- AON (Houston, TX)
- …monitoring loss sensitive programs including complex reconciliations involving claims and premium data, tracking/documenting historical information from previous ... some of which are hosted by the client. + Monitor, summarize and report on claims . + Undertake various duties as assigned by unit leads and client. How this… more
- Sedgwick (Irving, TX)
- …you looking for an impactful job that offers the opportunity to develop a professional career? Bring your 1-2 years' experience in an office setting and grow with ... comprehensive benefits package to take care of your mental, physical, financial and professional needs. **PRIMARY PURPOSE OF THE ROLE** : To analyze reported leave… more
- Dallas Behavioral Healthcare Hospital (Desoto, TX)
- …Medical Coder to to assign procedure,diagnosis codes for insurance billing, review claims data, research and corresponds with insurance companies in an effort to ... obtain accurate reimbursement for healthcare claims . . Duties include but are not limited to: + Utilize specialized medical classification software to assign… more
- Dallas Behavioral Healthcare Hospital (Desoto, TX)
- …Clerk/Coder to assign procedure, and diagnosis codes for insurance billing, review claims data, research, and correspond with insurance companies to obtain accurate ... reimbursement for healthcare claims . This person will also be responsible for analyzing, abstracting, compiling data, and generating reports. This position must… more
- Sedgwick (Irving, TX)
- …job requiring no prior experience that offers an opportunity to develop a professional career? + A stable and consistent work environment in an office and/or ... to take care of your mental, physical, financial and professional needs. See what a day in the life...To provide excellent service displaying empathy to callers regarding claims for multiple lines of business, including but not… more
- Elevance Health (Grand Prairie, TX)
- …eligible for employment based sponsorship. **Ensures accurate adjudication of claims , by translating medical policies, reimbursement policies, and clinical editing ... research and responds to system inquiries and appeals. + Conducts research of claims systems and system edits to identify adjudication issues and to audit … more
- Sedgwick (Austin, TX)
- …Services & Insurance Executive General Adjuster **PRIMARY PURPOSE** : To investigate claims internationally of any size or complexity, against insurance or other ... be negotiated. + Attends litigation hearings. + Revises case reserves in assigned claims files to cover probable costs. + Prepares loss experience reports to help… more
- CVS Health (Austin, TX)
- …representatives that are responsible for contacting payers to collect on unpaid claims in a timely and accurate manner, researching and resolving payment variances, ... and managing the accurate and timely filing of claims within payer function group. **Additional responsibilities of the Accounts Receivable Supervisor include:** +… more
- Molina Healthcare (Dallas, TX)
- …enforcement or for payment recovery. **KNOWLEDGE/SKILLS/ABILITIES** + Reviews post pay claims with corresponding medical records to determine accuracy of claims ... of experience working in the group health business preferred, particularly within claims processing or operations. + A demonstrated working knowledge of Local, State… more
- Humana (Austin, TX)
- …community and help us put health first** Own and manage Medicaid claims analytics dataset using Databricks. Ensure data accuracy, completeness, and readiness to ... data transformations, automation, and enhancements. Conduct in-depth analysis of healthcare claims to identify data issues and optimization opportunities. Work with… more