- Lincoln Financial (Austin, TX)
- …experience. + Effectively utilize and implement policies & procedures regarding medical terminology, duration, functionality documentation, and overall claims ... multiple product lines. You will perform and deliver on appeals claims assignments/projects while simultaneously leveraging and applying knowledge. You will analyze… more
- Sedgwick (Austin, TX)
- …management reports and takes appropriate action. + Performs quality review on claims in compliance with audit requirements, service contract requirements, and ... Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Team Leader - Liability **PRIMARY PURPOSE** : To...benefits package is offered including but not limited to, medical , dental, vision, 401k and matching, PTO, disability and… more
- Cardinal Health (Austin, TX)
- … medical terminology; E/M rules, teaching physician guidelines, and/or medical necessity defense reviews; healthcare compliance audit methodology, principles ... detection and correction of documentation, coding, and billing errors and/or medical necessity of services billed. Particular areas of focus include: evaluation… more
- Health Care Service Corporation (Richardson, TX)
- …insurance, information technology or other related job or intern experience is preferred. + Medical claims auditing experience is a strong plus. + Knowledge of ... internship is in Richardson, TX **What Are Your Responsibilities?** The Audit Specialist Intern responsibilities may include assisting with claim accuracy audits… more
- PennyMac (Fort Worth, TX)
- …to inquiries by internal and external clients and property preservation service providers + Audit all resolved claims to ensure the claim was settled fairly and ... complete mortgage journey. A Typical Day The Hazard Insurance Claims Specialist will be responsible for filing insurance ...have you covered. Some key benefits include: + Comprehensive Medical , Dental, and Vision + Paid Time Off Programs… more
- CRC Insurance Services, Inc. (Flower Mound, TX)
- …(United States of America) **Please review the following job description:** Process claims , which includes evaluating policy for coverage; working with the insured, ... adjusters, agents and attorneys on the claim and coordinating the payment of claims . In addition, prepare reports such as loss runs and monthly bordereau.… more
- Ascension Health (Austin, TX)
- …requirements established by Health and Human Services Commission. Perform routine and/or targeted audit of claims to ensure payment accuracy and adherence to ... agencies to ensure that internal and/or regulatory timelines are met. + Research claims appeals using support systems to determine appeal outcomes. + Composes all… more
- PennyMac (Fort Worth, TX)
- …of homeownership through the complete mortgage journey. A Typical Day The Claims Supervisor is responsible for providing structure and oversight to the post-sale ... for the claim process including, filing all MI, investor, and insurer claims timely and accurately, providing all back-up as requested, and the reconciliation… more
- CVS Health (Austin, TX)
- …all with heart, each and every day. **Position Summary** The Quality Specialist will audit pre and post payment claims for accuracy and eligibility transactions. ... identifying errors, necessary corrective measures, and may participate in special audit assignments. **Required Qualifications** + 1+ years of experience working in… more
- Molina Healthcare (Fort Worth, TX)
- …combination of education and experience **PREFERRED EXPERIENCE:** 3+ years healthcare Medical claims auditing **PHYSICAL DEMANDS:** Working environment is ... claim audits including, but not limited to; vendor, focal, audit the auditor. Confirm that documentation is clear and...to ensure accuracy in auditing of critical information on claims ensuring adherence to business and system requirements of… more