- 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
- Sedgwick (Irving, TX)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Care Team Representative **Entry-level, Care Team Representative** Are you looking ... OF THE ROLE:** To provide excellent service displaying empathy to callers regarding claims for multiple lines of business, including but not limited to, expediting… more
- Sedgwick (Austin, TX)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Marine Surveyor Sr **PRIMARY PURPOSE** : To inspect damaged cargo to determine ... collisions or motor failures. + Receives and reviews new claims and maintains data integrity in the claims...college or university preferred. Valid driver's license and current insurance coverage required, along with motor vehicle record that… more
- CVS Health (Austin, TX)
- …Qualifications** + 2+ years of supervisory experience in healthcare reimbursement or medical insurance /billing + Clear understanding of how Collections and ... representatives that are responsible for contacting payers to collect on unpaid claims in a timely and accurate manner, researching and resolving payment variances,… more
- Highmark Health (Austin, TX)
- …and retrospective claims review basis. Review process includes a review of medical documentation, itemized bills, and claims data to assure appropriate level ... the ability to identify issues related to professional and facility provider claims data including determining appropriateness of code submission, analysis of the… more
- HCA Healthcare (Plano, TX)
- …as it relates to researching, analyzing, and resolving outstanding clinical denials and insurance claims . This job requires regular outreach to payors and ... such as accounts receivable follow-up, insurance follow-up and appeals, insurance posting, professional medical /billing, medical payment posting, and/or… more
- Sedgwick (Austin, TX)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Surveyor Marine National Sr **PRIMARY PURPOSE** **:** To be responsible for the ... the cause of loss. + Receives and reviews new claims and maintains data integrity in the claims...benefits package is offered including but not limited to, medical , dental, vision, 401k and matching, PTO, disability and… more
- Humana (Austin, TX)
- …data mining, detects anomalies in data to identify and collect overpayment of claims . Contributes to the investigations of fraud waste and our financial recovery. ... provider contract payments in our payer systems, and by ensuring correct claims payment. Begins to influence department's strategy. Makes decisions on moderately… more
- Sedgwick (Dallas, TX)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Implementation Project Manager **PRIMARY PURPOSE** **OF THE ROLE** To serve as the ... and experience required to include two (2) years of claims management, managed care or other related experience. **Skills...benefits package is offered including but not limited to, medical , dental, vision, 401k and matching, PTO, disability and… more
- Sedgwick (Austin, TX)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance (Remote) EDI Support Specialist - Casualty **PRIMARY PURPOSE** **:** To identify, ... to include two (2) years of workers' compensation or claims related experience and three (3) years of EDI...benefits package is offered including but not limited to, medical , dental, vision, 401k and matching, PTO, disability and… more