Top Operations Jobs in Austin, TX

The Workers Compensation Claims Team Leader will manage claim professionals and the investigation, determination, and settlement of workers' compensation claims, ensuring compliance with corporate and regulatory standards. Responsibilities include staff development, effective communication, and maintaining relationships with clients. This role requires strong leadership, time management, and analytical skills to handle claim inventories and assess financial reports.

The Claims Consultant will manage a caseload of general liability claims, conducting investigations, making coverage determinations, and managing litigation. Responsibilities also include setting reserves, preparing reports, and contributing to enterprise goals.

The Credit Rep II is responsible for correcting, rebilling, and collecting audited patient accounts. This role involves identifying overpayments, submitting corrected claims, collaborating with various teams, and creating reports. The rep must demonstrate proficiency amidst time-sensitive situations and is required to have substantial experience in billing or collections.

The Professional Services Coder reviews clinical documentation and diagnostic results to apply appropriate ICD-10-CM, HCPCS, and CPT-4 codes for billing. Responsibilities include verifying diagnosis codes, abstracting information from medical records, utilizing CCI edit software, and ensuring compliance with coding standards while meeting productivity and accuracy goals.

The Access & Reimbursement Manager will educate and support healthcare providers regarding patient access and reimbursement for FILSPARI. Responsibilities include navigating insurance barriers, managing multiple cases, and collaborating with sales and reimbursement stakeholders to ensure smooth onboarding for patients. The role necessitates proactive problem-solving and maintaining compliance with regulations.