- CVS Health (Austin, TX)
- …monthly invoices in accounting system. + Enter and process monthly fee claims for ancillary product offerings via claim system. **Required Qualifications** ... each and every day. **Position Summary** The **Senior Accounts Receivable Specialist ** prepares accounting and financial records and reports, including general… more
- System One (Frisco, TX)
- Job Title: Revenue Cycle Specialist Location: Frisco & Carrollton, Texas (Onsite) Hours/Schedule: Full-time, Monday-Friday Type: Direct Hire Overview A growing ... and Carrollton areas is seeking an experienced Revenue Cycle Specialist to join their team. This role plays a...accuracy of patient demographic, insurance, and charge information before claim submission. + Assign and validate CPT, ICD-10, and… more
- Kelly Services (Coppell, TX)
- **Patient Benefits Specialist ** **$24-$25/hr (6-Month Contract) - Coppell, TX** A well-established medical organization in Coppell, TX is seeking an experienced ... **Patient Benefits Specialist ** to join their team on a **6-month contract**...Submit and follow up on prior authorizations and clean claims . + Process referrals and ensure documentation is complete… more
- Sedgwick (Austin, TX)
- …work. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Performs clinical review of referred claims ; documents decision rationale; and completes medical review of ... disability. + Provides clear and appropriate follow-up recommendations for ongoing medical management of claims ; ensures appropriate recommendations are made… more
- Aston Carter (Mckinney, TX)
- Job Title: Deductions Specialist Job Description We are seeking a dedicated Deductions Specialist to manage a specified territory categorized by Independent ... Sales Representatives. This role involves resolving pricing claims and deductions by validating customer debit memos against...for this temporary role may include the following: * Medical , dental & vision * Critical Illness, Accident, and… 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
- Molina Healthcare (Houston, TX)
- JOB DESCRIPTION Provides support for claims activities including reviewing and resolving **Provider No Surprises Act** cases in accordance with the standards and ... ensure that internal and/or regulatory timelines are measured correctly. * Researches claims using support systems to determine **Provider No Surprise Act** cases… more
- Chevron Phillips Chemical (Orange, TX)
- …by the plastics and chemicals manufactured by Chevron Phillips Chemical. From medical supplies and electronics to food packaging and cosmetics, we create the ... today! **Introduction** Chevron Phillips Chemical is seeking an Operations Specialist to join the Polyethylene Operations Team for the...fee will be paid for candidates who apply and claim to be represented by an agency. Any unsolicited… more
- Otsuka America Pharmaceutical Inc. (Austin, TX)
- …innovative products, with a focus on pharmaceutical products to meet unmet medical needs and nutraceutical products for the maintenance of everyday health. In ... its evolved customer engagement model, a Hospital Specialist engages healthcare providers (HCPs) using in-person, virtual, and digital tools, offering expertise on… more
- Houston Methodist (Sugar Land, TX)
- At Houston Methodist, the Senior Denials Management Specialist position is responsible for performing utilization review activities, and monitoring the clinical ... decisions and is accountable for reviewing denials for level of care, medical necessity, and as appropriate, DRG recoupments/downgrades, and denials for no… more