• Claims Processing Specialist

    Kelsey-Seybold Clinic (Pearland, TX)
    …**Education** Required: High School diploma or GED Preferred: Additional training as a medical office assistant, medical claims processor, or medical ... Must be familiar with laws and regulations governing Medicare billing practices, medical billing systems, and claims processing. Preferred: IDX/EPIC, PC skills,… more
    Kelsey-Seybold Clinic (08/01/25)
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  • Director, Appeals & Grievances (Medicare…

    Molina Healthcare (San Antonio, TX)
    …including 2 years in a manager role. * Experience reviewing all types of medical claims (eg CMS 1500, Outpatient/Inpatient, Universal Claims , Surgery, ... Provider disputes and appeals to ensure adherence with Molina claims processing standards and provider contractual agreements. Includes responsibility from… more
    Molina Healthcare (07/18/25)
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  • Claims Specialist Sr , Professional…

    Sedgwick (Austin, TX)
    …Liability (MEDMAL) **PRIMARY PURPOSE** : To analyze complex or technically difficult medical malpractice claims ; to provide resolution of highly complex nature ... and RESPONSIBILITIES** + Analyzes and processes complex or technically difficult medical malpractice claims by investigating and gathering information to… more
    Sedgwick (08/14/25)
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  • Senior Quality Analyst, Claims *Remote

    Providence (TX)
    …Providence's footprint + Insurance terminology + Legal concepts + Liens + Electronic claims databases + Medical terminology **Skills required for this position ... must empower them.** **Providence St Joseph Health operates a self-administered claims program for General and Healthcare Professional Liability, Directors and… more
    Providence (08/01/25)
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  • Claims Advisor, Professional Liability

    Sedgwick (Dallas, TX)
    …to line-of-business + Extensive knowledge and comprehension of insurance coverage + Claims expertise in medical malpractice, errors and omissions, directors and ... to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Advisor, Professional Liability **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Analyzes… more
    Sedgwick (06/08/25)
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  • Senior Business Analyst, Risk, Liability…

    Providence (TX)
    …and front-line caregivers. + 2 years of experience working with healthcare claims and/or Electronic Medical Record billing data. **Preferred qualifications:** + ... them._** **Providence is calling a Senior Business Analyst - Risk, Liability & Claims who will:** + Be responsible for providing required reports and analysis to… more
    Providence (08/15/25)
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  • Medical Biller

    TEKsystems (Dallas, TX)
    …Health claim submission software and Salesforce. * Work with all payers to ensure medical claims are being processed timely and paid accurately. * Analyze and ... Description Primary responsibilities will include submitting claims , posting payments, working payor rejections and denials,...for this temporary role may include the following: * Medical , dental & vision * Critical Illness, Accident, and… more
    TEKsystems (08/16/25)
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  • Revenue Cycle Specialist - Plastics…

    Houston Methodist (Houston, TX)
    …AR collections. **FINANCE ESSENTIAL FUNCTIONS** + Expedites and maximizes payment of insurance medical claims by contacting third party payers and patients. This ... responsible for resolving all outstanding third-party primary and secondary insurance claims for professional services. This Specialist is required to perform… more
    Houston Methodist (08/13/25)
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  • International Financial Coordinator…

    Houston Methodist (Houston, TX)
    …and initiate calls to ensure prompt authorization approvals and secure payment of medical claims for both hospital billing and physician billing. + Consistently ... coding team and clinical staff when coding related, and medical necessity appeals are warranted. **FINANCE ESSENTIAL FUNCTIONS** +...through varying methods to follow up on receipt of claims and bills, and to resolve outstanding account balances.… more
    Houston Methodist (07/30/25)
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  • Medical Assistant - Adult Oncology

    Covenant Health (Lubbock, TX)
    …Health Aide + Patient Services + Patient Care + Patient Access + Insurance / Medical Claims + Customer Service - Healthcare ( Medical , Dental, Vision, ... **Description** ** Medical Assistant - Adult Oncology** Providence caregivers are...retain the best people, we must empower them. The Medical Assistant - Adult Oncology works under the delegation… more
    Covenant Health (08/08/25)
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