsite We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses and identifying potential inconsistencies or verification signals in application materials based on available information.
Project Management Senior Specialist - Installation Leadership Baker HughesProject Management Senior Specialist - Installation LeadershipHouston, TexasFacilitate the development of execution models suited to varying sizes and scales of projects by applying insights gained from the lessons learned process, and advocate for implementation throughout every phase of the project in collaboration with relevant stakeholders. To be successful in this role you will: Have a bachelor’s degree in engineering and 4+ years of experience in Project Management, preferably for large EPCs companies, original equipment manufacturers (OEMS) or end users.
Damage Specialist Project Resources GroupDamage SpecialistDallas, TexasMust possess a valid and current driver’s license, reliable personal vehicle suitable for representing the company, and auto insurance meeting both federal and state requirements, with minimum auto liability coverage of 100/300/100 for bodily injury and property damage. Project Resources Group (PRG) is seeking a highly motivated and detail-oriented Cable & Telecom Damage Specialist in the Dallas, TX area.
NewProperty Damage Subrogation Specialist LonestarProperty Damage Subrogation SpecialistRichardson, TXFull timeIn this role, you'll take ownership of auto property damage subrogation files from start to finish, working with insurance carriers, attorneys, and uninsured motorists to maximize recoveries while delivering exceptional claim outcomes. Must have the ability to determine, develop and negotiate the theory of liability with Third Party Carriers, attorneys and uninsured motorists, as well as resolve files in accordance with company objectives and applicable state regulations.
QI SPECIALIST II (HEDIS) Integrated Resources, IncQI SPECIALIST II (HEDIS)Irving, TexasFull timeCandidate Experience: 2 years of experience in directly related HEDIS medical record review and/or Quality Improvement with experience in data and chart reviews to provide consultation and education to providers and provider staff is required. Supports quality improvement program studies and HEDIS as needed, requesting records from providers, maintaining databases, and researching to identify members' provider encounter history.
Medical Biller - Insurance A/R Specialist Southwest Dermatology & VeinMedical Biller - Insurance A/R SpecialistAustin, TXWe are continually building a team of dedicated, hard-working staff who are committed to providing our patients an outstanding level of service. We are committed to providing the utmost in customer service and creating an inviting, personal experience for each patient and the community we serve.
AR Recovery/Healthcare Denials Specialist (On-site Plano, TX) FinThrive India Pvt LtdAR Recovery/Healthcare Denials Specialist (On-site Plano, TX)Plano, TXSupport FinThrive's Compliance Program by adhering to policies and procedures pertaining to HIPAA, FCRA, GLBA and other laws applicable to FinThrive's business practices; this includes becoming familiar with FinThrive's Code of Ethics, attending training as required, notifying management or FinThrive's Helpline when there is a compliance concern or incident, HIPAA-compliant handling of patient information, and demonstrable awareness of confidentiality obligations. Demonstrate integrity and ethics in day-to-day tasks and decision making, adhere to FinThrive's core values of being Customer-Centric, Agile, Reliable and Engaged, operate effectively in the FinThrive environment and the environment of the work group, maintain a focus on self-development and seek out continuous feedback and learning opportunities.
Billing Specialist Vital Care Infusion ServicesBilling SpecialistHouston, TexasRemoteRequired Skills/Abilities: Excellent communications skills; listening, speaking, understanding, and writing English while influencing patients, caregivers, payer representatives, and others, answering questions, and advancing reimbursement and collection efforts. Income protection programs include company-sponsored basic life insurance and long-term disability insurance, as well as employee-paid voluntary life, accident, critical illness, and short-term disability insurance.
Benefits & Leave Specialist Reece Ltd.Benefits & Leave SpecialistAddison, TXWorking closely with the organization's third-party leave administrator (Voya), People Experience Business Partners, Payroll, managers, and employees, the Benefits & Leave Specialist balances regulatory compliance, operational excellence, and compassionate employee support while identifying opportunities to improve processes and enhance the employee experience. This role delivers a seamless, compliant, and employee-centered experience by managing benefits administration, coordinating leave and workplace accommodations, and ensuring employees receive timely guidance and support throughout the employee lifecycle.
