- Molina Healthcare (TX)
- …**KNOWLEDGE/SKILLS/ABILITIES** + Enters denials and requests for appeal into information system and prepares documentation for further review. + Research issues ... utilizing systems and other available resources. + Assures timeliness and...**REQUIRED EXPERIENCE:** + 1 year of Molina experience, health claims experience, OR one year of customer service/provider service… more
- Toyota (Plano, TX)
- …of any materials for presentation to various audiences. + Manage insurance program claims activities (ie, collection of claim detail information from business ... North American region, processing insurance requests, creating/updating analytical reports, claims management, providing risk management support, and consultation to… more
- Sedgwick (Dallas, TX)
- …Services & Insurance OSS Coordinator **PRIMARY PURPOSE** : To support and maintain the claims management system for a local office or multiple office locations; ... internal and external logins and the applicable security access for the company's claims management systems by determining the validity for incoming requests and… more
- Allied Universal (Houston, TX)
- Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services. Allied Universal(R) Compliance and Investigation Services is ... the premier destination for a career in insurance claim investigation. As a global leader, we provide dynamic opportunities for claim investigators, SIU… more
- Banner Health (TX)
- …coding expertise to resolve issues and support appropriate reimbursement. Proficiency in claims software to address coding edits and claim denials utilizing ... focuses (Facility vs Profee)._ In this **Inpatient Facility-based HIMS Coding Quality Associate ** position, you bring your **5 years of acute care inpatient coding… more
- Community Health Systems (Lufkin, TX)
- …of safety and compliance. + Oversee the investigation and management of legal claims and suits, ensuring timely and accurate responses to legal inquiries and ... requirements. + Perform other duties as assigned. **Qualifications:** + Associate Degree required + Bachelor's Degree in Healthcare Administration, Nursing,… more
- Towne Park (Grapevine, TX)
- …client satisfaction objectives. **DUTIES AND RESPONSIBILITIES** **_Financial and Business Systems Management_** + Understands and drives business metrics and ... the ability to positively move the metrics for forecasting, productivity, claims , customer service, and turnover + Manages scheduling, overtime for associates… more
- Baylor Scott & White Health (Temple, TX)
- …on position type and/or level **Job Summary** Manages detailed assessments of high-risk claims with a medical/legal plan to prevent claim elevation. Reviews and ... families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well. Our Core Values are:… more
- Highmark Health (Austin, TX)
- …and other related software. + Strong analytical and communication skills Preferred + Associate 's Degree + 3 years with claims processing and data management ... and provide advice on new programs. Provides guidance to system entities in response to external coding audits conducted...ICD-PCS, CPT and HCPCS Level II code and modifier systems , missed secondary diagnoses and procedures and ensures compliance… more
- Omni Hotels (Houston, TX)
- …property, and enthusiastically promotes opportunities within the hotel and company. + Manages associate benefit file system to Omni Standard and ensures accurate ... Resources Department. + Participates in planning and execution of associate events planned by the Human Resources Department. +...enrollment for all eligible associates. + Monitor unemployment insurance claims and actively work to reduce claim … more