- US Physical Therapy (Houston, TX)
- …expanding Houston team. Your role will be critical in our billing and claims department, and you will be asked to facilitate procedural requirements, including data ... to obtain prior authorizations and verify coverage. + Follow up on unpaid claims and denials. + Maintain accurate and up-to-date patient account information. +… more
- Sedgwick (Austin, TX)
- …quickly to change **Education & Licensing** HS diploma or GED required. Associate degree from an accredited college or university preferred. Active property & ... 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
- Humana (Austin, TX)
- …complete and accurate. + Certified Professional Coder or coding knowledge. + Claims knowledge and understanding of claims processing. **Additional Information** ... (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart… more
- Evolent (Austin, TX)
- …require technical experts to find the most valuable defects. The IQA reports to a associate director or a manager. One or many IQAs may be engaged in any testing ... - Payer side, Knowledge of Medicare, Medicaid, Commercial Plans and understanding on claims workflow, members, providers + A minimum of 1 years of experience in… more
- Walgreens (Austin, TX)
- …and maintaining front end and pharmacy asset protection techniques, and filing claims for warehouse and vendor overages (merchandise received, but not billed), ... for non-returnable ABC overstock. Verifies posting of all pharmacy/ prescription claims . + Completes execution of all pricing activities including price changes,… more
- Allied Universal (Temple, TX)
- Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services. Allied Universal(R) Compliance and Investigation Services is ... Time Off** **!** **RESPONSIBILITIES:** + Conduct independent investigations of insurance claims across a range of coverage types, including workers' compensation,… more
- Valmont Industries, Inc. (Bellville, TX)
- …and training, and employment law compliance including workers' compensation claims review. **Essential Functions:** + Demonstrate commitment to exceptional employee ... Bachelor's degree with 6+ years human resources experience or associate 's degree with 8+ years of relevant experience; or...forefront to avoid potential discord in the workplace, agency claims or litigation + Must be extremely well organized… more
- Community Health Systems (Corsicana, TX)
- …support revenue cycle efficiency. **Essential Functions** + Submits and processes claims accurately and efficiently, ensuring compliance with payer requirements and ... duties as assigned. + Complies with all policies and standards. **Qualifications** + Associate Degree in a healthcare related field preferred or + Technical School… more
- Baylor Scott & White Health (Temple, TX)
- …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 ... timely reviews, feedback, recommendations, and resolution of professional liability claims . Coordinates follow-up and collaborates with multiple reviewers to ensure… more
- Methodist Health System (Dallas, TX)
- …Shift: Day Job Description: Job Description: The purpose of the ** Associate Provider Services Representative** is multifaceted; it requires excellent interpersonal ... physicians and office staffs. * Must demonstrate understanding of medical claims billing and coding practices. * Ability to analyze problems/issues/questions and… more