• Claims Specialist Sr - Prof Liab;…

    Sedgwick (Houston, TX)
    …place to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Specialist Sr - Prof Liab; Coverage Specialist (Attorney ... private practice** **PRIMARY PURPOSE** **:** To analyze complex or technically difficult medical malpractice claims ; to provide resolution of highly complex… more
    Sedgwick (03/04/25)
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  • Medical Claims Supervisor

    Kelly Services (Houston, TX)
    We are currently seeking a ** Medical Claims Recovery Supervisor** to Lead the claims recovery department for our client located in **Northwest Houston, TX ... administration + certified professional coder certification + certified coding specialist certification + Healthcare Billing and HIPPA knowledge +...+ review teams claims and analysis of claims + comparing billing codes, medical records… more
    Kelly Services (02/12/25)
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  • Construction Liability Technical Specialist

    Travelers Insurance Company (Houston, TX)
    …resolving assigned Specialty Liability related Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life cycle (customer ... open until April 21, 2025. **What Will You Do?** + Directly handles assigned claims . + Provides quality customer service and ensures file quality and timely coverage… more
    Travelers Insurance Company (03/06/25)
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  • Medicare DME Records Specialist

    TEKsystems (Houston, TX)
    The Billing Support Specialist is designed to streamline patient orders to avoid any unnecessary delays. + Reviewed records for accuracy. + Obtained needed documents ... information on records. + Request necessary documentation (chartnotes, prescription request, medical records, etc) to bill Medicare. + Ensuring orders are tasked… more
    TEKsystems (02/22/25)
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  • PBS Specialist - Customer Service

    MD Anderson Cancer Center (Houston, TX)
    …professionals, employees and the public. **Summary** The PBS Customer Service Specialist is responsible for creating a positive patient experience while interacting ... in a high-volume call center and/or in person. The Specialist will work to review and resolve patient inquiries,...physician) and the ability to review and explain how claims processed according to the Explanation of Benefits. This… more
    MD Anderson Cancer Center (03/13/25)
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  • Major Case Specialist - Excess Casualty

    Travelers Insurance Company (Houston, TX)
    …reserving, negotiating and resolving assigned serious and complex Excess Casualty claims . Provides quality claim handling throughout the claim life cycle (customer ... 11, 2025. **What Will You Do?** + CLAIM HANDLING: + Directly handle assigned severe claims when Travelers has coverage of $2 million or less and file exposure is… more
    Travelers Insurance Company (03/12/25)
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  • Coding Charges & Denials Specialist

    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
    Houston Methodist (01/06/25)
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  • FEMA - Program Delivery Specialist

    CDM Smith (Houston, 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
    CDM Smith (01/18/25)
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  • Senior Women's Health Care Specialist

    Bayer (Pasadena, TX)
    …make a real difference, there's only one choice.** **Senior Women's Health Care Specialist - Pasadena TX** **Purpose:** Bayer is expanding in its efforts to advance ... its mission "Health for All, Hunger for None." The Women's Health Specialist (WHS) will be responsible for managing the Intrauterine Devices (IUDs) business… more
    Bayer (03/06/25)
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  • Clinical Coding Specialist - E/M

    MD Anderson Cancer Center (Houston, TX)
    …graduate students, trainees, professionals, employees, and the public. **SUMMARY** Analyzes medical records and abstracts clinical data by assigning codes from ... and usage of Craneware. Initiate queries when appropriate . Review medical record documentation, understand, and assign accurate Evaluation & Management CPT,… more
    MD Anderson Cancer Center (03/14/25)
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  • Commissioning Specialist

    GE Vernova (Houston, TX)
    **Job Description Summary** Reporting to the Commissioning Manager, the Commissioning Specialist is responsible for performing the tests under GE GSI scope of work ... Working with the Commissioning Lead and Commissioning Coordinator, the Commissioning Specialist will be executing the commissioning plan with the on-site supervision… more
    GE Vernova (03/11/25)
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  • Senior Provider Contracts Specialist

    Molina Healthcare (Houston, 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
    Molina Healthcare (02/13/25)
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  • UABOS Turkey: Sr. Specialist , Contracts

    KBR (Houston, TX)
    Title: UABOS Turkey: Sr. Specialist , Contracts Belong, Connect, Grow, with KBR! Program Summary KBR will sustain the operational well-being of US armed forces at ... deployed personnel to focus on mission execution. Job Summary The Senior Specialist , Contracts, will provide on-site contract support for United States Air Forces… more
    KBR (02/05/25)
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  • FEMA - Costing Specialist

    CDM Smith (Houston, TX)
    …ID:** 40481BR **Business Unit:** FSU **Job Description:** The FEMA Costing Specialist : * Conducts preliminary damage assessments (PDAs) in the field for ... structure damaged by a disaster. * Reviews, evaluates and analyzes applicant-provided cost claims for reasonableness and accuracy as related to the scope of work. *… more
    CDM Smith (01/17/25)
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  • FEMA - Construction Specialist

    CDM Smith (Houston, TX)
    …**Business Unit:** FSU **Job Description:** The FEMA Disaster Management Construction Specialist : * Schedules and conducts site inspections with applicants, performs ... projects and meets regularly on the status. * Evaluates applicant-provided cost claims for reasonableness to report to FEMA regarding claim eligibility. Participates… more
    CDM Smith (01/15/25)
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  • ADA Accommodation Specialist

    Sedgwick (Houston, TX)
    …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer ADA Accommodation Specialist **PRIMARY PURPOSE** : To enhance the ADA process for claimants ... requesting accommodations under the ADAAA; to review complex medical information for temporary and permanent accommodation requests; and to approve and/or negotiate… more
    Sedgwick (01/31/25)
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  • Advanced Technology Security Specialist

    DHS Headquarters (Houston, TX)
    …purpose of this position is to serves as the Advanced Technology Security Specialist , (Law Enforcement) assigned to the Cyber Physical Division under the Director's ... requirements must be met by the closing date of this announcement. Qualification claims will be subject to verification. NOTE: Experience refers to paid and unpaid… more
    DHS Headquarters (03/07/25)
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  • Clinical Billing Specialist - Ambulatory…

    MD Anderson Cancer Center (Houston, TX)
    **Clinical Billing Specialist opportunity in Ambulatory Charge Capture Services department. The ideal candidate will have hands-on experience with physician ... to support charges with a good understanding of anatomy and medical terminology according to coding/billing and documentation guidelines as applicable to… more
    MD Anderson Cancer Center (03/11/25)
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  • Account Specialist , Assoc

    Robert Half Accountemps (Houston, TX)
    Description We are offering a permanent employment opportunity for an Account Specialist , Assoc in Houston, Texas. This role primarily involves managing accounts for ... (PSC) related issues * Handle various customer support tasks such as claims processing and resolution, contractor invoices, enrollment, and billing fulfillment *… more
    Robert Half Accountemps (03/11/25)
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  • Real Estate Specialist (Telecom Wireless)

    TEKsystems (Houston, TX)
    …do NOT submit candidates that have skills as such. Role As a Real Estate Specialist RES you will play a key role in facilitating the seamless handling of order ... work with legal to ensure all alleged landlord default claims are resolved within cure period and documents are...for this temporary role may include the following: * Medical , dental & vision* Critical Illness, Accident, and Hospital*… more
    TEKsystems (03/06/25)
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