• Specialist , Claims Recovery

    Molina Healthcare (Dallas, TX)
    …**Job Summary** Responsible for reviewing Medicaid, Medicare, and Marketplace claims for overpayments; researching claim payment guidelines, billing guidelines, ... and provider compliance. Interacts with health plans and vendors regarding recovery outstanding overpayments. **Job Duties** + Prepares written provider overpayment… more
    Molina Healthcare (05/10/25)
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  • USDA Claims Recovery & Loss Analysis…

    Carrington (Plano, TX)
    **Come join our amazing team and work remote from home!** The Claims Recovery & Loss Analysis Specialist is responsible for performing financial ... reconciliation on all liquidated loans. Identify additional recovery opportunities to mitigate losses for both Carrington Mortgage Services and its clients. Research… more
    Carrington (04/30/25)
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  • Claims Investigator

    Allied Solutions (Plano, TX)
    …policy; + Determine the appropriate application of coverage and damage to identify those claims with the highest amount of recovery potential for EZ Claim Total ... is responsible for the initial setup and investigation of claims prior to the assignment of the claim to...other adjusting tools; + Meet and exceed all established recovery and claim service standards and benchmarks for a… more
    Allied Solutions (04/13/25)
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  • FEMA - Program Delivery Specialist

    CDM Smith (Dallas, TX)
    …40509BR **Business Unit:** FSU **Job Description:** The Disaster Program Delivery Specialist : * Collects, coordinates and/or reviews applicant data to determine ... gather information from applicants, and understands each applicants' projects and recovery priorities. * Supports the communication process with the applicant about… more
    CDM Smith (04/19/25)
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  • Provider Contracts Manager

    Molina Healthcare (Dallas, TX)
    …(specialty and ancillary) contracts highly desirable. **STATE SPECIFIC REQUIREMENTS** : Certified Recovery Peer Specialist certification required in the state of ... for accurate and timely maintenance of critical provider information on all claims and provider databases. Synchronizes data among multiple claims systems… more
    Molina Healthcare (04/25/25)
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