- Schlumberger (Houston, TX)
- …matters including but not limited to contract compliance, change management and claim mitigation strategies. + Analyzing the basis and extent of change Tracking ... claims and monitoring progress through the claims ...disability, creed, ancestry, pregnancy (including pregnancy, childbirth and related medical conditions), marital status or any factors protected by… more
- Fresenius Medical Center (Tyler, TX)
- …and making adjustments + Credit and refund experience a must have + Processing claims experience and must have + Understands EOB and Coordination of Benefits + Also ... understands reimbursements and determining if a claim was paid correctly + Requires strong investigative skills + Excel skills a must + Self start and takes… more
- UTMB Health (Galveston, TX)
- …Knowledge of coding guidelines, anatomy and physiology, biology and microbiology, medical terminology and medical abbreviations is a plus. **Licenses, ... for query opportunities for documentation clarification or missing elements in the medical record. * Utilizes the encoder and/or Optum software to correctly assign… more
- CVS Health (Austin, TX)
- …to assist customers in understanding components of the Aetna products including claims , accumulators, usage and balances, and cost sharing. + Answers questions and ... while avoiding over-committing. + Other activities may include providing claim status information, benefit coverage interpretations, and explaining plan eligibility.… more
- ZOLL Medical Corporation (San Antonio, TX)
- …innovative technologies that make a meaningful difference in people's lives. Our medical devices, software and related services are used worldwide to diagnose and ... as well as support activities to promote consistent use (Local Medical Education Programs, Tradeshows, clinical symposiums and conferences). Call points include:… 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
- Baylor Scott & White Health (Dallas, TX)
- …a minimum of five to eight years' experience in handling risk management, medical malpractice and civil litigation matters. Reporting to the system Vice President ... overseeing claims for Baylor Scott & White Health (BSWH). The...and growing healthcare system. The Dir-AGC will handle pre-litigation claim matters and other risk management issues. It is… more
- Sedgwick (Irving, TX)
- … for multiple lines of business, including but not limited to, expediting the claims process, and providing detailed claim notes on all calls, resolving issues ... growth opportunities + A diverse and comprehensive benefits offering including medical , dental vision, 401K, PTO and more. **APPLICATION PROCESS** You will… more
- CVS Health (Austin, TX)
- …requests. -Assists in preparation of complaint trend reports. -Assists in compiling claim data for customer audits. -Determines medical necessity, applicable ... -Explains member's rights and responsibilities in accordance with contract. -Processes claim referrals, new claim handoffs, nurse reviews, complaints… more
- Sedgwick (Austin, TX)
- …PURPOSE OF THE ROLE:** While partnering with the injured worker, employer, and medical providers, create a case management strategy to facilitate medical ... and a successful return to work through advocacy, communication and coordination of medical services. **ARE YOU AN IDEAL CANDIDATE?** We are looking for enthusiastic… more