- Professional Plastics (Carrollton, TX)
- …equivalent * Minimum of 7 years strategic buying experience * Certified Professional Purchasing Manager (CPPM) Competencies: To perform the job successfully, the ... Critical Thinking: Analytically and logically evaluating information, propositions, and claims . Detects flaws, inconsistencies, and seeks the root-causes of… more
- Sedgwick (San Antonio, TX)
- …from and to share your insights. + Take advantage of a variety of professional development opportunities that help you perform your best work and grow your career. ... comprehensive benefits to take care of your mental, physical, financial and professional needs. **OFFICE LOCATIONS** If near any Sedgwick office - Hybrid **TAKING… more
- NTT America, Inc. (Plano, TX)
- …for the people who work here. NTT DATA is seeking to hire a **Remote Temp Claims Processing Associate** to work for our end client and their team. **In this Role the ... candidate will be responsible for:** 1. Processing of Professional claim forms files by provider 2. Reviewing the...Work independently to research, review and act on the claims 6. Prioritize work and adjudicate claims … more
- Methodist Health System (Dallas, TX)
- …are seeking an experienced Accounts Receivable II (AR II) Specialist specializing in Professional Billing to join our team at our Central Business Office (CBO) ... background in A/R follow up for family and specialty claims , able to identify, address, and resolve no response...improve the patient experience - Take initiative for your professional growth - Be engaged and eager to build… more
- Fun Town RV (Amarillo, TX)
- …the warranty process within the RV dealership, ensuring that all claims are handled accurately, efficiently, and in compliance with manufacturer guidelines. ... warranty team, including administrators and coordinators, ensuring that all warranty claims are submitted accurately and processed efficiently. + Oversee the… more
- Methodist Health System (Dallas, TX)
- …**Job Description :** **Your Job:** The Team Lead (AR III) specializing in Professional Billing to join our team at our Central Business Office (CBO) location. ... cycle management, with a particular emphasis on addressing and resolving no response claims , rejected or denied claims , and managing correspondence. This role… more
- Toyota (Plano, TX)
- …North American region, processing insurance requests, creating/updating analytical reports, claims management, providing risk management support, and consultation to ... any materials for presentation to various audiences. + Manage insurance program claims activities (ie, collection of claim detail information from business unit for… more
- Molina Healthcare (San Antonio, TX)
- …and executing operational initiatives tied to Payment Integrity (PI) and provider claims accuracy. The individual will be relied upon to make independent, informed ... Analysis** + Uses a business lens to ensure accurate interpretation of provider claims trends, payment integrity issues, and process gaps. + Applies understanding of… more
- Elevance Health (Houston, TX)
- …Specialist Lead** is responsible for the discovery, validation, recovery, and adjustments of claims overpayments. May do all or some of the following in relation to ... cash receipts, cash application, claims audits, collections, overpayment vendor validation, and ...our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors… more
- Sedgwick (Houston, 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...RN or CRC a must. Current license, registration and/or professional designations as required within the jurisdiction. Clinical expertise… more