- Allied Universal (Waco, TX)
- Company Overview: Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services. Allied Universal(R) Compliance and ... Investigations Unit (SIU) Investigator. Special Investigations Unit (SIU) Specialists investigate claims with red flags that suggest fraudulent behavior In relation… more
- Elevance Health (Grand Prairie, TX)
- …coding or quality assurance environment preferred. + Broad knowledge of medical claims billing/payment systems provider billing guidelines, payer reimbursement ... -expense spending. The **DRG CODING AUDITOR** is responsible for auditing inpatient medical records and generating high quality recoverable claims for the… more
- Cardinal Health (Austin, TX)
- …skills and prioritizes getting the right things done. **The Accounts Receivable Specialist II is responsible for processing insurance claims and billing. ... and support from AR & Billing leadership teams.** **_Responsibilities_** + Processes claims : investigates insurance claims ; and properly resolves by follow-up &… more
- Molina Healthcare (Dallas, TX)
- …to law enforcement or for payment recovery. **KNOWLEDGE/SKILLS/ABILITIES** + Reviews post pay claims with corresponding medical records to determine accuracy of ... to present those findings. **Preferred License, Certification, Association** + AAPC Certified Medical CPC, CPMA, CPCO or similar specialist preferred + Certified… more
- USAA (Dallas, TX)
- …and appraise low complexity (drivable, material loss, auto physical damage) auto claims in accordance with the terms and conditions of the contract, corporate ... when appropriate. + Maintains accurate and current claim file documentation throughout the claims process for low complexity claims . + Explains coverage, assists… more
- Molina Healthcare (Austin, TX)
- …to reduce the likelihood of a formal appeal being submitted. * Reevaluates medical claims and associated records independently by applying advanced clinical ... in the specific programs supported by the plan such as utilization review, medical claims review, long-term services and supports (LTSS), or other specific… more
- Chevron Corporation (Houston, TX)
- …domestically and internationally. As a function, DM reports to the Regional Medical Director, Americas. The broad scope of the **Advisor, Disability Management** ... customers. The Advisor will need to work cross-functionally with Health and Medical department, serving as the coordinator for employee absences and working closely… more
- PennyMac (Fort Worth, TX)
- …homeownership through the complete mortgage journey. A Typical Day As a Bankruptcy Specialist II, you will be responsible for managing various aspects of the ... will also mentor and guide junior staff. The Bankruptcy Specialist II will: + Bankruptcy Case Management: You will...execution of essential legal documents, such as proof of claims and motions for relief, ensuring accuracy and compliance… more
- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- …direct oversight of daily coding operations while also performing coding specialist functions. **Requisition ID:** 42720BR **Travel Required:** Up to 25% ... of assigned divisions for both physician and hospital coding within the Medical Coding SOM Department. + Provide direct oversight, training and guidance to… more
- Medtronic (TX)
- …articulate to customers. + Execute engaging field sales and clinical specialist field education programs that are targeted, purposeful, and support electrophysiology ... Clinical Expert + Translates complex technical messaging, dispels competitive claims , resolves complex technical issues, and maintains customer relationships through… more