- Molina Healthcare (Fort Worth, TX)
- …and FQHC/RHC reports. + Generates other provider-related reports, such as: claims report extractions; regularly scheduled reports related to Network Management (ER, ... Experience** + 3-5 years managed care experience, including 2+ years in Provider Claims and/or Provider Network Administration. + 3+ years' experience in Medical … more
- Mass Markets (TX)
- …sometimes even cars! + Health Benefits: Full-time employees are eligible for comprehensive medical , dental, and vision coverage after 60 days of employment, and all ... employees have access to MEC medical plans after just 30 days. Benefit options vary by location. + Retirement Savings: Secure your future with retirement savings… more
- Health Care Service Corporation (Richardson, TX)
- …providing assistance to members, and analyzing member needs. + Basic knowledge of medical or healthcare terminology. + Knowledge of clinical systems ( claims , ... external stakeholders. **Preferred Job Qualifications** **:** + College courses in medical field, human services, social work, psychology or related healthcare field… more
- Prysmian (Houston, TX)
- …various Specialty markets as needed by the business + Process customer returns and claims in a timely manner and initiate a corrective action, if necessary + Provide ... status, disability, military service or veteran status, pregnancy, parental leave, medical conditions, or any other characteristic protected by applicable federal,… more
- Panasonic North America (Los Indios, TX)
- …and report on activity or requirements related to drawback or other duty/tax claims . Provide drawback to facilitate refunds as needed. + Research within available ... and assignment. **BENEFITS & PERKS - WE'RE ALL ABOUT YOU:** + Great Medical / Dental Benefits + Company-Matched 401K Retirement Savings + Annual Bonus Program… more
- WTW (Houston, TX)
- …Risk, including adjustments for model limitations, near-term climate conditions, and claims experience. + Working with clients, jointly with other Willis commercial ... following (eligibility requirements apply): + **Health and Welfare Benefits:** Medical (including prescription coverage), Dental, Vision, Health Savings Account,… more
- Allied Universal (Waco, TX)
- … with red flags that suggest fraudulent behavior In relation to an Insurance claim . The SIU Specialist must use their extensive knowledge of Insurance policies ... Company Overview: Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services....Fraud Claim Law Associate (FCLA) + Fraud Claim Law Specialist (FCLS) + Certified Protection… more
- Elevance Health (Grand Prairie, TX)
- …coding or quality assurance environment preferred. + Broad knowledge of medical claims billing/payment systems provider billing guidelines, payer reimbursement ... -expense spending. The **DRG CODING AUDITOR** is responsible for auditing inpatient medical records and generating high quality recoverable claims for the… 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 ... - 3:30 PM PST (or based on business need)** **_What Accounts Receivable Specialist contributes to Cardinal Health_** Account Receivable Specialist is responsible… more
- Molina Healthcare (Dallas, TX)
- …to law enforcement or for payment recovery. **KNOWLEDGE/SKILLS/ABILITIES** + Reviews post pay claims with corresponding medical records to determine accuracy of ... to present those findings. **Preferred License, Certification, Association** + AAPC Certified Medical CPC, CPMA, CPCO or similar specialist preferred + Certified… more