- Molina Healthcare (San Antonio, TX)
- …the likelihood of a formal appeal being submitted. + Independently re-evaluates medical claims and associated records by applying advanced clinical knowledge, ... programs supported by the plan such as Utilization Review, Medical Claims Review, Long Term Service and...+ Active and unrestricted Certified Clinical Coder + Certified Medical Audit Specialist + Certified Case Manager… more
- CVS Health (Austin, TX)
- …measuring and monitoring the quality and effectiveness of work processes in claim processing and customer service that impact customer satisfaction, medical ... both routine and non-routine business support tasks for the Sr Quality Specialist area under limited supervision, referring deviations from standard practices to… more
- HCA Healthcare (El Paso, TX)
- …to join an organization that invests in you as an Inpatient Coding Denials Specialist ? At Parallon, you come first. HCA Healthcare has committed up to $300 million ... colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no...We are looking for a dedicated Inpatient Coding Denials Specialist like you to be a part of our… more
- Kemper (Mcallen, TX)
- …can be highly motivating and productive. **Position Summary:** As Desk Review Specialist , you will be reviewing incoming auto damage demands from other carriers ... utilized within Industry Standards. + Examine third-party Total Loss claims through photos, estimates, total loss valuations to ensure...they are in line with the facts of the claim and within Industry Standards. + Ensure adherence to… more
- CDM Smith (Dallas, TX)
- …applicant-provided cost claims for reasonableness to report to FEMA regarding claim eligibility. Participates in and assists with the development of the final ... **Business Unit:** FSU **Job Description:** The FEMA Disaster Management Construction Specialist : * Schedules and conducts site inspections with applicants, performs… more
- HCA Healthcare (Mckinney, TX)
- …you to be a part of our team. **Job Summary and Qualifications** Billing Specialist PHY GENERAL SUMMARY OF DUTIES: Processes claims electronically to insurance ... an organization that invests in you as a(an) Billing Specialist ? At MSO - Comprehensive OB/GYN, you come first....colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no… more
- Elevance Health (Houston, TX)
- **Financial Operations Recovery Specialist Lead** **Location:** _Hybrid1:_ This role requires associates be in the office 1-2 days per week, fostering collaboration ... is granted as required by law. The **Financial Operations Recovery Specialist Lead** is responsible for the discovery, validation, recovery, and adjustments… more
- Cardinal Health (Austin, TX)
- …and transmitting claims using billing software including electronic and paper claim processing + Following up on unpaid claims within standard billing ... prioritizes getting the right things done. **_Responsibilities_** + Submitting medical documentation/billing data to insurance providers + Researching and appealing… more
- Southland Industries (Carrollton, TX)
- …to Brandt's/Southland safety department, with heavy emphasis on workers compensation claims management. **What you'll do:** + 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
- Robert Half Accountemps (Fort Worth, TX)
- Description We are looking for a skilled Credit & Collections Specialist to join our team in Ft. Worth, Texas. This Contract-to-Permanent position offers an ... calls related to billing inquiries and provide thorough resolutions. * Administer claims and track payment statuses using accounting and CRM software. * Collaborate… more