- Molina Healthcare (Houston, TX)
- …of system set-up and a resource for all departments and health plans company-wide. **Knowledge/Skills/Abilities** * Conduct interviews with staff and management ... encounter processes, provider and contract configuration, provider information management, claims processing and other related functions. **Preferred Education** Bachelor's… more
- AIG (Houston, TX)
- …close co-ordination with AIG subject matter experts and robust reviews of claims history and general company information. + Your relationships with brokers will ... extends beyond time spent at work to offer benefits focused on your health , wellbeing and financial security-as well as your professional development-to bring peace… more
- Alight (TX)
- …. **About the Role** This role provides leadership and guidance to a team of Claims Specialist who work to resolve billing inquiries & discrepancies . Oversee ... review processes for better customer experience. + Mentoring and track development of Claims Specialist team through performance metrics and feedback sessions. +… more
- Cardinal Health (Austin, TX)
- …skills and prioritizes getting the right things done. **The Accounts Receivable Specialist II is responsible for processing insurance claims and billing. ... and support from AR & Billing leadership teams.** **_Responsibilities_** + Processes claims : investigates insurance claims ; and properly resolves by follow-up &… more
- Elevance Health (Grand Prairie, 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 ... submitted DRG. **How you will make an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines and objectivity in… more
- Kemper (Dallas, TX)
- …attorney represented injury claims , complex injury claims , and litigated claims . The Litigation Specialist will have advanced claim handling skills and ... Responsibilities:** + Successfully handle any complex coverage or liability claims investigation. + Evaluate complex injury claims ...enjoy great benefits:** * Qualify for your choice of health and dental plans within your first month. *… more
- NTT America, Inc. (Austin, TX)
- …developing, monitoring, and enforcing the corporate-wide personnel safety, environmental, health and regulatory management programs. This position has the ... **ESSENTIAL DUTIES & RESPONSIBILITIES** + Develops, organizes, and implements Environmental Health and Safety programs that meet or exceed local, regional, and… more
- Highmark Health (Austin, TX)
- …in either Life Office Management Association (LOMA) Certified Employee Benefit Specialist (CEBS), or America's Health InsurancePlans (AHIP) **Language (Other ... structure of a contract for a group based on claims experience, characteristics of the employee groups, etc. The...with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as… more
- Highmark Health (Austin, TX)
- …months in either Life Office Management Association (LOMA) Certified Employee Benefit Specialist (CEBS), or America's Health Insurance Plans (AHIP) **TRAVEL ... structure of a contract for a group based on claims experience, characteristics of the employee groups, etc. The...with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as… more
- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- …+ Certified Community Health Worker, having undergone the Community Health Education Specialist Training. **Does this position work in a ... primary contacts for medically needy patients. Responsibilities include processing provider claims , using computer system to record and report patient information,… more
Recent Jobs
-
Family Physician CU Medicine Family Medicine Centerfield Clinic Open Rank - Senior Instructor Series
- University of Colorado (Aurora, CO)
-
Child and Family Team Specialist
- CCSI INC (Rochester, NY)