• Medical Biller/ Claims

    IQVIA (Houston, TX)
    **Patient Support Medical Claims Processing ​Representative** _Contract Remote Role - Location (Open to Remote US)_ As the only global provider of commercial ... a 100% remote (work from home-WFH) contact **Patient Support Medical Claims Processing Representative** to...+ High School Diploma or equivalent + Experience in claim processing required + Medical more
    IQVIA (08/21/25)
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  • Medical Claims Processor - Remote

    Cognizant (Austin, TX)
    …a High School Diploma or equivalent is required + A minimum of 1 years of medical claims processing is required + Facets experience is highly preferred + ... Claims Processors to join our growing team. The ** Medical ** ** Claims Processor** is responsible for the...Responsibilities** + Responsible for reviewing the data in the claim processing system (Facets) and comparing it… more
    Cognizant (08/26/25)
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  • Claims Processing Specialist

    Kelsey-Seybold Clinic (Pearland, TX)
    …Must be familiar with laws and regulations governing Medicare billing practices, medical billing systems, and claims processing . Preferred: IDX/EPIC, ... Claim Edit Follow-Up Representative is responsible for processing the electronic claims edits, "front end...School diploma or GED Preferred: Additional training as a medical office assistant, medical claims more
    Kelsey-Seybold Clinic (08/01/25)
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  • Claim Benefit Specialist

    CVS Health (Austin, TX)
    …enhance and improve member satisfaction and retention by providing accurate and timely resolution in processing medical claims . You will be a key link in ... day. ** Claim Benefit Specialist** Reviews and adjudicates claims in accordance with claim processing...willingly to change, and a positive, willing attitude. Prior medical claim processing experience is… more
    CVS Health (08/20/25)
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  • Senior Claim Benefit Specialist

    CVS Health (Austin, TX)
    …information for claim or reconsideration. **Required Qualifications** + 2+ years of medical claim processing experience. + Previous experience in a ... multiple assignments competently, accurately and efficiently. **Preferred Qualifications** + Self funded medical claim processing experience. + DG system… more
    CVS Health (08/15/25)
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  • Senior Claim Benefit Specialist

    CVS Health (Austin, TX)
    …competently, accurately and efficiently. **Preferred Qualifications** - 18+ months of medical claim processing experience - Self-Funding experience ... or claims that exceed specialist adjudication authority or processing expertise. - Applies medical necessity guidelines, determines coverage, completes… more
    CVS Health (08/01/25)
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  • Claims Specialist Sr , Professional…

    Sedgwick (Austin, TX)
    …Liability (MEDMAL) **PRIMARY PURPOSE** : To analyze complex or technically difficult medical malpractice claims ; to provide resolution of highly complex nature ... and RESPONSIBILITIES** + Analyzes and processes complex or technically difficult medical malpractice claims by investigating and gathering information to… more
    Sedgwick (08/14/25)
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  • Claims Advisor, Professional Liability

    Sedgwick (Dallas, TX)
    … by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and ... and provides report of investigation pertaining to new events, claims and legal actions. + Negotiates claim ...depositions, mediations, and trial monitoring as needed. + Communicates claim activity and processing with the client;… more
    Sedgwick (06/08/25)
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  • Claims Examiner | General Liability…

    Sedgwick (Austin, TX)
    … by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and ... including strategic vendor partnerships to reduce overall cost of claims for our clients. + Manages claim ...directions in a professional and timely manner. + Communicates claim activity and processing with the claimant… more
    Sedgwick (08/27/25)
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  • Bodily Injury | Claims Examiner

    Sedgwick (Plano, TX)
    … by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and ... including strategic vendor partnerships to reduce overall cost of claims for our clients. + Manages claim ...directions in a professional and timely manner. + Communicates claim activity and processing with the claimant… more
    Sedgwick (07/02/25)
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