- 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
- 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
- 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
- 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
- CVS Health (Austin, TX)
- …representatives that are responsible for contacting payers to collect on unpaid claims in a timely and accurate manner, researching and resolving payment variances, ... and managing the accurate and timely filing of claims within payer function group. **Additional responsibilities of the... processing changes + Ensure daily reconciliation of electronic claim files + Maintain productivity and quality standards of… more