- Deloitte (Fort Worth, TX)
- …you'll do/Responsibilities + Support Epic enterprise implementation for a large academic medical center and health system in the Southeast region. + Conduct Epic ... Hospital Billing application build, testing, refinement, and issue resolution, as well as coordination with operational stakeholders to ensure fulfillment of requirements and support of less experienced client analysts + Develop system design, including… more
- The Hartford (San Antonio, TX)
- …theirs, too. Join our team as we help shape the future. The Claims Team Leader will manage and direct claim investigation, compensability determination, ... and execution of the investigation, disposition and settlement of claims , in compliance with corporate claim standards...partner with internal and external customers + Knowledge of medical terms is strongly preferred + Possess analytical and… more
- Houston Methodist (Houston, TX)
- …includes, but is not limited to, resolution of charge review (where applicable) and claim edits, payor rejections, unresolved or no response insurance claims and ... knowledge of billing practices and maintains departmental standards relating to insurance claims processing, charge entry and billing functions. This role is also… more
- Sedgwick (Irving, TX)
- …professional needs. **PRIMARY PURPOSE** : Provides disability case management and routine claim determinations based on medical documentation and the applicable ... and making timely payments/approvals and adjustments, medically managing disability claims ; coordinates investigative efforts, thoroughly reviewing contested claims… more
- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- …Description:** Responsible for ensuring accurate billing for timely submission of claims , monitoring claim status, investigating claim denials/rejections, ... **43131BR** **Extended Job Title:** Medical Billing Specialist **Org Level 1:** Texas Tech Unv Hlth Sci Ctr El Paso **Position… more
- City of College Station (College Station, TX)
- …thorough and sufficient supporting evidence. + Maintain accurate and complete claims records, including entering incident reports, assigning claim numbers, ... city-wide risk management programs. Key responsibilities include contract and claims administration, loss prevention, insurance policy management, and offering… more
- Travelers Insurance Company (Austin, TX)
- …Openings** 1 **What Is the Opportunity?** Lead the strategy and operations of Travelers Claim Medical initiatives focusing on how developments in the broader ... externally. + This position will oversee the following key areas: + Medical Claim Product Research, Strategy and Innovation: + Design and direct innovative,… more
- Allied Universal (Waco, TX)
- Company Overview: Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services. Allied Universal(R) Compliance and ... Investigation Services is the premier destination for a career in insurance claim investigation. As a global leader, we provide dynamic opportunities for claim … more
- Sedgwick (Austin, TX)
- …to support the claim request and documents decision rationale. + Completes medical review of all claims by reviewing medical documentation received ... medical management of claims including comprehension of medical terminology and substantiating claim decisions. **ADDITIONAL FUNCTIONS and… more
- Sedgwick (Irving, TX)
- …establish expectations for return-to-work timelines and accommodations.** **Manages complex disability claims with a focus on medical compliance, duration ... system documentation.** **Coordinates investigative efforts to ensure thorough and appropriate claim reviews.** **Identifies when claims require external support… more