- Lundbeck (Dallas, TX)
- …boundaries include: Texas (subject to change) SUMMARY: The Lundbeck Field Access Specialist is a field-based role focused on supporting providers as they navigate ... or specialty pharmacy) Understand key concepts associated with navigating access via medical and pharmacy benefit reimbursement process Serve as a deep subject… more
- Insight Global (Dallas, TX)
- Job Description Insight Global is seeking a Medical Only Claims Specialist to join our client's team. This candidate will be responsible for managing ... non-complex and non-problematic, medical only claims and minor lost-time workers' compensation claims under close supervision. We are a company committed to… more
- HCA Healthcare (Dallas, TX)
- …that provides satisfaction and personal growth, we encourage you to apply for our Medical Insurance Claims Specialist opening. We promptly review all ... **Qualifications you will need:** + **Minimum 3-5** **years' experience** **in Medical ** **Insurance Claims ** **Follow-up/Billing for a facility, medical… more
- Sedgwick (Dallas, TX)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Sr. Claims Specialist , E&O, D&O | Professional Liabilty **ESSENTIAL FUNCTIONS and ... + Extensive knowledge and comprehension of insurance coverage + Claims expertise in medical malpractice, errors and...of insurance coverage + Claims expertise in medical malpractice, errors and omissions, directors and officers, life… more
- Philadelphia Insurance Companies (Plano, TX)
- …of Ward's Top 50 and rated A++ by AM Best. We are looking for a Sr. Claims Specialist - G/L to join our team! Summary: Investigate, evaluate and settle more ... complex first and third party insurance claims . A typical day will include the following: Communicates with all relevant parties and documents communication as well… more
- Guidehouse (Lewisville, TX)
- …**Clearance Required** **:** None **What You Will Do:** The **Credit Balance Specialist ** **(Physician Claims )** will manage credit balance workloads and respond ... service. + Working knowledge can be of the following: insurance claims , billing, coding, follow-up, finance, accounting or customer service related responsibilities.… more
- Baylor Scott & White Health (Dallas, TX)
- …for the approval of lost wages for payroll and for all approvals of medical bills per claim file.Pay and process claims within designated authority levelPerforms ... **JOB SUMMARY** Under the direct supervision of the Safe Choice Claims Manager the Claims Adjuster is responsible for the review, analysis and processing of… more
- Molina Healthcare (Dallas, TX)
- …combination of education and experience **PREFERRED EXPERIENCE:** 3+ years healthcare Medical claims auditing **PHYSICAL DEMANDS:** Working environment is ... clear and concise to ensure accuracy in auditing of critical information on claims ensuring adherence to business and system requirements of customers as it pertains… more
- Deloitte (Dallas, TX)
- …environment. As an experienced Epic Resolute Hospital Billing Analyst Project Delivery Specialist , you will have the ability to share new ideas and collaborate ... you'll do/Responsibilities + Support Epic enterprise implementation for a large academic medical center and health system in the Southeast region. + Conduct Epic… more
- Sedgwick (Irving, TX)
- …Workplaces in Financial Services & Insurance Advocacy Coordination Team Specialist **Considered candidates must have Lockheed Martin client experience.** **PRIMARY ... of business including but not limited to FMLA, Accommodations, and disability claims ; and to execute technical and jurisdictional requirements for accurate claims… more
- Urology Clinics of North Texas (Mesquite, TX)
- …billing, office-administered medications, infusion cycles, and chemotherapy regimen cycles. The specialist will ensure timely follow-up on claims , accurate ... including office-administered medications and infusion services. + Strong knowledge of medical terminology, insurance plans, claims , and billing processes. +… more
- HCA Healthcare (Plano, TX)
- …Do you have the career opportunities as a Clinical Denial Coding Review Specialist you want with your current employer? We have an exciting opportunity for ... 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… more
- Aston Carter (Mckinney, TX)
- Job Title: Deductions Specialist Job Description We are seeking a dedicated Deductions Specialist to manage a specified territory categorized by Independent ... Sales Representatives. This role involves resolving pricing claims and deductions by validating customer debit memos against...for this temporary role may include the following: * Medical , dental & vision * Critical Illness, Accident, and… more
- Robert Half Accountemps (Dallas, TX)
- Description We are seeking a skilled Medical Biller/Collections Specialist to join our team in Dallas, Texas. In this Contract to permanent position, you will ... Monitor aging reports and determine the status of unpaid claims starting from the 45th workday after the date...service. * Submit appeals using approved templates and forward medical or coding denials to the QA Department for… more
- Molina Healthcare (Dallas, TX)
- JOB DESCRIPTION Job Summary Provides support for claims activities including reviewing and resolving member and provider complaints, and communicating resolution to ... to ensure that internal and/or regulatory timelines are met. * Researches claims appeals and grievances using support systems to determine appropriate appeals and… more
- DriveTime (Fort Worth, TX)
- …contracted expectations. In addition, this is a customer facing role where the specialist serves as a liaison between the customer and vendors to resolve complaints ... calls in a timely manner + Handle customer complaint claims resulting from repossession activity through customer calls, research,...notice._ **So What About the Perks? Perks matter** + ** Medical , dental, and vision, oh my!** DriveTime Family of… more
- Sedgwick (Dallas, TX)
- …Fortune Best Workplaces in Financial Services & Insurance IT Project Management Specialist Sr **PRIMARY PURPOSE OF THE ROLE** : Manages software development projects ... application development projects preferred. Skills & Knowledge + Knowledge of claims management business and technology + Excellent oral and written communication… more
- PennyMac (Carrollton, TX)
- …through the complete mortgage journey. A Typical Day The Senior Business Control Specialist assists in the development of a mortgage centric compliance program that ... assists in creating an effective control environment. The Senior Business Control Specialist will : + Utilizing investor guidelines, research repurchase claims … more
- Molina Healthcare (Dallas, TX)
- …accurate and timely maintenance of critical provider information on all claims and provider databases. Responsible for contracting/re-contracting of standard deals, ... negotiations. Minimal ongoing engagement after contract. Synchronizes data among multiple claims systems when applicable, and the application of business rules as… more
- CDM Smith (Dallas, TX)
- …40509BR **Business Unit:** FSU **Job Description:** The Disaster Program Delivery Specialist : * Collects, coordinates and/or reviews applicant data to determine ... expertise may be needed throughout the program delivery process. * Supports the claims process by reviewing and validating damage details, scopes of work, and costs… more
