- Kelly Services (Houston, TX)
- We are Currently Seeking a ** Medical Claims Recovery Specialist ** to work with a Healthcare insurance client located in **Northwest Houston, TX 77092!** ... healthcare claims for potential overpayments by comparing billing codes, medical records, and payer contracts. - Identifying errors such as incorrect coding,… more
- Sedgwick (Austin, TX)
- …work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Sr. Claims Specialist , Medical Malpractice (LTC) **PRIMARY PURPOSE** : To ... analyze complex or technically difficult medical malpractice claims ; to provide resolution of...+ Identifies and investigates for possible fraud, subrogation, contribution, recovery , and case management opportunities to reduce total claim… more
- Waste Connections (The Woodlands, TX)
- … Claims Counsel in the Legal Department in The Woodlands, Texas. This specialist in insurance law and claims management will provide a wide range ... Join Waste Connections, and Connect with Your Future! **Job Title** Claims Counsel **Employee Type** Employee **Requisition Primary Location** The Woodlands, Texas… more
- Texas A&M University System (College Station, TX)
- …all required documentation meets agency and regulatory standards. + Monitors open claims and support injured employees throughout their recovery , ensuring timely ... Job Title HR Leave Specialist II Agency Texas A&M Engineering Extension Service...leave programs that include Sick Leave, Vacation, Family and Medical Leave Act (FMLA), Military Leave, Worker's Compensation, Sick… more
- Travelers Insurance Company (Austin, TX)
- …efficiently manage both allocated and unallocated loss adjustment expenses + Evaluate all claims for recovery potential; directly handle recovery efforts ... reserve, negotiate and resolve the company's most severe and/or complex claims , in multiple jurisdictions, in accordance with Best Practices. Provide quality… more
- Houston Methodist (Houston, TX)
- …changes are needed. **QUALITY/SAFETY ESSENTIAL FUNCTIONS** + Analyzes data from various sources ( medical records, claims data, payer medical policies, etc.), ... At Houston Methodist, the Coding Charges & Denials Specialist is responsible for coordinating and monitoring the...Integrates the payer medical policies, case specific medical documentation, and claims information into a… more
- CDM Smith (Austin, TX)
- …40509BR **Business Unit:** FSU **Job Description:** The Disaster Program Delivery Specialist : * Collects, coordinates and/or reviews applicant data to determine ... gather information from applicants, and understands each applicants' projects and recovery priorities. * Supports the communication process with the applicant about… more
- US Anesthesia Partners (Dallas, TX)
- …to leadership. + Prepares and manages filings as needed post- rotation, coordinates claims , file handling and oversight and recovery with other departments as ... as a parent, national origin, age, disability (physical or mental), family medical history or genetic information, political affiliation, military service, or other… more
- Elevance Health (Grand Prairie, TX)
- …coding or quality assurance environment preferred. + Broad knowledge of medical claims billing/payment systems provider billing guidelines, payer reimbursement ... The **DRG CODING AUDITOR** is responsible for auditing inpatient medical records and generating high quality recoverable claims...AA/AS or minimum of 5 years of experience in claims auditing, quality assurance, or recovery auditing.… more
- Western Digital (Austin, TX)
- …supervision and coordination of loss prevention, asset protection, insurance, and claims control. Domestic and/or international travel may be required. **ESSENTIAL ... recommend appropriate courses of action. + Coordinate property and casualty insurance claims control function at all locations. + Continuous review of existing… more