- Sedgwick (Irving, TX)
- …and voicemails from claimants, providers, clients, attorneys, etc., resolving their claims related questions and issues in accordance with designed guidelines and ... policies. + Communicates claims status and current claim activity with client and...status and current claim activity with client and appropriate medical contact; responds to inquiries about jurisdiction- and claim-specific… more
- Molina Healthcare (Fort Worth, TX)
- …retrospective reviews of claims and appeals and resolves grievances related to medical quality of care. + Attends or chairs committees as required such as ... Summary** Responsible for serving as the primary liaison between administration and medical staff. Assures the ongoing development and implementation of policies and… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Multi-Site Senior Medical Assistant, (Multi-Site Sr. MA) position is responsible for working at multiple sites, within multiple specialties ... The Multi-Site Sr. MA must communicate appropriately and carry out delegated medical assistant level tasks for the assigned patient population, under the direct… more
- Centene Corporation (Austin, TX)
- …for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering ... a fresh perspective on workplace flexibility. **Position Purpose:** Assist the Chief Medical Director to direct and coordinate the medical management, quality… more
- Elevance Health (Grand Prairie, TX)
- …of claims . Works with other Medicare Administrative Contractor (MAC) Medical Directors for developing collaborative policies. May participate in MAC policy ... ** Medical Director- Medicare Fee for Service** Location: This...and Medicaid Services to transform federal health programs. The ** Medical Director** is responsible for drafting and developing policies… more
- Fujifilm (Austin, TX)
- …be an integral part of the legal team providing support to the Medical Device businesses of FUJIFILM Healthcare Americas Corporation and FUJIFILM SonoSite, Inc., ... (HLUS). The Senior Counsel, reporting to the Division General Counsel, Medical Devices, will be an experienced commercial transactions lawyer, responsible for… more
- HCA Healthcare (Pasadena, TX)
- **Description** **Introduction** Do you have the career opportunities as a Medical Necessity Coding Compliance Coordinator you want with your current employer? We ... and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low… more
- Molina Healthcare (Houston, TX)
- …to ensure that internal and/or regulatory timelines are met. + Research claims appeals and grievances using support systems to determine appeal and grievance ... outcomes. + Requests and reviews medical records, notes, and/or detailed bills as appropriate; formulates conclusions per protocol and other business partners to… more
- Elevance Health (Houston, TX)
- …Specialist Lead** is responsible for the discovery, validation, recovery, and adjustments of claims overpayments. May do all or some of the following in relation to ... cash receipts, cash application, claims audits, collections, overpayment vendor validation, and ...bonus programs (unless covered by a collective bargaining agreement), medical , dental, vision, short and long term disability benefits,… more
- DR Horton, Inc. (Arlington, TX)
- …Responsibilities*include the following. Other duties may be assigned. * Research background of claims * Monitor status of claims and update litigation database * ... Respond to subpoenas, garnishments, subrogation, property damage and pre-litigation claims * Coordinate information collection between outside counsel and divisions… more