- Army Installation Management Command (Fort Sam Houston, TX)
- …administrator for the risk management information system . Accurately maintains all systems to include address list, exposure database, claims and losses, ... coverage, analyzes and evaluates proof of loss documents and recommends settlement of claims . Has approval authority of property claims up to $3,000. Updates… more
- Houston Methodist (Houston, TX)
- …positive impactful opportunities in denials and adjustments for the individual facilities and the system . + Works assigned claim edit and follow up work queues ... 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
- Sedgwick (Irving, TX)
- …payment information and claims status by phone, written correspondence and/or claims system . + Communicates with the claimants' providers to set expectations ... aspects of claims process by phone, written correspondence and/or claims system . + Coordinates investigative efforts ensuring appropriateness; provides… more
- Rush Enterprises (New Braunfels, TX)
- …and litigation management. + Document and update the Risk and Insurance Information System (RMIS) system as individual claims required. + Perform ... regular audits of individual claim files and review workers' compensation claims . + Efficiently manage caseload ratios by balancing open claims and litigated… more
- Sedgwick (Irving, TX)
- …payment information and claims status by phone, written correspondence and/or claims system . + Communicates with the claimants' providers to set expectations ... aspects of claims process by phone, written correspondence and/or claims system . + Coordinates investigative efforts ensuring appropriateness; provides… more
- Methodist Health System (Dallas, TX)
- …ACO (MPCACO) physicians and their office personnel; and representatives of Methodist system hospitals and other facilities. Essentially, the job purpose is to foster ... advancing the mission, vision and values of Methodist Health System (MHS). Job Requirements: * Bachelor's degree preferred *...and office staffs. * Must demonstrate understanding of medical claims billing and coding practices. * Ability to analyze… more
- Sedgwick (Dallas, TX)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance SAP FICO Systems Analyst **PRIMARY PURPOSE** : To design and maintain robust, scalable software ... architecture for one or more elements of CMS software systems ; to oversee programming, implementation and maintenance revisions of specified projects; and to… more
- Highmark Health (Austin, TX)
- …BE A US CITIZEN This position serves as a key liaison between Claims Operations, Customer Service, Regulatory Affairs, IT, Legal and other departments, proactively ... performs business analysis tasks by supporting stakeholders of a specific system application(s), handling user inquiries/issues, and enhancements to the system… more
- Methodist Health System (Dallas, TX)
- …coding, payer-specific requirements, and CMS guidelines for physician services. + Systems : Epic experience required; experience with denial management systems ... + Certifications: Certification through HFMA, AAHAM, or Epic (PB Resolute or Claim Edit) required for new hires; encouraged for incumbents. Your Job… more
- Texas A&M University System (College Station, TX)
- … Offices is one of several system members within the Texas A&M University System representing one of the largest systems of higher education in the nation, ... Job Title Assistant General Counsel II Agency Texas A&M University System Offices Department General Counsel Proposed Minimum Salary Commensurate Job Location… more
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