- Amazon (TX)
- …handle inbound calls from One Medical patients (customers) regarding their medical bills, insurance claims , and payment inquiries. Daily activities include ... of customer service experience in a call center environment 1+ years with medical billing, insurance claims , or healthcare revenue cycle Demonstrated proficiency… more
- Sedgwick (Irving, TX)
- …Representative Sr **PRIMARY PURPOSE** : Provides disability case management and complex claim determinations based on medical documentation and the applicable ... and making timely payments/approvals and adjustments, medically managing disability claims including comorbidities, concurrent plans, and complex ADA accommodations;… more
- TEKsystems (Plano, TX)
- …and denials, ensuring timely resolution and follow-up. + Process approximately 15-40 claims per day, depending on volume. + Support collections efforts by ... identifying and addressing outstanding claims . + Ensure compliance with all applicable regulatory guidelines, payer policies, and internal procedures. + Collaborate… more
- USAA (San Antonio, TX)
- …accurately manages claims outcomes. + Maintains accurate, thorough, and current claim file documentation throughout the claims process. + Advance knowledge ... framework, investigate, evaluate, negotiate, and settle complex property insurance claims . Adjusters confirm/analyze coverage, recognize liability exposure and negotiate… more
- Rush Enterprises (New Braunfels, TX)
- …and services. Responsibilities + Oversee and manage complex workers compensation claim process, including reporting, medical coordination, lost time and ... claims required. + Perform regular audits of individual claim files and review workers' compensation claims ....individual claim files and review workers' compensation claims . + Efficiently manage caseload ratios by balancing open… more
- Sedgwick (Irving, TX)
- …designed guidelines and policies. + Communicates claims status and current claim activity with client and appropriate medical contact; responds to inquiries ... about jurisdiction- and claim -specific issues. + Enters data into claims system(s) and ensures claim files are properly documented and claims coding is… more
- IQVIA (Houston, TX)
- …such as co-pay cards or vouchers. The **Care Navigator** is primarily responsible for receiving medical claims from HCPs or patients and vetting the claim ... an IQVIA full-time employee. **Job Responsibilities:** + Primary responsibilities involve receiving medical claims from HCPs or patients, ensuring the adequate… more
- CDM Smith (San Antonio, TX)
- …Smith is seeking a Forensic Accounting Specialist with expertise in disaster fraud claims . This role is critical in evaluating and analyzing financial data related ... to disaster-related claims , including property damage, business interruption, and other loss...potential fraud, and ensure the integrity and fairness of claim settlements. By applying advanced accounting, auditing, and investigative… more
- Sedgwick (Irving, TX)
- …naturally empathic and solution-focused. **ESSENTIAL RESPONSIBLITIES MAY INCLUDE** + Makes claim determinations to approve non-complex disability claims or makes ... your 2+ years' experience in a office setting or medical experience and grow with us! + A stable...professional needs. **PRIMARY PURPOSE OF THE ROLE:** To process claims and determine benefits due pursuant to a disability… more
- Sedgwick (Irving, TX)
- …time frames, and claims status either by phone, written correspondence and/or claims system. + Reviews medical information to determine if the claimant meets ... and/or client requirements for a qualifying condition. + Makes claim determinations to approve non-complex ADA claims ...Makes claim determinations to approve non-complex ADA claims or makes a recommendation to team lead to… more