- Humana (Austin, TX)
- …coding certification from the AAPC and/or AHIMA) + Extensive knowledge of medical claims processing and familiarity with reimbursement methodologies, ICD, CPT, ... BS in healthcare or business-related field + Knowledge of internal Medical Coverage Policies and Claims Payment Policies + CAS claims processing experience +… more
- USAA (San Antonio, TX)
- …multi-tasking, and problem-solving skills. + Advanced knowledge of human anatomy and medical terminology associated with bodily injury claims . + Ability to ... **Injury Examiner** , you will be responsible to adjust complex bodily injury claims , UM/UIM, and small business claims to include confirming coverage,… more
- HCA Healthcare (Plano, TX)
- …and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low ... health coverage as well as free telemedicine services and free AirMed medical transportation. + Additional options for dental and vision benefits, life and… more
- Houston Methodist (Houston, TX)
- …AR collections. **FINANCE ESSENTIAL FUNCTIONS** + Expedites and maximizes payment of insurance medical claims by contacting third party payers and patients. This ... responsible for resolving all outstanding third-party primary and secondary insurance claims for professional services. This Specialist is required to perform… more
- Southland Industries (Carrollton, TX)
- …Brandt's/Southland safety department, with heavy emphasis on workers compensation claims management. **Position Details** + Provide administrative support to group ... supervisor's first report of injury. Set-up and maintain w/c claim filing system. + Assist with case management of...filing system. + Assist with case management of open claims through to closure; notify safety director of safety… more
- Sedgwick (Austin, TX)
- … claim and disability duration, cost containment principles including medical management practices and Social Security and Medicare application procedures as ... Ten (10) years of experience handling litigation including 5 years of claims management experience or equivalent combination of education and experience required.… more
- CVS Health (Austin, TX)
- …a customer's data into meaningful and actionable information. This role is responsible for medical claims and economics reporting and analytics for a book of ... interpreting/analyzing all aspects of a customer's experience (financial results, medical management results, population health, effectiveness of incentive/wellness strategies,… more
- Reynolds & Reynolds (Austin, TX)
- …inbound calls from AGWS Customers to assist with questions related to maintenance claims . You will assist customers by walking them through and helping them ... understand their contract in relation to their maintenance claim requests. Responsibilities will include, but are not limited to:- Reviewing automotive contracts and… more
- AUI Partners (TX)
- …and tool inspections. + Investigate accidents, incidents, and worker compensation claims , ensuring timely and effective resolution. + Coordinate and conduct safety ... + Assist the Safety Supervisor/Safety Team on Worker Compensation claims and other claims involving the public,...as guidelines. Accident and Incident Investigations + Conduct Utility Claim Investigations within 24 hours and provide a report… more
- CDM Smith (Austin, TX)
- …Assist the project team in developing and maintaining a project risk register. Claim management: Early support for claims and disputes on the project. ... Identify contractual requirements to maintain and prosecute claims , and assist project team in managing to those requirements. Ensure that proper documentation is… more