- Insight Global (San Antonio, TX)
- …assigned MRO for technical matters, delivery schedules, invoice discrepancies, warranty claims , and disposition of airline-owned materials. * Maintains and applies ... of discrepancies to support requests for procedural changes and claims for charge adjustments. * Maintains a thorough working...assigned MRO and audits invoices as required to ensure billing is correct and in accordance with applicable terms… more
- Kemper (Dallas, TX)
- …on assigned cases Aggressively pursues files referred to Staff Counsel by the Claims Department. + Creates and maintains a documented strategy for case handling in ... memorandums. + Prepares and submits timely status reports to claims handlers on all significant activities as they occur,...of case management software for maintaining notes, diary, calendar, billing , etc., on cases assigned to Staff Counsel and… more
- Sedgwick (Austin, TX)
- …a wide range of customer needs, including: + General policy support + Billing inquiries + New business quoting and onboarding + Underwriting clarification + Vehicle ... 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
- Kemper (San Antonio, TX)
- …for account products as well as liaison for resolving policy service and billing issues for assigned accounts and products. + Manages accounts on a consultative ... and state requirements. + Works directly with strategic partners like Product, Claims , and Operations on issues impacting the account. + Performs other duties… more
- Houston Methodist (Katy, TX)
- …**FINANCE ESSENTIAL FUNCTIONS** + Follows up on assigned delinquent insurance claims . Ensures maximization of collection dollars from insurance companies in ... and application of positive language principles + Extensive knowledge of claims reimbursement and collection efforts for Managed Care, Medicare, Medicaid, Workers… more
- Molina Healthcare (Fort Worth, TX)
- …responsible for the holistic management of the external vendor relationships for Claims and Enrollment activities (along with other Core Ops areas of ... and benefit realization + Demonstrates deep understanding of Core Operations, Claims and Enrollment processes, deliverables, vendor partners and technology platforms… more
- Houston Methodist (Houston, TX)
- …ESSENTIAL FUNCTIONS** + Analyzes data from various sources (medical records, claims data, payer medical policies, etc.), determines the causes for denials ... Integrates the payer medical policies, case specific medical documentation, and claims information into a concise appeal letter, including appropriate medical… more
- Moore County Hospital District (Dumas, TX)
- …from multiple payers, ensure discounts and adjustment are correct. Works denied claims daily gathering requested information for resubmittal of a corrected claim. ... deadlines are met. Contact office manager for assistance in claims processing in a timely manner. Answers phone calls...Minimum of one year experience required, in a healthcare billing . OTHER REQUIREMENTS: Typing competency of 35-40 wpm Basic… more
- Evolent (Austin, TX)
- …CPT Codes, RVUs, bundled payments, etc. + Working knowledge of healthcare claims ; specifically, differences between institutional vs professional billing and ... + Lead in-depth analyses of healthcare data - including authorizations, claims , membership, and clinical outcomes to identify cost drivers, utilization patterns,… more
- Evolent (Austin, TX)
- …or related healthcare consulting entity + Extensive knowledge of healthcare claims ; specifically, differences between institutional vs professional billing and ... public health, biology) + At least 5 years of professional experience in claims -based healthcare analytics with a payer, provider, vendor, managed care,… more