- Insight Global (Houston, TX)
- …the specialist will be responsible for reviewing denied or rejected insurance claims , investigating the reasons for denial, correcting any errors in billing or ... Revenue Cycle Experience - End to End Strong experience in medical billing, claims , and revenue cycle management Experience with complicated claims Extensive… more
- Sedgwick (Austin, TX)
- …Determines objective, quantifiable, medically supported work restrictions for assigned claims . + Facilitates return-to-work (RTW) efforts through negotiation with ... 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
- Molina Healthcare (Houston, TX)
- …for accurate and timely maintenance of critical provider information on all claims and provider databases. Maintains critical provider information on all claims ... and provider databases. Synchronizes data among multiple claims systems and application of business rules as they apply to each database. Validate data to be housed on provider databases and ensure adherence to business and system requirements of… more
- Hensel Phelps (El Paso, TX)
- …to aid in the management of the schedule and implement controls to avoid claims . + Analyze delivery impacts, time extensions, claims , etc. using schedule ... fragments. + Interact with scheduling consultant in schedule reviews, claims analysis, etc. Perform monthly cash flow projections and analysis. + Perform workforce… more
- Dallas Behavioral Healthcare Hospital (Desoto, TX)
- …and accreditation standards. + Monitor and update policies to align with evolving regulations. Claims & Revenue Cycle Support + Review claims data to ensure ... coding and documentation meet payer requirements. + Resolve denied claims through research and collaboration with providers and payers. + Utilize specialized… more
- Baylor Scott & White Health (Plano, TX)
- …investigates to evaluate patient harm. If organizational risk is found, the Corporate claims manager will review the event further. The CRM will help conclude on ... incidents. Works to resolve issues before they become liability claims . + Receives information from team members who manage...event. + Assists the Manager of Insurance in managing claims related to property loss and visitor injury. +… more
- Molina Healthcare (Dallas, TX)
- …analytics and reporting solutions that help track, measure, and optimize automated claims processing solutions. The role will leverage tools like Power BI, Azure ... reporting to track solution effectiveness and surface potential issues + Creating claims impact reporting to assess automation potential, issues or financial impact… more
- Otsuka America Pharmaceutical Inc. (Austin, TX)
- …fee, even if claimed you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to exercise caution when you receive ... legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,...will not be held liable or responsible for any claims , losses, damages or expenses resulting from job recruiting… more
- Otsuka America Pharmaceutical Inc. (Austin, TX)
- …fee, even if claimed you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to exercise caution when you receive ... legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,...will not be held liable or responsible for any claims , losses, damages or expenses resulting from job recruiting… more
- Cardinal Health (Austin, TX)
- …data to insurance providers + Researching and appealing denied and rejected claims + Preparing, reviewing, and transmitting claims using billing software ... including electronic and paper claim processing + Following up on unpaid claims within standard billing cycle time frame + Calling insurance companies regarding any… more