- Molina Healthcare (San Antonio, TX)
- JOB DESCRIPTION Job Summary Provides support for claims recovery activities including researching claim payment and billing guidelines, audit results, and ... Standard Operating Procedures (SOPs). * Responds to provider correspondence related to claims recovery requests and provider remittances where recovery … more
- Sedgwick (San Antonio, TX)
- …in Financial Services & Insurance Sr. Claims Specialist , Veterinary Claims | Professional Liability | Remote **PRIMARY PURPOSE** **:** To analyze complex ... or technically difficult veterinary claims ; to provide resolution of highly complex nature and/or...+ Identifies and investigates for possible fraud, subrogation, contribution, recovery , and case management opportunities to reduce total claim… more
- Molina Healthcare (San Antonio, TX)
- …ICD-10, HCPCS codes is highly preferred. Additional experience with 2 years in claims auditing, QA, or recovery auditing ideally in a DRG/Clinical Validation ... a plus. Work hours: Monday - Friday 8:00am- 5:00pm Remote position **Essential Job Duties** * Performs clinical/medical reviews...health care coding or management certification. 2+ years in claims auditing, QA, or recovery auditing ideally… more