- Molina Healthcare (Fort Worth, 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
- 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
- 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
- DriveTime (Fort Worth, TX)
- …does this position exist to fill?_ This position involves assisting recovery vendors with questions, invoicing, and feedback regarding contracted expectations. In ... addition, this is a customer facing role where the specialist serves as a liaison between the customer and...invoices for payments associated with repossession charges owed to recovery vendors as well as research and resolve any… more
- CDM Smith (Fort Worth, 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
- Elevance Health (Grand Prairie, TX)
- …at least one of the following: AA/AS or minimum of 5 years of experience in claims auditing, quality assurance, or recovery auditing. + Requires at least one of ... auditing inpatient medical records and generating high quality recoverable claims for the benefit of the company, for all...Health Information Technician and/or CCS as a Certified Coding Specialist and/or CIC as a Certified Inpatient Coder. +… more
- 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