- USAA (Dallas, TX)
- …Investigation Unit (SIU) referrals, when appropriate. + Maintains accurate and current claim file documentation throughout the claims process for low complexity ... and appraise low complexity (drivable, material loss, auto physical damage) auto claims in accordance with the terms and conditions of the contract, corporate… more
- Covenant Health (Lubbock, TX)
- …of claim billed and collected on behalf of Covenant. This individual addresses claim edits, files all claims on either a UB-04 (RHC) or 1500 (835/837 ... valued - they're invaluable. Join our team at Covenant Medical Group and thrive in our culture of patient-focused,...business office experience or related field. + 3 years Medical billing and medical terminology. **Why Join… more
- Dallas Behavioral Healthcare Hospital (Desoto, TX)
- THIS IS NOT A REMOTE POSITION We are hiring a Medical Records Clerk/Coder to assign procedure, and diagnosis codes for insurance billing, review claims data, ... correspond with insurance companies to obtain accurate reimbursement for healthcare claims . This person will also be responsible for analyzing, abstracting,… more
- Dallas Behavioral Healthcare Hospital (Desoto, TX)
- We are hiring a part-time Medical Coder to to assign procedure,diagnosis codes for insurance billing, review claims data, research and corresponds with insurance ... in an effort to obtain accurate reimbursement for healthcare claims . . Duties include but are not limited to:...include but are not limited to: + Utilize specialized medical classification software to assign procedure and diagnosis codes… more
- Sedgwick (Austin, TX)
- …Insurance Marine Adjuster **PRIMARY PURPOSE** **:** To investigate and process marine claims adjustments for clients; to handle complex losses locally unassisted up ... documentation, and issues settlement. + Receives and reviews new claims and maintains data integrity in the claims...+ Prepares settlement documents and requests payment for the claim and expenses. + Assists in preparing loss experience… more
- Lithia & Driveway (Mesquite, TX)
- … claims forshop comebacks. + Review and process all returned/rejected/adjusted warranty claims , track each claim until its final resolution. + Contact the ... appropriate warranty claims representative regarding any claims requiring additional...best in class industry benefits: + Competitive pay + Medical , Dental and Vision Plans + Paid Holidays &… more
- Fresenius Medical Center (Plano, TX)
- …function(s). The incumbent is responsible for evaluating and resolving outstanding claim issues in compliance with company policies and procedures. PRINCIPAL DUTIES ... within the assigned function(s). + Review, investigate and resolve outstanding claims in coordination with cross-divisional teams and/or vendors to obtain the… more
- CVS Health (Austin, TX)
- …**Position Summary** Aetna, a CVS Health company, has an outstanding opportunity for a Medical Director. Ready to take your career to the next level with a Fortune ... anywhere in the United States. In this role as Medical Director MPO ( Medical Policy & Operations)...Aetna clinical and coding policy and experience with appeals, claim review, reimbursement issues, and coding is preferable, but… more
- Elevance Health (Grand Prairie, TX)
- …not eligible for employment based sponsorship. **Ensures accurate adjudication of claims , by translating medical policies, reimbursement policies, and clinical ... into effective and accurate reimbursement criteria.** PRIMARY DUTIES: + Review medical record documentation in support of Evaluation and Management, CPT, HCPCS… more
- Houston Methodist (Houston, TX)
- …and capture potential revenue opportunities. This position performs quality assurance, detailed claims analysis, and medical record reviews of complex claims ... FUNCTIONS** + Conducts risk-based and baseline reviews of complex and escalated claims or records in a timely manner, evaluates corrective actions and processes… more