- CDM Smith (Austin, TX)
- …expertise may be needed throughout the program delivery process. * Supports the claims process by reviewing and validating damage details, scopes of work, and costs ... by providing updates on work status and may evaluate claims and make recommendations to FEMA as to whether...and make recommendations to FEMA as to whether the claim is eligible. Assists with the development of the… more
- MDD Forensic Accountants (Dallas, TX)
- …+ Perform forensic research to trace funds and identify assets for recovery + Verify claim to source documents + Evaluate insurance claims and economic damage + ... entities, and individuals calculate the true economic damage of claims or disputes. MDD is looking for a Staff...package including PTO, sick pay, 401k and profit sharing, medical , dental, vision, life, and disability. MDD applicants will… more
- MDD Forensic Accountants (Dallas, TX)
- …corporations, government entities, and individuals calculate the true economic damage of claims or disputes. MDD is looking for a Senior Accountant to serve ... skills, and can work independently. Key Responsibilities + Analyze and reconcile claim to final calculation + Participate in strategic planning sessions with… more
- Houston Methodist (Houston, TX)
- …and initiate calls to ensure prompt authorization approvals and secure payment of medical claims for both hospital billing and physician billing. + Consistently ... coding team and clinical staff when coding related, and medical necessity appeals are warranted. **FINANCE ESSENTIAL FUNCTIONS** +...through varying methods to follow up on receipt of claims and bills, and to resolve outstanding account balances.… more
- Methodist Health System (Dallas, TX)
- …receivable management system including but not limited to billing, claim corrections, reconciliation, payment posting, refunds/credit balances, customer service, and ... and profitability. Also depending upon assigned role may be responsible for reviewing claim information to ensure accuracy and provide feedback to the clinical and… more
- CVS Health (Austin, TX)
- …**Position Summary** The Negotiator Analyst is responsible for negotiating out-of-network (OON) medical claims valued at $10,000 and above. This role involves ... are developed. **Required Qualifications** + 3-5 years of experience in a medical claim background with understanding of benchmarking costs for medical … more
- The Cigna Group (El Paso, TX)
- …manager (or other appropriate Cigna resource) for customers with complicated medical conditions or technical/non-clinical needs + Research, analyze, and track ... customer call/ claim inquiries from employees. Communicate outcome and next steps...color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual… more
- HCA Healthcare (Pearland, 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
- Humana (Austin, TX)
- …help us put health first** The Corporate Medical Director (CMD) relies on medical background to review health claims and preservice appeals. The Corporate ... diverse scope and complexity ranging from moderate to substantial. The Corporate Medical Director provides medical interpretation and decisions regarding the… more
- Fujifilm (Austin, TX)
- …be an integral part of the legal team providing support to the Medical Device businesses of FUJIFILM Healthcare Americas Corporation and FUJIFILM SonoSite, Inc., ... (HLUS). The Senior Counsel, reporting to the Division General Counsel, Medical Devices, will be an experienced commercial transactions lawyer, responsible for… more