- 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
- University Health (San Antonio, TX)
- …or AHIMA as a Certified Professional Coder (CPC) and Certified Professional Medical Record Auditor (CMPA), Certified Coding Specialist (CCS), Registered Health ... Work Plan. This position is responsible for conducting complex audits of medical coding, billing, and documentation practices to ensure adherence to federal and… 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
- ICW Group (TX)
- …everyday! Learn more about why you want to be here! **PURPOSE OF THE JOB** This Claims Specialist is responsible for handling complex claims with a focus on ... to an equitable resolution within Company standards. The Claims Specialist works with a sense of...* We offer a competitive benefits package, with generous medical , dental, and vision plans as well as 401K… more
- Sedgwick (Houston, 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
- Mass Markets (Killeen, TX)
- …industry-leading organization. We are seeking a detail-oriented and analyticalOn-SiteClaims Adjudication Specialist to join our team! If you have strong critical ... hear from you. This role involves handling inbound communications, evaluating warranty claims , and working closely with customers and service partners to ensure… more
- Kelly Services (Wichita Falls, TX)
- …always easy. That's where Kelly (R) Professional & Industrial comes in. We're seeking ** Claims Specialist ** to work in a temporary to hire opportunity with a ... average: 7,000+ keystrokes/hour + 6+ months of office clerical, medical , or insurance claims experience + Clear...so let's get to work. Apply to be a Claims Specialist today! As part of our… 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
- UTMB Health (Galveston, TX)
- Senior EHR Clin Apps Analyst (Resolute Hospital and Professional Claims ), Remote - ITS-Clin Revenue Cycle **Galveston, Texas, United States** Information Technology ... **Preferred Qualifications:** Certified or Accredited in Epic Resolute Hospital Billing Claims and Remittance Administration and Epic Resolute Professional Billing … more
- City of College Station (College Station, TX)
- Risk Management Specialist Print (https://www.governmentjobs.com/careers/cstx/jobs/newprint/5118669) Apply Risk Management Specialist Salary $61,614.00 - ... Under general supervision of the Risk Manager, the Risk Management Specialist provides a range of professional administrative, technical, and analytical support… more
- Sedgwick (Austin, TX)
- …**ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Performs standard clinical reviews of referred medical claims based on client requirements to ensure accurate and ... Clinical Specialist **PRIMARY PURPOSE** : Performs standard clinical evaluations on claims that require additional review based on medical condition, client… more
- HCA Healthcare (Houston, TX)
- …purpose and integrity. We care like family! Jump-start your career as a Medical Collections Specialist today with HCA Healthcare. **Benefits** HCA Healthcare ... vary by location._** Come join our team as a Medical Collections Specialist . We care for our...and work to correct them You will monitor insurance claims and contact insurance companies to resolve claims… 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 (Fort Worth, 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
