- Sedgwick (Austin, TX)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Sr VP Medical Director (Hourly) The ideal candidate would work 8-20 hours per week. **PRIMARY ... PURPOSE** **:** To evaluate medical reports escalated due to deficient information utilizing evidence...a case is escalated. + Provides assistance where occupational health expertise is needed. + Collaborates with other parts… more
- Houston Methodist (Houston, TX)
- …and initiate calls to ensure prompt authorization approvals and secure payment of medical claims for both hospital billing and physician billing. + Consistently ... the daily tasks of the Finance Office for Global Health Care Services. This position assists in notifying patients...coding team and clinical staff when coding related, and medical necessity appeals are warranted. **FINANCE ESSENTIAL FUNCTIONS** +… more
- Kemper (Dallas, TX)
- …Arbitration Specialist at Kemper plays a critical role in resolving claims and handling intercompany arbitration cases. This position involves reviewing subrogation ... demands, and moving claims to successful resolution. Additionally, the specialist will respond...job is also eligible for our Kemper benefits package ( Medical , Dental, Vision, PTO, 401k, etc. Kemper is proud… more
- Kemper (Dallas, TX)
- …negotiation skills? Kemper is looking for experienced Represented Bodily Injury Claims Adjusters for our growing teams! This specialized position focuses solely ... on the analysis & negotiation of bodily injury claims that are ordinarily assigned after the initial coverage...time limit demands + Obtain and thoroughly analyze complex medical records and data + Research and apply applicable… more
- Elevance Health (Grand Prairie, TX)
- …fraud and abuse prevention and control. + Review and conducts analysis of claims and medical records prior to payment. Researches new healthcare-related ... by law._ **Carelon Payment Integrity** is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to… more
- Mass Markets (TX)
- …ranging from electronics to dream vacations and sometimes even cars! + Health Benefits:Full-time employees are eligible for comprehensive medical , dental, and ... as a trusted partner in the industry. We are seeking a Licensed Life and Health Insurance Specialist who will play a vital role in educating and guiding customers to… more
- CVS Health (Irving, TX)
- …R, Alteryx, Trifacta, Linux OS, GCP/ AWS/ Azure + Experience working with medical and/or pharmacy claims data + Experience in healthcare industry, including ... At CVS Health , we're building a world of health...collaborative, close-knit reporting team on pharmacy and member specific claims data including, but not limited to, financial and… more
- Baylor Scott & White Health (Keller, TX)
- …+ Knowledge of patient registration procedures and documentation. + Knowledge of medical insurance claims procedures and documentation. Needs to have thorough ... **About Us** Here at Baylor Scott & White Health we promote the well-being of all individuals,...Verifies cash drawer against the report. Provides accurate patient, medical , financial, or procedural information to patients or approved… more
- TEKsystems (Plano, TX)
- …tasks, including inpatient and outpatient services. Qualifications: + Proven experience in medical billing, preferably in behavioral health . + Familiarity with ... ensuring timely resolution and follow-up. + Process approximately 15-40 claims per day, depending on volume. + Support collections...for this temporary role may include the following: * Medical , dental & vision * Critical Illness, Accident, and… more
- Baylor Scott & White Health (Irving, TX)
- …+ Knowledge of patient registration procedures and documentation. + Knowledge of medical insurance claims procedures and documentation. Needs to have thorough ... reports and verifies cash drawer against report. Provides accurate patient, medical , financial or procedural information to patients or approved outside entities.… more