• Claim Specialist

    Alight (TX)
    …Alight. Learn more at careers.alight.com **About the Role** The Health Navigation Claims Specialist position exists to work on behalf of our customers to resolve ... claim submission and/or resubmission as needed + Drafting, submit, and exhaust appeals processes, as necessary + Coordinating with providers to verify payment plan… more
    Alight (09/03/25)
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  • Senior Claim Benefit Specialist

    CVS Health (Austin, TX)
    …**Additional Responsibilities:** Reviews pre-specified claims or claims that exceed specialist adjudication authority or processing expertise. - Applies medical ... written inquiries related to requests for pre-approval/pre-authorization, reconsiderations, or appeals . - Ensures all compliance requirements are satisfied and all… more
    CVS Health (09/02/25)
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  • Medical Biller/Collections Specialist

    Robert Half Accountemps (Fort Worth, TX)
    Description We are looking for a skilled and proactive Medical Biller/Collections Specialist to join our team in Fort Worth, Texas. This role is vital for ensuring ... coding, including ICD-10 standards. * Proficiency in handling insurance denials, appeals , and hospital billing processes. * Familiarity with Lytec and TriZetto… more
    Robert Half Accountemps (08/28/25)
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  • Revenue Cycle Management Specialist…

    KPH Healthcare Services, Inc. (Longview, TX)
    **Overview** The Revenue Cycle Management Specialist - Collections responsibility is to ensure timely collection of outstanding balances. **Responsibilities** + ... complex or uncollectible accounts to management for further action. + Submit appeals /claim corrections as needed within timely filing limits. + Utilize billing… more
    KPH Healthcare Services, Inc. (08/16/25)
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  • Immigration Specialist

    Texas Tech University (Lubbock, TX)
    **41946BR** **Extended Job Title:** Immigration Specialist **Position Description:** Serve as a key resource across the university in addressing immigration-related ... visas. + Prepare all necessary legal documents, including applications, petitions, appeals , and waivers. + Research and analyze complex immigration law issues.… more
    Texas Tech University (08/08/25)
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  • Multi - Service PA1 - Service Centre…

    Capgemini (El Paso, TX)
    …software systems to create Prescription cases and determine coverage, determination and appeals process *Good written and verbal communication skills *The ability to ... display soft skills while moving the call forward *Meeting or exceeding government mandated timelines *Complying with turnaround time, productivity, and quality standards *Conveying resolution to beneficiary or provider via direct communication and… more
    Capgemini (07/13/25)
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  • Senior Claim Benefit Specialist

    CVS Health (Austin, TX)
    …written inquiries related to requests for pre-approvals/pre-authorizations, reconsiderations, or appeals . + Ensures all compliance requirements are satisfied and ... that all payments are made following company practices and procedures. + Review and handle relevant correspondences assigned to the team that may result in adjustment to claims. + May provide job shadowing to lesser experience staff. + Utilize all resource… more
    CVS Health (09/07/25)
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  • Coding Audit Training Specialist

    Intermountain Health (Austin, TX)
    …providers, clinical staff, compliance and the CDI team. + Audits and creates appeals for all payer and regulatory denials and downgrades and provides in-depth coding ... review, audit findings, and appeal strategies. + Develops and implements training plans for all internal stakeholders including coders at all levels, providers, clinical staff, compliance and the CDI team. + Audits clinical documentation and coding for complex… more
    Intermountain Health (08/27/25)
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  • Field Reimbursement Manager

    Adecco US, Inc. (Irving, TX)
    …barriers. + Manage benefit investigations, prior authorizations, claims escalations, and appeals . + Deliver payer insights and education on Medicare and commercial ... pharmacy. + Experience with prior authorizations, claims processing, and appeals . + Strong communication, presentation, and organizational skills with customer… more
    Adecco US, Inc. (08/28/25)
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  • Professor and Department Head of Psychological…

    Tarleton State University (Stephenville, TX)
    …of Science in Psychology, a Master of Science in Applied Psychology, a Specialist in School Psychology, and a Ph.D. in Experimental Psychology. The Department Head ... technology, and office space. + Reporting: Work with the university budget specialist for record keeping and university reporting. Academic Program Development and… more
    Tarleton State University (08/30/25)
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