- WTW (Houston, TX)
- …you will apply your medical claims audit, project management and claim processing and auditing experience to perform self-insured client audits. You will ... as well as of vendors' processes and operating environment + Claims processing knowledge/exposure to one or more administrator claim systems such as UNET,… more
- 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 (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 ... 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 (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 ... 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
- Health Care Service Corporation (Wichita Falls, TX)
- …experience. * Clear and concise written and verbal communication skills. * Experience processing medical claims . **Preferred Job Qualifications:** * Referral ... * Must have trained on the six-eight-week Blue Chip claims processing system or have the ability...the six-eight-week Blue Chip Training class. * Knowledge of medical terminology and CPT, HCPCS, and ICD9 coding. *… more
- Sedgwick (Austin, TX)
- …. + Negotiating settlement of claims within designated authority. + Communicating claim activity and processing with the claimant and the client. + Reporting ... LOCATION** **Marlton, NJ - Hybrid (3 days work from home )** **Open to remote for candidates outside of commutable...to office** **ESSENTIAL RESPONSIBILITIES MAY INCLUDE** + Analyzing and processing claims through well-developed action plans to… more
- Reynolds & Reynolds (Dallas, TX)
- …will include, but are not limited to:-\tAnswering inbound calls-\tProvide information about claim processing and explain the different levels of contract ... coverage and terms -\tAccurately establish, review and authorize claims -\tEntering claim and contract information into the...claim and contract information into the AGWS\u2019 systemA home office package will be provided for this position.… more
- Humana (Austin, TX)
- …based on business needs. **Preferred Qualifications** + Bachelor's Degree + Prior claims processing experience + Overpayment experience + Financial recovery ... a part of our caring community and help us put health first** The Claims Research & Resolution Representative 2 manages claims operations that involve customer… more
- CenterWell (Waco, TX)
- …Our care teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers - all ... the **Branch Coordinator** is to provide clerical support for the branch medical records and billing department. Also, responsible for day-to-day coordination of… more
- CenterWell (Austin, TX)
- …knowledge in Microsoft Access or experience with SQL Server databases + Previous experience processing medical claims + Bilingual (English and Spanish); with ... Our care teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers - all… more