- HCA Healthcare (Houston, TX)
- …TX, UT, VA). Do you want to join an organization that invests in you as a Medical Insurance Claims Follow -up Specialist? At Parallon, you come first. HCA ... and you have the opportunity to make a difference. We are looking for a dedicated Medical Insurance Claims Follow -up Spec like you to be a part of our… more
- Houston Methodist (Houston, TX)
- …(where applicable) and claim edits, payor rejections, unresolved or no response insurance claims and processing of financial correspondence. The Insurance ... of billing practices and maintains departmental standards relating to insurance claims processing, charge entry and billing...follow up on missing data that may delay claims submission and payment. Collaborates with internal CBO department… more
- Houston Methodist (Houston, TX)
- …impacting AR collections. **FINANCE ESSENTIAL FUNCTIONS** + Expedites and maximizes payment of insurance medical claims by contacting third party payers and ... Specialist is responsible for resolving all outstanding third-party primary and secondary insurance claims for professional services. This Specialist is required… more
- Elevance Health (Houston, TX)
- …not eligible for employment based sponsorship. **Ensures accurate adjudication of claims , by translating medical policies, reimbursement policies, and clinical ... into effective and accurate reimbursement criteria.** PRIMARY DUTIES: + Review medical record documentation in support of Evaluation and Management, CPT, HCPCS… more
- CRC Insurance Services, Inc. (Houston, TX)
- …range of coverage and support. Eligible full-time teammates enjoy access to medical , dental, vision, life, disability, and AD&D insurance ; tax-advantaged savings ... information from agents and underwriters. 11. Maintain suspense system and follow -up for receipt of policies, endorsements, inspections reports, correspondence, … more
- Sedgwick (Houston, TX)
- …+ Provides clear and appropriate follow -up recommendations for ongoing medical management of claims ; ensures appropriate recommendations are made on ... work. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Performs clinical review of referred claims ; documents decision rationale; and completes medical review of… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Multi-Site Senior Medical Assistant, (Multi-Site Sr. MA) position is responsible for working at multiple sites, within multiple specialties ... The Multi-Site Sr. MA must communicate appropriately and carry out delegated medical assistant level tasks for the assigned patient population, under the direct… more
- Houston Methodist (Houston, TX)
- …-up productivity goals. **FINANCE ESSENTIAL FUNCTIONS** + Expedites and maximizes payment of insurance medical claims by contacting third party payors and ... for resolving all outstanding third party primary and secondary insurance claims for professional services. This position...Creates and submits appeals when necessary. Engages the coding follow -up team for any medical necessity or… more
- Elevance Health (Houston, TX)
- …+ Serves as a resource for complex issues and interpretation of claims , provider contracts and data, eligibility, member contracts, benefits, clinical decisions, ... and incentive bonus programs (unless covered by a collective bargaining agreement), medical , dental, vision, short and long term disability benefits, 401(k) +match,… more
- Elevance Health (Houston, TX)
- …the enterprise. Included are processes related to enrollment and billing and claims processing, as well as customer service written and verbal inquiries. **How ... audits. + Participates in pre and post implementation audits of providers, claims processing and payment, benefit coding, member and provider inquiries, enrollment &… more
- Houston Methodist (Katy, TX)
- …Performance Indicator. **FINANCE ESSENTIAL FUNCTIONS** + Follows up on assigned delinquent insurance claims . Ensures maximization of collection dollars from ... education, etc.) **WORK EXPERIENCE** + Two years of experience in commercial insurance follow -up, preferably in hospital accounts receivable **LICENSES AND… more
- Elevance Health (Houston, TX)
- …for fraud and abuse prevention and control. + Reviews and conducts analysis of claims and medical records prior to payment and uses required systems/tools to ... abuse. **How you will make an Impact:** + Examines claims for compliance with relevant billing and processing guidelines...to aid in investigations and stays abreast of current medical coding and billing issues, trends and changes in… more
- Elevance Health (Houston, TX)
- …make an impact:** + Responds to customer questions via telephone regarding insurance benefits, provider contracts, eligibility and claims . + Analyzes problems ... gathering and troubleshooting. Requires limited knowledge of company services, products, insurance benefits, provider contracts and claims . Seeks, understands… more
- Southland Industries (Houston, TX)
- …excellent benefits for you and your family: + 401(k) Plan + Competitive Pay + ** Medical , Dental, Vision Insurance ** + Term Life, AD&D Insurance , and ... record of industrial equipment training. + Report and manage all company vehicle claims . + Assist in reporting workers compensation claims . + Update Material… more
- Southland Industries (Houston, TX)
- …excellent benefits for you and your family: + 401(k) Plan + Competitive Pay + ** Medical , Dental, Vision Insurance ** + Term Life, AD&D Insurance , and ... record of industrial equipment training. + Report and manage all company vehicle claims . + Assist in reporting workers compensation claims . + Update Material… more
- US Physical Therapy (Houston, TX)
- …with insurance companies to obtain prior authorizations and verify coverage. + Follow up on unpaid claims and denials. + Maintain accurate and up-to-date ... Your role will be critical in our billing and claims department, and you will be asked to facilitate... medical billing and collections + Knowledge of medical billing and coding, insurance regulations, and… more
- Utilities Service, LLC (Houston, TX)
- …**Pay** :Competitive Hourly **Benefits:** + Company-sponsored Retirement Plan + Health Insurance ( Medical /Dental/Vision) + Employee Assistance Program + Life, ... long-term/short-term disability insurance **Essential Functions & Responsibilities:** + Plans, coordinates, and...be delegated the authority to investigate incident reports, damage claims , etc., and to settle minor damage claims… more
- Sedgwick (Houston, TX)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Mgr IT Applications Join us in delivering cutting-edge technology solutions for ... serving in role of project manager as assigned; ensures all projects follow Sedgwick software development lifecycle (SDLC). + Defines projects through research and… more
- UIC Government Services and the Bowhead Family of Companies (Houston, TX)
- …of Defense and many federal agencies. Bowhead offers competitive benefits including medical , dental, vision, life insurance , accidental death and dismemberment, ... & alcohol screening and/or random drug screen, and must follow UIC's Non-DOT Drug & Alcohol Testing Program requirements....characteristics EOE/D/V. In furtherance, pursuant to The Alaska Native Claims Settlement Act 43 USC Sec. 1601 et seq.,… more
- Southland Industries (Houston, TX)
- …excellent benefits for you and your family: + 401(k) Plan + Competitive Pay + ** Medical , Dental, Vision Insurance ** + Term Life, AD&D Insurance , and ... supervision. Identify and recommend solutions to hazardous/potentially hazardous conditions. Follow through to ensure 100% compliance and conformance. + Coordinate… more