- Ascension Health (Austin, TX)
- …in the patient account record of all billing activities. Maintain documentation of claims processed as part of the daily claims reconciliation process. + ... in the patient account record of all billing activities. Maintain documentation of claims processed as part of the daily claims reconciliation process. +… more
- Public Consulting Group (Austin, TX)
- …through claim issue research. Additional this position will assist in performing claims processing, medical record audits for all implemented agencies, and assist ... through claim issue research. Additional this position will assist in performing claims processing, medical record audits for all implemented agencies, and assist… more
- Sedgwick (Austin, TX)
- …**:** To supervise the activities of the adjuster department; to assign caseload of claims to adjusters and to ensure customer satisfaction of claims services ... Attends litigation hearings. + Establishes reserves and estimates in unassigned claims files. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES** + Performs other duties… more
- Sedgwick (Austin, TX)
- …work. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Performs clinical review of referred claims ; documents decision rationale; and completes medical review of all ... claims to ensure information substantiates disability. + Provides clear...LPC, LMHC or CRC required. Current license, registration and/or professional designations as required within the jurisdiction. Clinical expertise… more
- Sedgwick (Dallas, TX)
- …General Adjuster - Southwest Region **PRIMARY PURPOSE** **:** To handle losses or claims nationally regardless of size, including having the ability to address any ... Account. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Examines insurance policies, claims , and other records to determine insurance coverage. + Administers… more
- Sedgwick (Irving, TX)
- …and voicemails from claimants, providers, clients, attorneys, etc., resolving their claims related questions and issues in accordance with designed guidelines and ... policies. + Communicates claims status and current claim activity with client and...Associate's degree from an accredited college or university preferred. Professional certification as applicable to line of business preferred.… more
- The City of Houston (Houston, TX)
- …regulations and established procedures. + Maintains timely, concise, and professional communication, guidance, and education to injured employees, caregivers, and ... Finance, Accounting or a related field. EXPERIENCE REOUIREMENTS Four years professional experience in Finance, Accounting or Worker's Compensation are required;… more
- Guardian Life (Plano, TX)
- The **Dental Director** will be responsible for ensuring that professional DHMO activities in the State of Texas are compliant with applicable state regulations. You ... will ensure that claims , referrals, appeals, and grievances meet state specific regulations,...you'll have the support and flexibility to achieve your professional and personal goals. Through skill-building, leadership development and… more
- Houston Methodist (Houston, TX)
- …and capture potential revenue opportunities. This position performs quality assurance, detailed claims analysis, and medical record reviews of complex claims and ... FUNCTIONS** + Conducts risk-based and baseline reviews of complex and escalated claims or records in a timely manner, evaluates corrective actions and processes… more
- Sedgwick (San Antonio, TX)
- …with information regarding their vehicle's cost of repair estimate and explains claims /repair process + Maintains accurate vehicle's cost of repair estimate and ... explains claims /repair process + Negotiates advanced fees for tow, tear...preferred (but not required). Licenses as required, as needed. Professional certifications as applicable to line-of-business preferred. If the… more