- Molina Healthcare (TX)
- …highly experienced Lead Analyst, Configuration Oversight to support our Payment Integrity and Claims Operations teams in ensuring the accuracy and compliance of ... Coordination of Benefits (COB) claim pricing and processing. This role will focus on...operations + Must have strong understanding of QNXT claims processes + Must be able to identify and… more
- Houston Methodist (Houston, TX)
- …the ability to apply legal analysis to facts, offers recommendations pertaining to claims and litigation strategy, enhancing operations on a system level. + ... Methodist, the Senior Risk Attorney position is responsible for risk, claims , and litigation management involving high-exposure and high-profile matters. **This… more
- Caris Life Sciences (Irving, TX)
- …The Billing Department is at the center and forefront of our financial operations . This position is responsible for overseeing the appeals process within the billing ... ensuring timely and accurate resolution of denied or underpaid claims . This role requires a strong understanding of payer...+ Develop and maintain standard operating procedures (SOPs) for claim follow-up and appeals processes. + Monitor and manage… more
- US Anesthesia Partners (Austin, TX)
- …our clinicians and patients by assisting with accuracy of data for claim submission. Performs business office duties that support the anesthesia practice requiring ... assist in resolution. + Performs various audits in MD Claim for data accuracy for revenue capture. + Performs...+ Participates in applicable meetings, to include Gulf Coast Operations team, to remain compliant on processes, awareness of… more
- Sedgwick (Irving, TX)
- …as suggested by the claim status; and provides written resumes of specific claims as requested by client. + Assures that direct reports are properly licensed in ... & Insurance Workforce Absence Team Lead **PRIMARY PURPOSE** **:** To supervise the operations of multiple teams of examiners and technical staff for disability … more
- Houston Methodist (Houston, TX)
- …ESSENTIAL FUNCTIONS** + Partners with revenue cycle leadership and peers and clinical operations to reduce denials. This includes reviewing claim edits and ... clinical knowledge to reduce financial risk and exposure caused by front end claim edits and retrospective denial of payments for services provided. This position… more
- Walmart (Gun Barrel City, TX)
- …versustraining Determines training needs Develops and delivers training as needed Manages claims and receiving operations by ensuring proper policies and ... and collaborating with all levels of associates regarding store operations utilizing technology business initiativesmerchandising and company direction introducing… more
- USAA (San Antonio, TX)
- …accurately manages claims outcomes. + Maintains accurate, thorough, and current claim file documentation throughout the claims process. + Advance knowledge ... framework, investigate, evaluate, negotiate, and settle complex property insurance claims . Adjusters confirm/analyze coverage, recognize liability exposure and negotiate… more
- Allied Universal (San Antonio, TX)
- …platform to claim open shifts at client sites + Support operations across a range of environments including commercial real estate, healthcare, and education ... full-time positions! As a **Armed Security Officer - Security Operations Center** in **San Antonio, TX** , you will...As a Part-Time Security Officer, you'll use our exclusive Claim a Shift platform to view and Pick up… more
- Army Installation Management Command (Fort Sam Houston, TX)
- …coverage, analyzes and evaluates proof of loss documents and recommends settlement of claims . Has approval authority of property claims up to $3,000. Updates ... include identifying uninsurable assets and unusual exposures. Provides loss experience, claim reports and analysis to Regions/Garrisons and advises on management… more