- Robert Half Accountemps (Houston, TX)
- Description Our healthcare client is actively seeking a highly skilled Medical Collections Specialist with extensive insurance experience. In this role, you will be ... responsible for managing the collection, follow-up, and resolution of outstanding claims with insurance companies while maintaining a high level of accuracy and… more
- Houston Methodist (Houston, TX)
- …and capture potential revenue opportunities. This position performs quality assurance, detailed claims analysis and medical record reviews of complex claims ... FUNCTIONS** + Conducts risk-based and baseline reviews of complex and escalated claims or records in a timely manner, evaluates corrective actions and processes… more
- Fresenius Medical Center (Plano, TX)
- …is responsible for applying appropriate diagnostic and procedural codes to patient health information for utilization in data retrieval, analysis and claims ... supervision, assign the appropriate diagnostic and/or procedural code(s) to patient health information documents. + Research and resolve general coding issues;… more
- Otsuka America Pharmaceutical Inc. (Austin, TX)
- … and data teams at OPH. The ideal candidate will have experience advising medical device, digital health , and AI clients on the application of healthcare ... **About Otsuka Precision Health ** Founded on Otsuka's rich history in delivering...OPH healthcare products, services, and technology. Expert knowledge of medical device and consumer protection (eg, FDA, FTC), healthcare… more
- Travelers Insurance Company (Austin, TX)
- …and/or complex Life Science medical products, clinical trial and pharmaceutical bodily injury claims , as well as General Liability Coverage B claims and E&O ... medical products, clinical trial and pharmaceutical bodily injury claims , as well as General Liability Coverage B ...the job. **What Is in It for You?** + ** Health Insurance** : Employees and their eligible family members… 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
- 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
- Travelers Insurance Company (Houston, TX)
- …evaluating, reserving, negotiating and resolving assigned serious and complex Specialty claims . Provides quality claim handling throughout the claim life cycle ... does not manage staff. **What Will You Do?** + Directly handle assigned severe claims . + Full damage value for average claim (without regard to coverage or liability… more
- MD Anderson Cancer Center (Houston, TX)
- …Act; the Fair Labor Standards Act; the Equal Pay Act; the Occupational Safety and Health Act; the Family and Medical Leave Act; the National Labor Relations Act; ... on providing employment law counsel. The Legal Officer will handle pre-litigation claims and complaints against the Institution and its staff and will coordinate,… more
- Highmark Health (Austin, TX)
- …:** GENERAL OVERVIEW: Applicants Must Be Able to Read and Comprehend Spanish Medical Terminology The Quality analyst is responsible for compiling and analyzing data ... relevant to the handling of all types of complex adjusted claims ; conducting reviews of all organizational or functional activities related to fraud/abuse… more