- Kelsey-Seybold Clinic (Houston, TX)
- …tasks including development and coaching and other duties as assigned. **Job Title: Supervisor , Managed Care Claims ** **Location: Pearland Administrative ... **Responsibilities** Responsible for the supervision of Commercial claims adjudication. Essential job functions include ensure that...years of working experience in a Managed Care environment as Senior Analyst, Coordinator, OR Supervisor… more
- HomeSafe Alliance (Houston, TX)
- **Title:** Operations Supervisor - Move Management (International Alaska) **_HomeSafe Alliance_** is the single global household goods movement manager of over ... the coordinators handling the designated international activity + Liaise with Customer Care counter parts to ensure service excellence is rendered to the customers… more
- Apex Health Solutions (Houston, TX)
- …by assisting in alternative care placements incompliance to the applicable managed care plan or certified workers' compensation network benefit coverage ... Duties and Responsibilities: Serves as a resource to the Claims Department in determining the medical necessity of ...One (1) to two (2) years' experience in a Managed Care environment performing preauthorization, concurrent review… more
- Houston Methodist (Houston, TX)
- …positive language principles + Understands payor plan policies and environment for government, managed care , IPAs, and TPAs + Exercises good judgment in handling ... responsible for resolving all outstanding third-party primary and secondary insurance claims for professional services. This Specialist is required to perform… more
- Houston Methodist (Houston, TX)
- …reimbursement policies and procedures + Understands payor environment such as managed care , independent physician associations (IPAs), and third-party ... for resolving all outstanding third party primary and secondary insurance claims for professional services. This position performs collections activities on simple… more
- HCA Healthcare (Stafford, TX)
- …and outreach hospitals. + Completes initial credentialing applications on all physicians for managed care companies. + Ensures all physicians' licensure, DEA and ... of new physicians and advanced practice providers including data capture and claims processing for acquisitions. ** SUPERVISOR :** Director of Revenue **DUTIES… more
- Schwan's Company (Deer Park, TX)
- …+ Experience in Loss Control Consulting or Industrial Health and Safety. + Experience in Managed Care Return-To- Work and/or Claims Management. + Ability to ... of plant safety rules. + Provides special training programs including Supervisor safety training and special employee safety training programs maintains accident… more