- Fresenius Medical Center (Plano, TX)
- …the Patient Account Representative - Collections ensures the timely receipt of claim payments and minimizes bad debt accrual. In this capacity, the Patient ... AND RESPONSIBILITIES: + Under general supervision, identify and resolve routine outstanding claims . + Generate and analyze diverse reports and work lists in the… more
- HCA Healthcare (Pearland, TX)
- …addition like you. **What you will do in this role:** + Reviews all claims for completeness, reasonableness of charges and appropriateness of billing codes and payer ... information + Pursues timely collection of each claim using thorough follow-up efforts appropriate to each payer...you will need:** + Minimum of 2 years Medicare claim process experience + Experience with insurance collections, appeals,… more
- Philadelphia Insurance Companies (Plano, TX)
- …staff of account executives, underwriters and loss prevention engineers and fair and timely claim settlement from a skilled team of claim professionals. We work ... as needed. 10. Interacts and coordinates activities with other departments (eg Claims , Loss Control, Client Solutions, and Accounting). Working in coordination with… more
- HCA Healthcare (San Antonio, TX)
- …do in this role:** + Work insurance pools and contact insurance companies to resolve claims that are not paidin a timely manner. + Review EOB's, remits and payer ... the appropriate area for review and response to expedite claim resolution. + Identify problem accounts and escalate as...resolve payer requests and discrepancies to promptly resolve pending claims . **What qualifications you will need: ** + High… more
- Kemper (Mcallen, TX)
- …parts were utilized within Industry Standards. + Examine third-party Total Loss claims through photos, estimates, total loss valuations to ensure valuations are ... they are in line with the facts of the claim and within Industry Standards. + Ensure adherence to... and within Industry Standards. + Ensure adherence to claims procedures and guidelines prescribed by the company to… more
- Humana (Austin, TX)
- …in Texas and other states. This is accomplished by analysis and adjudication of claims , appeals, and potential quality of care issues. The Dental Director - Texas ... with review policies, procedures, and performance standards. o Review dental claims consistent with current ADA CDT terminology and current professional standards… more
- USAA (Plano, TX)
- …analyze data. **What sets you apart:** + Broad experience and expertise in Claims Investigations to include enabling new or enhanced capabilities. + Familiarity with ... Auto Claims Telematics and application to Investigations + Experience working...for process changes. + Proficient with and in Guidewire Claim Center to include design, enhancements, and overall development.… more
- Centene Corporation (Austin, TX)
- …to external provider related issues + Investigate, resolve and communicate provider claim issues and changes + Initiate data entry of provider-related demographic ... + Educate providers regarding policies and procedures related to referrals and claims submission, web site usage, EDI solicitation and related topics + Perform… more
- Rexel USA (Dallas, TX)
- …disability plans + Maintain employee benefit files related to LOA and disability claims , electronic or hard copy + Process all Short and Long-Term Disability ... company SLAs + Complete state and other forms related to leave of absence claims , verification of employment, child support orders, and other related documents + Act… more
- Sedgwick (Bedford, TX)
- …team. + Reviews and evaluates accuracy of compensability decisions and claim assignments. + Manages staffing schedules to ensure appropriate department coverage. ... for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The… more