• Recovery Audit Analyst I

    Elevance Health (Houston, TX)
    …Analyst I** is responsible for auditing and facilitating the recovery of claims overpayments as identified by our business partners. Responsible for research, ... **How you will make an Impact:** + Audits paid claims for overpayments using various techniques including systems-based queries,...satisfaction when acting as a liaison between cost containment, health plans and providers in an effort to resolve… more
    Elevance Health (08/19/25)
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  • Revenue Cycle Specialist - Plastics…

    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 ... responsible for resolving all outstanding third-party primary and secondary insurance claims for professional services. This Specialist is required to perform… more
    Houston Methodist (08/13/25)
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  • Medicaid Provider Customer Service Representative

    CVS Health (Austin, TX)
    At CVS Health , we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming ... health care. As the nation's leading health ...services for high volume inbound provider calls for the Claims Inquiry/ Claims Research Medicaid team. Extensive … more
    CVS Health (08/16/25)
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  • Casualty Litigation Adjuster

    Kemper (Dallas, TX)
    …to our stakeholders that delivers on our promises._ **Position Summary:** Our Claims Litigation Specialist will investigate, evaluate and handle to conclusion all ... assigned litigated claims . The Litigation Specialist will have advanced claim handling...job is also eligible for our Kemper benefits package ( Medical , Dental, Vision, PTO, 401k, etc.) Kemper is proud… more
    Kemper (08/07/25)
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  • Psychiatrist, Medical Consultant- Remote

    UNUM (Austin, TX)
    …Unum today! **General Summary:** This position is responsible for providing expert medical analysis of claims files (or underwriting applications) across Unum ... + Performance Based Incentive Plans + Competitive benefits package that includes: Health , Vision, Dental, Short & Long-Term Disability + Generous PTO (including paid… more
    UNUM (08/01/25)
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  • Sr. Medical Analyst

    Norstella (Austin, TX)
    …analytics to extract meaningful insights from real-world data (RWD) sources, including claims , laboratory results, billing codes, and electronic health records ... Experience working with and querying large healthcare databases, including claims , EMR/EHR, and laboratory data, in an academic or...candidates who are on an OPT visa_ **Benefits:** + Medical and Prescription Drug Benefits + Health more
    Norstella (07/31/25)
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  • Provider Services Representative I

    Methodist Health System (Dallas, TX)
    …interactions with physicians and office staffs. * Must demonstrate understanding of medical claims billing and coding practices. * Ability to analyze ... few months: Provides education to physicians and office personnel on the health plan contracts, fee schedules, claims processes, and regulatory requirements.… more
    Methodist Health System (06/29/25)
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  • Medical Clerk

    UIC Government Services and the Bowhead Family of Companies (San Antonio, TX)
    …at the Brooke Army Medical Center (BAMC) in San Antonio, TX. The Medical Clerks are tasked with managing patient's health records and history, patient ... **Overview** MEDICAL CLERK - (BAMC-2025-23675): Bowhead seeksMedical Clerks to...characteristics EOE/D/V. In furtherance, pursuant to The Alaska Native Claims Settlement Act 43 USC Sec. 1601 et seq.,… more
    UIC Government Services and the Bowhead Family of Companies (08/15/25)
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  • General Liability Major Case Specialist

    Travelers Insurance Company (Houston, TX)
    …reserving, negotiating and resolving assigned serious and complex General Liability claims . Provides quality claim handling throughout the claim life cycle (customer ... flexibility. **What Will You Do?** CLAIM HANDLING: + Directly handle assigned severe claims when Travelers has coverage of $2 million or less and file exposure… more
    Travelers Insurance Company (08/13/25)
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  • Facility Coding Inpatient DRG Quality

    Banner Health (TX)
    …with State Pay Transparency Rules. Innovation and highly trained staff. Banner Health recently earned Great Place To Work(R) Certification (TM) . This recognition ... Find out how we're constantly improving to make Banner Health the best place to work and receive care....+ **5 years recent experience in acute-care Inpatient facility-based medical coding (clearly reflected in your attached resume);** +… more
    Banner Health (08/30/25)
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