• Utilization Management Dental Director- Texas

    Humana (Austin, TX)
    **Become a part of our caring community and help us put health first** The Dental Director is responsible for providing clinical oversight to promote the oral ... health of the member population that Humana serves in...states. This is accomplished by analysis and adjudication of claims , appeals, and potential quality of care issues. The… more
    Humana (08/23/25)
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  • Patient Account Representative

    US Physical Therapy (Houston, TX)
    …of experience in medical billing and collections + Knowledge of medical billing and coding, insurance regulations, and healthcare reimbursement policies + ... expanding Houston team. Your role will be critical in our billing and claims department, and you will be asked to facilitate procedural requirements, including data… more
    US Physical Therapy (08/19/25)
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  • Commercial Collector PRN

    Houston Methodist (Katy, TX)
    …Performance Indicator. **FINANCE ESSENTIAL FUNCTIONS** + Follows up on assigned delinquent insurance claims . Ensures maximization of collection dollars from ... area No **Company Profile:** Houston Methodist is one of the nation's leading health systems and academic medical centers. Houston Methodist consists of eight… more
    Houston Methodist (07/30/25)
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  • Attorney Auditor

    Sedgwick (San Antonio, TX)
    medical , dental, vision, 401k and matching, PTO, disability and life insurance , employee assistance, flexible spending or health savings account, and other ... to Work(R) Fortune Best Workplaces in Financial Services & Insurance Attorney Auditor ** **This is a fully remote...opportunities. + A diverse and comprehensive benefits offering including medical , dental vision, 401K and PTO. + Wellness benefits… more
    Sedgwick (07/09/25)
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  • Sales Executive

    Kemper (Houston, TX)
    … experience preferred. + Bilingual English/Spanish a plus. + Working knowledge of insurance operations: underwriting, claims , marketing, and product. + Must have ... collaborating with peers in the sales organization, State Product Managers, Claims , Agency Support and Licensing, Marketing, and Customer Service/Underwriting. + The… more
    Kemper (08/27/25)
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  • Field Case Manager-Sign-On Bonus

    Sedgwick (Houston, TX)
    …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Field Case Manager-Sign-On Bonus **This Field Case Manager will cover our Houston, ... work face to face with their injured workers and medical providers to facilitate; though advocacy, progressive medical...- a rewarding career making an impact on the health and lives of others, and a remote work… more
    Sedgwick (06/29/25)
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  • Encounter Data Management Professional

    Humana (Austin, TX)
    …Finance, Accounting, Operations or other related fields + X12 experience + Prior health insurance industry experience + Working knowledge of Microsoft SQL or ... **Become a part of our caring community and help us put health first** The Encounter Data Management Professional ensures data integrity for claims errors. The… more
    Humana (08/22/25)
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  • RN Medicare Compliance Sr

    Sedgwick (Austin, TX)
    medical , dental, vision, 401k and matching, PTO, disability and life insurance , employee assistance, flexible spending or health savings account, and other ... to Work(R) Fortune Best Workplaces in Financial Services & Insurance RN Medicare Compliance Sr **PRIMARY PURPOSE OF THE...and experience to assist in the management of complex medical conditions, treatment planning and recovery from illness or… more
    Sedgwick (08/29/25)
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  • Provider Engagement Account Manager

    Centene Corporation (Mcallen, TX)
    …per year Centene offers a comprehensive benefits package including: competitive pay, health insurance , 401K and stock purchase plans, tuition reimbursement, paid ... related field or equivalent experience. Two years of managed care or medical group experience, provider relations, quality improvement, claims , contracting… more
    Centene Corporation (08/27/25)
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  • Sr. Medicaid Regulatory Pricer Analyst

    Zelis (Plano, TX)
    …employer match, flexible paid time off, holidays, parental leaves, life and disability insurance , and health benefits including medical , dental, vision, and ... more than 750 payers, including the top five national health plans, regional health plans, TPAs and...good understanding of public and private healthcare payment systems, medical claims , standard claim coding, claim editing,… more
    Zelis (08/27/25)
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