- Methodist Health System (Dallas, TX)
- …candidate will possess a strong background in A/R follow up for family and specialty claims , able to identify, address, and resolve no response claims , denied ... skills with the ability to identify patterns, trends, and discrepancies in claims . - Effective communication and interpersonal skills, with the ability to interact… more
- Kyndryl (Austin, TX)
- …+ Partner with CCaaS architects to build future-proof architectures with EHR, CRM, and claims system integrations. The compensation range for the position in the ... US is $159,240 to $286,560 based on a full-time schedule. Your actual compensation may vary depending on your geography, job-related skills and experience. For part… more
- Sedgwick (Austin, 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
- Molina Healthcare (Fort Worth, TX)
- …to ensure that internal and/or regulatory timelines are met. + Research claims appeals and grievances using support systems to determine appeal and grievance ... and accurately, in accordance with regulatory requirements. + Research claims processing guidelines, provider contracts, fee schedules and system configurations… 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
- Molina Healthcare (Dallas, 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** + Use a business lens to ensure accurate interpretation of provider claims trends, payment integrity issues, and process gaps. + Apply understanding of… more
- Elevance Health (Houston, TX)
- …is responsible for auditing inpatient medical records and generating high quality recoverable claims for the benefit of the company, for all lines of business, and ... you will make an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines...in good faith believes is the range of possible compensation for this role at the time of this… 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 ...be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with… more
- 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
- Allied Universal (San Antonio, TX)
- Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services. Allied Universal(R) Compliance and Investigation Services is ... Investigations Unit (SIU) Investigator. Special Investigations Unit (SIU) Specialists investigate claims with red flags that suggest fraudulent behavior In relation… more