- Sedgwick (Austin, TX)
- …place to 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 highly complex nature and/or severe injury claims… more
- Sedgwick (Fort Worth, TX)
- …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Estimate Review Specialist Sr . (Repair Solutions) **PRIMARY PURPOSE:** To review all ... your examiner knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. +...+ We offer a diverse and comprehensive benefits including medical , dental vision, 401K, PTO and more beginning your… more
- Sedgwick (Austin, TX)
- …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Estimate Review Specialist Sr . (Repair Solutions) **PRIMARY PURPOSE** **:** To review all ... services. + Monitors, assists, tracks, and provides approval for all claims that are re-inspected by the Carrier. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES**… more
- CVS Health (Austin, TX)
- …dollar amount level on customer service platforms by using technical and claims processing expertise. + Applies medical necessity guidelines, determine coverage, ... Review and adjust SF (self-funded), FI (fully insured), Reinsurance, and/or RX claims ; adjudicates complex, sensitive, and/or specialized claims in accordance… more
- HCA Healthcare (Georgetown, TX)
- …and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low ... health coverage as well as free telemedicine services and free AirMed medical transportation. + Additional options for dental and vision benefits, life and… more
- UTMB Health (Galveston, TX)
- Senior EHR Clin Apps Analyst (Resolute Hospital and Professional Claims ), Remote - ITS-Clin Revenue Cycle **Galveston, Texas, United States** **New** Information ... Qualifications:** + Certified or Accredited in Epic Resolute Hospital Billing Claims and Remittance Administration and Epic Resolute Professional Billing Claims… more
- Fujifilm (Austin, TX)
- **Position Overview** The accomplished Senior Corporate Compliance Specialist will support FUJIFILM's Corporate Compliance Program's operations to ensure high ... + Keep abreast of new legislation and enforcement matters relevant to the medical device industry as well as industry and compliance best practices. + Perform… more
- Elevance Health (Plano, TX)
- …our specialty pharmacies, our infusion centers, and the home setting._ **Title:** Senior Credit & Collections Specialist - Paragon Healthcare **Location:** ... days remote/week); Monday - Friday, 8:00am - 5:00pm. The ** Senior Credit & Collections Specialist - Paragon...complex collection activities related to past due health insurance claims . **How You Will Make an Impact** Primary duties… more
- Elevance Health (Plano, TX)
- **Credit and Collections Specialist Senior ** **Location:** This position will work within a hybrid model. The Ideal candidate will live within 50 miles of our ... Chicago, IL; St. Louis, MO. The **Credit and Collections Specialist Senior ** is responsible for complex collection...due health insurance premiums and/or past due health insurance claims . **How you will make an impact:** + Follows… more
- PennyMac (Plano, TX)
- …aspirations of homeownership through the complete mortgage journey. A Typical Day The Senior Business Control Specialist assists in the development of a mortgage ... and assists in creating an effective control environment. The Senior Business Control Specialist will : +... will : + Utilizing investor guidelines, research repurchase claims and defects from investors/insurers to determine if the… more