- 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 (Houston, 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)
- …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
- Valero (Houston, TX)
- …and updates a log on each employee out on long-term leave. * Completes processing of all duties involved in employment, termination, transfer, and promotion of all ... the department, such as open enrollment. * Numbers, prepares, and completes processing of all Personnel Activity Requests. * Prepares and distributes annual Vacation… 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
- Molina Healthcare (Houston, TX)
- …encounter processes, provider and contract configuration, provider information management, claims processing and other related functions. **Preferred Education** ... Bachelor's Degree **Preferred Experience** * Six years proven analytical experience within an operations or process-focused environment. * Previous audit and/or oversight experience. To all current Molina employees: If you are interested in applying for this… 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
- CenterWell (Bellaire, TX)
- …personnel communication systems, overall management of agency supplies / mail, and processing of accounts payables. Depending on branch census you may be responsible ... End of Period claim workflow as part of Billing Specialist responsibilities. This includes confirming all orders are signed...to ensure other billing requirements are satisfied to release claims timely. + Adhere to and participate in Agency's… more