NewPharmacy Technician - 340B Compliance Specialist Legacy Community HealthPharmacy Technician - 340B Compliance SpecialistHouston, TXFull timeUsing Excel or a comparable data management program, filter out non-eligible transactions, including, but not limited to, drugs used to treat patients during inpatient care, Medicaid patients, drugs provided free by manufacturers, those provided at non-eligible locations, or prescriptions written by non-eligible providers. Develop and foster working relationships with internal working counterparts (IT, internal audit, results, accounting, and others) to facilitate productive exchanges of information to improve program efficiency and promote program compliance.
Prevention & Control Specialist SafeRide HealthPrevention & Control SpecialistSan Antonio, TXThis role involves conducting proactive outreach, documenting findings with precision, and collaborating with internal teams to strengthen safeguards that ensure members who genuinely need transportation can continue to access their care without disruption. SafeRide Health is a technology and services company dedicated to reducing barriers to care by improving the delivery of non-emergency medical transportation to people across America.
Provider Engagement Specialist - Field - Must live in El Paso, TX. Alignment HealthcareProvider Engagement Specialist - Field - Must live in El Paso, TX.El Paso, Texas$54,434–$81,651 / yearPartner with providers to improve performance on key performance indicators (KPIs), including but not limited to growth, retention, Annual Wellness Visits (AWVs), HEDIS gap closures, hospital and ER utilization, risk adjustment and other quality indicators. The field remote Provider Engagement Specialist is responsible for developing and maintaining strong relationships with provider offices to improve network performance, enhance provider satisfaction, and support organizational growth.
Provider Engagement Specialist - Field - Must Live In El Paso, TX. Alignment HealthcareProvider Engagement Specialist - Field - Must Live In El Paso, TX.El Paso, TX$54,434–$81,651 / yearPosition Summary: The field remote Provider Engagement Specialist is responsible for developing and maintaining strong relationships with provider offices to improve network performance, enhance provider satisfaction, and support organizational growth. Partner with providers to improve performance on key performance indicators (KPIs), including but not limited to growth, retention, Annual Wellness Visits (AWVs), HEDIS gap closures, hospital and ER utilization, risk adjustment and other quality indicators.
Sales Enablement Specialist Muck RackSales Enablement SpecialistAustin, TXRemote$65,000–$75,000 / yearMuck Rack's AI-powered, comprehensive, and integrated platform streamlines the PR workflow to help businesses generate positive media coverage, monitor mentions to manage brand reputation, and analyze PR's impact on business outcomes. Sitting within the Go-To-Market Enablement team — alongside specialists who cover other functional roles — you'll focus on the sales journey, keeping a fast-growing team sharp against a rapidly evolving product.
Customs Specialist - Entry Writer DSV ASCustoms Specialist - Entry WriterLaredo, TX$21.39–$26.74 / hourDSV provides a comprehensive package of health benefits including: medical, prescription, dental, vision, and life insurance, along with flexible and health spending accounts, short and long-term disability coverage, and wellness resources to support your overall well-being. Actual base compensation will be determined based on various factors including job-related knowledge, skills, experience, geographic location and other objective business considerations.
Senior Specialist - Software Engineering LTIMindtree LtdSenior Specialist - Software EngineeringPlano, TX$93,000–$142,000 / yearDesign develop and maintain scalable Java applications leveraging cloudnative technologies Collaborate with crossfunctional teams to integrate Java solutions with cloud platforms Ensure high performance responsiveness and security of Javabased applications in cloud environments Participate in architecture discussions and contribute to the evolution of cloudnative Java frameworks Troubleshoot and resolve complex technical issues related to Java applications deployed on cloud infrastructure Stay updated with the latest trends and best practices in Java and cloudnative development. Together with over 87,000 employees across 40 countries and our global network of partners, LTM - a Larsen & Toubro company - owns business outcomes for our clients, helping them not just outperform the market, but to Outcreate it.
Provider Engagement Specialist - Field Remote Alignment Healthcare IncProvider Engagement Specialist - Field RemoteEl Paso, TXRemote$54,434–$81,651 / yearPosition Summary: The field remote Provider Engagement Specialist is responsible for developing and maintaining strong relationships with provider offices to improve network performance, enhance provider satisfaction, and support organizational growth. Partner with providers to improve performance on key performance indicators (KPIs), including but not limited to growth, retention, Annual Wellness Visits (AWVs), HEDIS gap closures, hospital and ER utilization, risk adjustment and other quality indicators.