- Molina Healthcare (Fort Worth, TX)
- …and prepares written response to incoming provider reconsideration request is relating to claims payment and requests for claim adjustments or to requests from ... to ensure that internal and/or regulatory timelines are met. + Research claims appeals and grievances using support systems to determine appeal and grievance… more
- CDM Smith (Austin, TX)
- …40509BR **Business Unit:** FSU **Job Description:** The Disaster Program Delivery Specialist : * Collects, coordinates and/or reviews applicant data to determine ... needed throughout the program delivery process. * Supports the claims process by reviewing and validating damage details, scopes...and make recommendations to FEMA as to whether the claim is eligible. Assists with the development of the… more
- CVS Health (Austin, TX)
- …monthly invoices in accounting system. + Enter and process monthly fee claims for ancillary product offerings via claim system. **Required Qualifications** ... each and every day. **Position Summary** The **Senior Accounts Receivable Specialist ** prepares accounting and financial records and reports, including general… more
- Zurich NA (Houston, TX)
- Resource Pool Specialist 119449 Zurich Cover More is seeking a Resource Pool Specialist to join our Group in North America. Travel Guard is one of the world's ... Guard. This may include selling and servicing our insurance products, supporting our claims centers, or providing travel assistance to our clients around the world.… more
- Metro One Loss Prevention Services Group (Plano, TX)
- Job Description We are seeking a HR Specialist to join our growing team. This role provides day to day support in a variety of HR related areas including compliance, ... of all new hire paperwork, following-up as required. . Manage all workers' compensation claims - work directly with our insurance carrier to file and provide all… more
- Kemper (Mcallen, TX)
- …can be highly motivating and productive. **Position Summary:** As Desk Review Specialist , you will be reviewing incoming auto damage demands from other carriers ... utilized within Industry Standards. + Examine third-party Total Loss claims through photos, estimates, total loss valuations to ensure...they are in line with the facts of the claim and within Industry Standards. + Ensure adherence to… more
- HCA Healthcare (El Paso, TX)
- …to join an organization that invests in you as an Inpatient Coding Denials Specialist ? At Parallon, you come first. HCA Healthcare has committed up to $300 million ... We are looking for a dedicated Inpatient Coding Denials Specialist like you to be a part of our...available documentation, regulations and guidelines to defend the billed claim + Utilize the following resources to identify the… more
- CVS Health (Austin, TX)
- …measuring and monitoring the quality and effectiveness of work processes in claim processing and customer service that impact customer satisfaction, medical cost ... both routine and non-routine business support tasks for the Sr Quality Specialist area under limited supervision, referring deviations from standard practices to… more
- CDM Smith (Dallas, TX)
- …applicant-provided cost claims for reasonableness to report to FEMA regarding claim eligibility. Participates in and assists with the development of the final ... **Business Unit:** FSU **Job Description:** The FEMA Disaster Management Construction Specialist : * Schedules and conducts site inspections with applicants, performs… more
- HCA Healthcare (Mckinney, TX)
- …you to be a part of our team. **Job Summary and Qualifications** Billing Specialist PHY GENERAL SUMMARY OF DUTIES: Processes claims electronically to insurance ... an organization that invests in you as a(an) Billing Specialist ? At MSO - Comprehensive OB/GYN, you come first....a daily/weekly basis. This applies to all non-transmitted pending claims . Communicates daily information needed for billing to the… more