• Supervisor , Managed Care

    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
    Kelsey-Seybold Clinic (01/09/25)
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  • Assistant Claims Manager (Military Move)

    HomeSafe Alliance (Houston, TX)
    **Title:** Assistant Claims Manager (Military Move) **_HomeSafe Alliance_** is the single global household goods movement manager of over 300,000 Military Household ... are currently seeking a highly skilled and motivated Assistant Claims Manager to assist in all aspects of ... adjusting experience preferred + Prior experience in a Supervisor or leadership role. + Prior experience assessing employee… more
    HomeSafe Alliance (01/15/25)
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  • Operations Supervisor - Move Management…

    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
    HomeSafe Alliance (01/01/25)
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  • UM Reviewer

    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
    Apex Health Solutions (12/08/24)
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  • Account Representative - (Museum District)

    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
    Houston Methodist (01/21/25)
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