- Robert Half Legal (Irving, TX)
- …underwriting, real estate law, and regulations affecting the industry. + Review and negotiate contracts (leases, vendor agreements, issuing agency contracts, etc.). ... + Conduct claims reviews and assist with claim resolution efforts. +...United States. Benefits are available to contract/temporary professionals, including medical , vision, dental, and life and disability insurance. Hired… more
- MDD Forensic Accountants (Dallas, TX)
- …corporations, government entities, and individuals calculate the true economic damage of claims or disputes. MDD is looking for a Staff Accountant to serve ... analytical skills, and can work independently. Key Responsibilities + Review reports and schedules + Participate in strategic planning...+ Verify claim to source documents + Evaluate insurance claims and economic damage + Work closely with senior… more
- GAF (Ennis, TX)
- … claims , elaborate reports, and lead improvement projects associated with customer claims . + Lead the process design review , raw material qualification, ... Most:** 1. We offer a wide range of health insurance options that include medical , dental, and vision for you and your family. 2. Our Family-Building benefits… more
- Humana (Austin, TX)
- …of medical coding to include ICD-10, CPT, HCPCS + Knowledge of medical claims processing procedures + Extensive analytical skills + Experience with process ... medical field + Minimum of 5 years experience utilizing medical necessity review criteria (EG MCG, InterQual) + **Our Department of Defense Contract requires… more
- Veterans Affairs, Veterans Health Administration (El Paso, TX)
- Summary This position is organizationally located in the Prosthetic Service within the Medical Center. The incumbent will work under the supervision of the Chief ... Consults, and prescriptions (VAF 10-2431) for items, services and home medical equipment from physicians, therapists, medical center personnel, patients… more
- Houston Methodist (Houston, TX)
- …competent and engaged employee group by conducting regular department meetings to review policies and procedures and operational matters, rounding on all employees, ... process to respond to staff questions to productivity and benchmarking. + Claims FEMA fund when needed. **QUALITY/SAFETY ESSENTIAL FUNCTIONS** + Ensures a safe… more
- CBRE (Austin, TX)
- …clients in the life sciences industry, including those in pharmaceuticals, biotech, medical devices, and genomics, as well as contract research organizations (CROs) ... change existing methods, processes, and standards within the job discipline. + Contract Review & Risk Assessment: Review and assess client-proposed amendments to… more
- Molina Healthcare (Houston, TX)
- …to health care fraud, waste, and abuse. Duties include performing accurate and reliable medical review audits that may also include coding and billing reviews. ... The position also entails producing audit reports for internal and external review . The position may also work with other internal departments, including Compliance,… more
- Houston Methodist (Sugar Land, TX)
- …compliant procedure. The Senior Practice Manager position works collaboratively with clinic medical staff and with system-wide administrative and medical staff ... competent and engaged employee group by conducting regular department meetings to review policies and procedures and operational matters, rounding on all employees,… more
- CenterWell (Austin, TX)
- …+ Monitor plan performance and proactively bring issues to the forefront for review + Support new business implementations with a goal of ensuring all pharmacy ... claims are processing appropriately + Drive project development and...and present to client + Escalate issues for immediate review and action whenever necessary + Request, review… more