- Ascension Health (Austin, TX)
- …by Health and Human Services Commission. Perform routine and/or targeted audit of claims to ensure payment accuracy and adherence to state Medicaid guidelines. + ... agencies to ensure that internal and/or regulatory timelines are met. + Research claims appeals using support systems to determine appeal outcomes. + Composes all… more
- Baylor Scott & White Health (Dallas, TX)
- …**Job Summary** + Under the Safe Choice Claims Manager, the Safe Choice Claims Specialist II reviews, studies, and processes assigned claims within their ... to provide prompt, efficient service while protecting the organization's assets. + The Claims Specialist II's main duty involves using discretion and independent… more
- Cognizant (Austin, TX)
- …of claim processing is required. **Travel:** None required **About the role:** As Claims Adjudication Specialist , you will be responsible for timely and accurate ... adjudication of professional and hospital claims utilizing payer specific policies and procedures. Provide support...HCFA paper or EDI information. * Responsible for reviewing medical records when necessary to determine if service rendered… more
- Rexel USA (Dallas, TX)
- …and delivering quality work, join Rexel USA as a Insurance Risk Management Specialist ! **The position of Insurance Risk Management Specialist will be based ... of our Dallas, TX location!** Summary The Risk Management Specialist is responsible for providing best practices in workers...and processes to control the cost of insurance and claims . What You'll Do + Provide best practices in… more
- 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 ... is responsible for resolving all outstanding third-party primary and secondary insurance claims for professional services. This Specialist is required to perform… more
- Amazon (TX)
- …to help manage our patient inquiries, using CI CARE framework that makes One Medical unique. As a Centralized Support Specialist II Billing Specialist , ... handle inbound calls from One Medical patients (customers) regarding their medical bills, insurance claims , and payment inquiries. Daily activities include… more
- Methodist Health System (Dallas, TX)
- … claims , able to identify, address, and resolve no response claims , denied claims , and correspondence. As an AR II Specialist , you will play a crucial ... **Your Job** : We are seeking an experienced Accounts Receivable II (AR II) Specialist specializing in Professional Billing to join our team at our Central Business… more
- Kemper (Dallas, TX)
- …arbitration cases. This position involves reviewing subrogation demands, and moving claims to successful resolution. Additionally, the specialist will respond ... productive. **Position Summary** : The Adverse Subrogation and Arbitration Specialist at Kemper plays a critical role in resolving...and other expenses. + Handle multiple systems (E-Subro Hub, Claims Center) to resolve claims efficiently. +… more
- Robert Half Accountemps (Fort Worth, TX)
- Description We are looking for a skilled and proactive Medical Biller/Collections Specialist to join our team in Fort Worth, Texas. This role is vital for ... ensuring accurate billing processes, resolving insurance claims , and maintaining patient documentation. As a Contract-to-permanent position, it offers flexible… more
- Elevance Health (Houston, TX)
- **Financial Operations Recovery Specialist Lead** **Location:** _Hybrid1:_ This role requires associates be in the office 1-2 days per week, fostering collaboration ... is granted as required by law. The **Financial Operations Recovery Specialist Lead** is responsible for the discovery, validation, recovery, and adjustments… more