- Kelsey-Seybold Clinic (Pearland, TX)
- …meet work standards and performance measures for this position **Job Title: Claims Processing Specialist ** **Location: Pearland Administrative Office** ... laws and regulations governing Medicare billing practices, medical billing systems, and claims processing . Preferred: IDX/EPIC, PC skills, and understanding of… more
- Sedgwick (Houston, TX)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Senior Claims Specialist , Professional Liability (A&E, D&O) **ESSENTIAL FUNCTIONS and ... RESPONSIBILITIES** + Analyzes and processes complex or technically difficult liability claims by investigating and gathering information to determine the exposure on… more
- Molina Healthcare (Texas City, TX)
- …concisely and accurately, in accordance with regulatory requirements. + Research claims processing guidelines, provider contracts, fee schedules and system ... years operational managed care experience (call center, appeals or claims environment). + Health claims processing...center, appeals or claims environment). + Health claims processing background, including coordination of benefits,… more
- Molina Healthcare (Houston, TX)
- …+ Min. 3 years operational managed care experience (call center, appeals or claims environment). + Health claims processing background, including ... and eligibility criteria. + Familiarity with Medicaid and Medicare claims denials and appeals processing , and knowledge...Medicaid and Medicare claims denials and appeals processing , and knowledge of regulatory guidelines for appeals and… more
- ENFRA (Houston, TX)
- …OR OUR HOUSTON OFFICE 25% travel to projects The Senior Project Controls Specialist is responsible for providing oversight of project Planning & Scheduling, Progress ... mitigation is a key responsibility of this position. The Senior Project Controls Specialist may be required to provide guidance to junior personnel. As such, they… more
- Republic Finance, LLC (Baytown, TX)
- …in the financial services industry for you, apply today! As a Sr. Consumer Loan Specialist , you will be a key team member in the branch. Your primary responsibility ... explaining the loan process, answering questions regarding loan products and loan processing . Take ownership of customer concerns and works with management to… more
- Molina Healthcare (Houston, TX)
- …applicants. * Completes data corrections in the credentialing database necessary for processing of recredentialing applications. * Reviews claims payment systems ... to determine provider status, as necessary. * Completes follow-up for provider files on 'watch' status, as necessary, following department guidelines and production goals. * Reviews and processes daily alerts for federal/state and license sanctions and… more
- Catholic Health Initiatives (Pasadena, TX)
- **Responsibilities** Responsible for the timely processing of all patient charges assuring maximum revenue capture; reconciliation of all patient charges & ... coordinating with Patient Financial Services to expedite resolutions to facilitate claims reimbursement. In addition plays an important role in patient satisfaction… more
- Molina Healthcare (Houston, TX)
- …years of experience working in the group health business preferred, particularly within claims processing or operations. + A demonstrated working knowledge of ... + Experience with UNET, Comet, Macess/CSP, or other similar claims processing systems. + Demonstrated ability to...+ AAPC Certified Medical CPC, CPMA, CPCO or similar specialist preferred + Certified Fraud Examiner and/or AHFI professional… more
- Robert Half Accountemps (Houston, TX)
- …at all times. Requirements Required Qualifications & Skills: + Previous experience in claims processing , account clean-up, or within a laboratory setting. + High ... Our client in downtown Houston is seeking a skilled RCM Specialist / Claims Analyst on a contract-to-hire basis. This position offers exciting potential… more