- Humana (Austin, TX)
- …caring community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will ... closely with IT, the pricing software vendor, CIS BSS, Medicaid operations, claims operations, and other business teams involved in the administration of Medicaid… more
- Houston Methodist (Houston, TX)
- …(where applicable) and claim edits, payor rejections, unresolved or no response insurance claims and processing of financial correspondence. The Insurance ... general knowledge of billing practices and maintains departmental standards relating to insurance claims processing, charge entry and billing functions. This… more
- Elior North America (Houston, TX)
- …related field; or equivalent experience. + Strong knowledge of **workers' comp insurance coverage, investigation, and claims procedures** . + Excellent ... Compensation Program Manager to help us effectively manage, investigate, and resolve claims . In this role, you'll develop strategies and action plans that reduce… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Manager Insurance position is responsible for managing and supporting the establishment and maintenance of agreements with best in class ... insurance brokers, consultants, actuaries, and insurance companies....timecard approval, etc.). + Manages reserve reporting and ensures claims reserves are reported accurately and updated timely to… more
- Sedgwick (Austin, TX)
- …and relatively complex National Account. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Examines insurance policies, claims , and other records to determine ... insurance coverage. + Administers and reconciles complex catastrophic claims for property. + Interviews, telephones, or corresponds with claimant(s) and witnesses… 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 ... or equivalent Six (6) years progressively responsible experience in medical insurance , medical billing, or medical reimbursement Proven experience in managing no… more
- Towne Park (Grapevine, TX)
- …are eligible to enroll in medical, dental, and vision insurance , accident insurance , critical illness insurance , hospital indemnity insurance , and ... telemedicine benefits. Employees are provided company-paid basic life and AD&D insurance as well as short-term and long-term disability. Employees are also able to… more
- Sedgwick (Fort Worth, TX)
- …determine insurance coverage. + Administers and reconciles complex catastrophic claims for property. + Interviews, telephones, or corresponds with claimant and ... a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Regional General Adjuster - Southwest Region **PRIMARY PURPOSE** **:** To handle… more
- HCA Healthcare (Mckinney, TX)
- …flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance , identity theft ... Qualifications** Billing Specialist PHY GENERAL SUMMARY OF DUTIES: Processes claims electronically to insurance carriers. Mails ...SUMMARY OF DUTIES: Processes claims electronically to insurance carriers. Mails claims to carriers when… more
- Sedgwick (San Antonio, TX)
- …: To investigate claims internationally of any size or complexity, against insurance or other companies for personal, casualty, or property loss or damages and ... Certified as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Executive General Adjuster - Southwest Region **PRIMARY PURPOSE**… more