- Sedgwick (San Antonio, TX)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Remote Housing Coordinator Schedule: Monday- Friday 10am-7pm EST **PRIMARY PURPOSE** ... Housing Coordinator serves as both a client advocate and housing specialist -blending empathetic support, strategic property research, and lease coordination to… more
- Cognizant (Austin, TX)
- …implementation of process initiatives to reduce denials. The Accounts Receivable Specialist role responsibilities include following up directly with payers to ... preferred. + **Technical Skills** : Proficiency in Excel, payer portals, and claims clearinghouses. **Additional Duties:** + **Examine Claims ** : Analyze denied… 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 ... **Company :** HM Insurance Group **Job Description :** **JOB SUMMARY** This...structure of a contract for a group based on claims experience, characteristics of the employee groups, etc. The… more
- Highmark Health (Austin, TX)
- **Company :** HM Insurance Group **Job Description :** **JOB SUMMARY** This job prices quotes and analyzes the structure of a contract for a group based on claims ... risk factors for new enrollment, annual renewals, and amendments of group insurance contracts or of self-funded plans in conformance with established underwriting… more
- NTT America, Inc. (Austin, TX)
- …Manager and the corporate insurance group as regards to high value insurance claims , to ensure that documentary information has been collected, secured, and ... preserved so that claims will be resolved in a timely manner as...+ Certified Safety Professional (CSP) or Certified Safety Management Specialist (CSMS) preferred. + Certified Environmental Professional CHMM and… more
- Molina Healthcare (TX)
- …of a formal appeal being submitted. + Independently re-evaluates medical claims and associated records by applying advanced clinical knowledge, knowledge of ... with the Chief Medical Officer for Administrative Law Judge pre-hearings, State Insurance Commission, and Meet and Confers. + Represents Molina and presents cases… more
- Medtronic (TX)
- …articulate to customers. + Execute engaging field sales and clinical specialist field education programs that are targeted, purposeful, and support electrophysiology ... Clinical Expert + Translates complex technical messaging, dispels competitive claims , resolves complex technical issues, and maintains customer relationships through… more
- HCA Healthcare (Pasadena, TX)
- …plans (accident, critical illness, hospital indemnity), auto and home insurance , identity theft protection, legal counseling, long-term care coverage, moving ... assistance, pet insurance and more. + Free counseling services and resources...abstracts as necessary (eg, combining the codes for outpatient claims subject to the payment window) + Assists the… more
- HCA Healthcare (Round Rock, TX)
- …plans (accident, critical illness, hospital indemnity), auto and home insurance , identity theft protection, legal counseling, long-term care coverage, moving ... assistance, pet insurance and more. + Free counseling services and resources...abstracts as necessary (eg, combining the codes for outpatient claims subject to the payment window) + Assist the… more
- Adecco US, Inc. (Houston, TX)
- …investigation and prior authorization * Provide patient access support related to claims , denials, and appeals * Facilitate training on payer landscape and hub ... considered:** * 8+ years of healthcare reimbursement experience (Medicare & Commercial insurance ) * Strong background in Buy & Bill, Specialty Pharmacy, or related… more