- Sharecare (Austin, TX)
- … claims , OR held one or more of the following positions: + Health Guide/Advocate/Navigator + Medical Assistant + Pharmacy Technician + Phlebotomy Technician + ... Nursing Assistant + Medical Secretary/Clinic Manager + Radiology Technician + Home Health Aide + Occupational Therapist Aide + Medical Coder + Dental… more
- Health Care Service Corporation (Abilene, TX)
- …Clear and concise written and verbal communication skills. * Experience processing medical claims . **Preferred Job Qualifications:** * Referral preference given ... Under supervision, this position is responsible for processing complex claims requiring further investigation, including coordination of benefits and resolving… more
- Robert Half Accountemps (Dallas, TX)
- …claim within 45 days from the date of service. Perform appeals for underpaid claims or claim denials as assigned by the Billing Manager. Procure payment or establish ... assigned payers to establish proper and timely payment of claims . * Determines average claim entry, processes timeframes for...accordance with billing office policies and procedures. * Forwards medical or coding denials to the QA Department for… more
- Sedgwick (Irving, TX)
- …Representative, you'll be a trusted guide for individuals navigating complex disability claims . You'll use your expertise to assess medical documentation, ... **Key responsibilities include:** **Independently evaluating and managing complex disability claims .** **Interpreting medical records and disability plans to… more
- Baylor Scott & White Health (Dallas, TX)
- …malpractice and civil litigation matters. Reporting to the system Vice President overseeing claims for Baylor Scott & White Health (BSWH). The Director-Assistant ... **About Us** Here at Baylor Scott & White Health we promote the well-being of all individuals,...contracts. Assesses liability and damages. Develops defense to resolve claims successfully. + Advises on law, regulations, and court… more
- Sedgwick (Irving, TX)
- …disability case management and complex claim determinations based on medical documentation and the applicable disability plan interpretation including determining ... and making timely payments/approvals and adjustments, medically managing disability claims including comorbidities, concurrent plans, and complex ADA accommodations;… more
- Sedgwick (Irving, TX)
- …disability case management and routine claim determinations based on medical documentation and the applicable disability plan interpretation including determining ... and making timely payments/approvals and adjustments, medically managing disability claims ; coordinates investigative efforts, thoroughly reviewing contested claims… more
- Houston Methodist (Houston, TX)
- …area No **Company Profile:** Houston Methodist is one of the nation's leading health systems and academic medical centers. Houston Methodist consists of eight ... and claim edits, payor rejections, unresolved or no response insurance claims and processing of financial correspondence. The Insurance Biller demonstrates general… more
- Molina Healthcare (Dallas, TX)
- …The Manager, Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key business issues related to cost, ... of provider reimbursement changes + Provide data driven analytics to Finance, Claims , Medical Management, Network, and other departments to enable critical… more
- Travelers Insurance Company (Houston, TX)
- …and resolving assigned General Liability Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life cycle (customer ... to support flexibility. **What Will You Do?** + Directly handles assigned severity claims . + Provides quality customer service and ensures file quality and timely… more