- Providence (TX)
- **Description** **Senior Professional Liability Medical Claims Manager This position works R** **_emote._** **Many states eligible.** **Providence caregivers are ... we must empower them.** **Providence is calling a Sr. Professional Liability Medical Claims Manager who will:** **Investigate, evaluate, and manage professional,… more
- Humana (Austin, TX)
- …community and help us put health first** The Medical Director relies on medical background and reviews health claims . The Medical Director work ... focus on collaborative business relationships, value based care, population health , or disease or care management. Medical ...population health , or disease or care management. Medical Directors support Humana values, and Humana's Bold Goal… more
- Humana (Austin, TX)
- …community and help us put health first** The Medical Director relies on medical background and reviews health claims . The Medical Director work ... Medicare Advantage, Managed Medicaid and/or Commercial products, or other Medical management organizations, hospitals/ Integrated Delivery Systems, health … more
- Apex Health Solutions (Houston, TX)
- …adjudication of paper/electronic claims for inpatient, outpatient and professional medical claims Resolve claim edits, review history records and determine ... a quiet and private workspace. Skills Minimum two (2) years of claims and health care administration and/or managed care experience Strong knowledge of health… more
- Humana (Austin, TX)
- …us put health first** The Corporate Medical Director (CMD) relies on medical background to review health claims and preservice appeals. The Corporate ... focused on continuously improving consumer experiences **Preferred Qualifications** + Medical utilization management experience + Working with health … more
- Humana (Austin, TX)
- …us put health first** The Corporate Medical Director relies on medical background and reviews health claims and preservice appeals. The Corporate ... focused on continuously improving consumer experiences **Preferred Qualifications** + Medical utilization management experience, + working with health … more
- NTT DATA North America (Plano, TX)
- …when executed as part of an overall sourcing strategy. NTT DATA currently seeks a ** Medical Claims Processor** to join our team in **Plano, TX for a remote ... -Work independently to research, review and act on the claims -Prioritize work and adjudicate claims as...medical , dental, and vision insurance, flexible spending or health savings account, life, and AD&D insurance, short-and long-term… more
- NTT DATA North America (Plano, TX)
- …include medical , dental, and vision insurance, flexible spending or health savings account, life, and AD&D insurance, short-and long-term disability coverage, ... strategy. NTT DATA is seeking to hire a **Remote Claims Processing Associate** to work for our end client...Work independently to research, review and act on the claims + Prioritize work and adjudicate claims … more
- HCA Healthcare (Houston, TX)
- …VA). Do you want to join an organization that invests in you as a Medical Insurance Claims Follow-up Specialist? At Parallon, you come first. HCA Healthcare has ... Parallon, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The...make a difference. We are looking for a dedicated Medical Insurance Claims Follow-up Spec like you… more
- IQVIA (Houston, TX)
- **Patient Support Medical Claims Processing Representative** _Contract Remote Role - Location (Open to Remote US)_ As the only global provider of commercial ... we are looking for a 100% remote (work from home-WFH) contact **Patient Support Medical Claims Processing Representative** to join our team. In this position,… more