- Elevance Health (Grand Prairie, TX)
- …**Medical Coding Education Associate** is responsible for comprehensive analysis of claims data to generate refined and industry-relevant concepts that govern the ... industry standards to recommend concepts. + Conducts analyses of claims data to bolster the creation of educational concepts....submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health… more
- Elevance Health (Houston, TX)
- …Reimbursement Admin Sr** is responsible for ensuring accurate adjudication of claims , by translating medical policies, reimbursement policies, and clinical editing ... and state mandates. + Works with other departments on claims adjudication workflow development and business process improvements. +...submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health… more
- Elevance Health (Grand Prairie, TX)
- …Analytics Analyst Senior) measures financial performance of core Carelon products leveraging claims , authorization, and membership data to tell a detailed story to ... financial services highly preferred. + Comprehensive understanding of medical claims data. + Intermediate to Advanced expertise with SQL,...submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health… more
- Elevance Health (Plano, TX)
- …activities related to past due health insurance premiums and/or past due health insurance claims . **How You Will Make an Impact** Primary duties may include, but are ... past due insurance premiums and/or past due health insurance claims . + Researches validity of past due and/or disputed...submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health… more
- Kemper (Dallas, TX)
- …on assigned cases Aggressively pursues files referred to Staff Counsel by the Claims Department. + Creates and maintains a documented strategy for case handling in ... memorandums. + Prepares and submits timely status reports to claims handlers on all significant activities as they occur,...staffing agencies. All unsolicited resumes will be considered the property of Kemper and Kemper will not be obligated… more
- Kemper (Houston, TX)
- …Salesforce processes. + Communicate with Home Office regarding policy status, claims , and underwriting. **Payment Processing & Balancing:** + Process payments ... Enter paper applications into FDE + Batch, scan, and index documents ( claims , underwriting, policy administration, policy delivery receipts) into the imaging system.… more
- Sedgwick (Houston, TX)
- …**Education & Licensing** HS diploma or GED required. **Active property & casualty insurance agent/producer license is required.** **Experience** At ... for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The… more
- Cognizant (Austin, TX)
- …post-mortems to extract lessons learned and to identify potential intellectual property for repurposing * Ensures client validation and documentation of project ... firms * Strong background in Healthcare industry, including health plans, claims , and provider operations * Project management and people management experience… more
- Turner & Townsend (Houston, TX)
- …and client expectations. + Manage post-contract processes including change control, claims evaluation, and final account settlements. + Prepare clear, commercially ... client expectations. + Managing post-contract processes including change control, claims evaluation, and final account settlements. + Preparing clear, commercially… more
- Sedgwick (Houston, TX)
- …**QUALIFICATIONS** **Education & Licensing** HS diploma or GED required. Active property & casualty insurance agent/producer license is required **Experience** At ... for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The… more