- Methodist Health System (Dallas, TX)
- …cycle management, with a particular emphasis on addressing and resolving no response claims , rejected or denied claims , and managing correspondence. This role ... medical billing, or medical reimbursement Proven experience in managing no response claims , denied claims , and billing correspondence. Knowledgeable with payors;… 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 ...various departments on a regular basis to ensure high quality customer satisfaction. + May work with external vendors… more
- Cardinal Health (Austin, TX)
- …done. **The Accounts Receivable Specialist II is responsible for processing insurance claims and billing. They will work within the scope of responsibilities as ... and support from AR & Billing leadership teams.** **_Responsibilities_** + Processes claims : investigates insurance claims ; and properly resolves by follow-up &… 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...clinical status, progress and work status. + Achieves appropriate quality audit scores on a consistent basis. + Acts… more
- Sedgwick (Irving, TX)
- …between 16.50 to 17.00 per hour.** **PRIMARY PURPOSE** **:** To provide high quality service to both internal and external customers, delivering an easy and ... and voicemails from claimants, providers, clients, attorneys, etc., resolving their claims related questions and issues in accordance with designed guidelines and… more
- DR Horton, Inc. (Arlington, TX)
- …York Stock Exchange. It is engaged in the construction and sale of high quality homes designed principally for the entry-level and first time move-up markets. The ... following. Other duties may be assigned. * Research background of claims * Monitor status of claims and update litigation database * Gather information needed to… more
- Sedgwick (Dallas, TX)
- …& Insurance OSS Coordinator **PRIMARY PURPOSE** : To support and maintain the claims management system for a local office or multiple office locations; and to ... claim adjustments, provider requests and operational expense check requests. + Queues claims for Managed Care; transfers payment allocations; and runs manual pre-pay… more
- Houston Methodist (Houston, TX)
- …Methodist, the Senior Risk Attorney position is responsible for risk, claims , and litigation management involving high-exposure and high-profile matters. **This ... and acting as the organization's corporate representative in litigation and claims management. This position provides counsel to prevent, mitigate, and eliminate… more
- Travelers Insurance Company (Austin, TX)
- …position is intended to develop skills for investigating, evaluating, negotiating and resolving claims on losses of lesser value and complexity. Provides quality ... negotiation and resolution) including maintaining full compliance with internal and external quality standards and state specific regulations. As part of the hiring… more
- Prime Therapeutics (Austin, TX)
- …to elicit, define, and document the requirements for changes to Prime's claims systems. **Responsibilities** + Ensure understanding of business requirements and IT ... and serve as subject matter expert and mentor for other members of Claims IT team, including cross-training assigned BSAs on system requirements phase of assigned… more