- Methodist Health System (Dallas, TX)
- …at registration. * Review and resolution of all assigned payer correspondence. * Health care terminology surrounding medical diagnostic and procedural coding. * ... assisting patients with billing questions in the centralized billing office for the health system. Secondary duties to be performed in between phone calls. EPIC… more
- Otsuka America Pharmaceutical Inc. (Austin, TX)
- …medicines for those with CNS disorders, we are seeking a skilled and experienced Medical Director of CNS Early Assets, Global Medical Affairs, responsible for ... certain assets within the broader CNS TA portfolio Medical Affairs (both US and Global), with a specialization...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Sedgwick (Austin, TX)
- …time frames, and claims status either by phone, written correspondence and/or claims system. + Reviews medical information to determine if the claimant meets ... live within the United States. **PRIMARY PURPOSE** **:** To process claims and determine accommodation options following written guidelines and procedures pursuant… more
- Elevance Health (Grand Prairie, TX)
- …for fraud and abuse prevention and control. + Review and conducts analysis of claims and medical records prior to payment. + Researches new healthcare related ... + Performs in-depth investigations on identified providers as warranted. + Examines claims for compliance with relevant billing and processing guidelines and to… more
- Elevance Health (Grand Prairie, TX)
- …healthcare fraud in order to recover corporate and client funds paid on fraudulent claims . Health insurance experience required with understanding of health ... be considered. Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to… more
- Elevance Health (Houston, TX)
- …healthcare fraud in order to recover corporate and client funds paid on fraudulent claims . Health insurance experience required with understanding of health ... locations._ Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to… more
- Rexel USA (Dallas, TX)
- …and implementing programs and processes to control the cost of insurance and claims . What You'll Do + Provide best practices in workers compensation management ... + Daily Management of third-party administrator for all RHUSA workers compensation claims + Liaise with National Safety Manager on Workers Compensation claims… more
- Sedgwick (Austin, TX)
- …operations of multiple teams of examiners and technical staff for disability claims for clients; to monitor colleagues' workload, provide training, and monitor ... individual claim activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication; and to maintain a diary on claims within… more
- City of College Station (College Station, TX)
- …city-wide risk management programs. Key responsibilities include contract and claims administration, loss prevention, insurance policy management, and offering ... 1. Investigate, process, and adjudicate general liability and property casualty claims , ensuring thorough and sufficient supporting evidence. 2. Maintain accurate… more
- CRC Insurance Services, Inc. (TX)
- …This role is focused on technical claim handling of complex general liability claims , both litigated and non-litigated. This role requires an individual to be ... accountable for the handling and disposition of claims including investigation, coverage determination, reserving, negotiation, and settlement or setting trial… more