Insurance Claims Specialist (Construction Defects and Property Damage) DPR Construction IncInsurance Claims Specialist (Construction Defects and Property Damage)Houston, TXKey Skills: • Basic working knowledge and familiarity of: • Commercial General Liability • Property Insurance (Including Inland Marine and Builder's Risk) • Pollution Liability • Professional Liability • Controlled Insurance Programs (CCIP/OCIP) • RMIS Systems • Construction Industry Expertise • Strategic thinking • Strong written and oral communication skills • High level of EQ (Soft skills) • Self-Starter • Highly organized and responsive; ability to meet deadlines • Detail Oriented • Contractual risk assessment • Dispute management • Integrity • Ability to mentor and inspire others • Team player • Willingness to understand and advance the DPR Culture • Proactive Learner. Act as a liaison between all parties involved, including but not limited to, carriers, clients, trade partners, brokers, consultants, attorneys and DPR project teams (and DPR-related entities), as it relates to claim progress, strategy, expenses, and settlements.
NewPharmacy Claims Adjudication Specialist Onco360Pharmacy Claims Adjudication SpecialistHouston, TexasSkills/Knowledge Required: Pharmacy/NDC medication billing, Pharmacy claims resolution, PBM and Medical contracts, knowledge/understanding of Medicare, Medicaid, and commercial insurance, NCPDP claim rejection resolution, coordination of benefits, pharmacy or healthcare-related knowledge, knowledge of pharmacy terminology including sig codes, and Roman numerals, brand/generic names of medication, basic math and analytical skills, Intermediate typing/keyboarding skills. ensure prescription claims are adjudicated correctly according to the coordination of benefits, resolve any third-party rejections, obtain overrides if appropriate, and be responsible for patient outreach notification regarding any delay in medication delivery due to insurance claim rejections Pharmacy Adjudication Specialists at Onco360.
Global Cargo Claims Specialist Crane Worldwide Logistics LLCGlobal Cargo Claims SpecialistHouston, TXPart timeUnderstanding of basic accounting principles and processes; computer skills – including heavy Excel knowledge; verbal and written communication skills; adept at problem resolution. Collect, organize, analyze and provide claim reports to management and other departments as required.
Bilingual Medical Benefits and Claims Specialist Team1MedicalBilingual Medical Benefits and Claims SpecialistHouston, TXThey are primarily responsible for but not limited to responding to incoming hotline inquiries as they relate to benefits and eligibility verification, claim status (with the ability to identify if a claim requires reconsideration), authorization status, and complaints. In the spirit of pay transparency, we want to share the base hourly pay rate for this position is $19.69 per hr, not including benefits, potential bonuses or additional compensation.
NewCasualty Claims Specialist First Chicago Insurance Company (FCIC)Casualty Claims SpecialistHouston, TXThey will settle complex liability claims which require greater investigation and verification, as well as casualty claims including severe injuries which may result in extended disability or bodily injury as well as coverage related litigation. Conduct thorough investigations and keep accurate and relevant documentation of file activity on each claim assigned including coverage, liability status, and damages that are applicable for each claim.
Claims Specialist Senior - Injury The Progressive CorpClaims Specialist Senior - InjurySpring, TX$77,000–$93,500 / yearFor ideas about how you might be able to protect yourself from job scams, visit our scam-awareness page at https://careers.progressive.com/pages/how-we-hire-faq-job-scams/. Investigating complex and high-risk claims - which may be attorney represented or have additional litigation features - you'll consult with police officers, medical professionals, claimants and others involved in the accident.
Claims Specialist Senior - Litigation The Progressive CorpClaims Specialist Senior - LitigationHouston, TX$77,000–$93,500 / yearFor ideas about how you might be able to protect yourself from job scams, visit our scam-awareness page at https://careers.progressive.com/pages/how-we-hire-faq-job-scams/. Investigating complex and high-risk claims - which may be attorney represented or have additional litigation features - you'll consult with police officers, medical professionals, claimants and others involved in the accident.
NewWorkflow Specialist Claims Processing Tata Consultancy Services LtdWorkflow Specialist Claims ProcessingHouston, TX$50,000–$54,000 / yearResponsibilities: To provide Absence case management and claim adjudications, based on medical documentation and the applicable Disability/FMLA/Paid Family Leave interpretation, including determining benefits due and making timely payments and adjustments. Determines benefits due, makes timely claims payments/approvals and adjustments for Workers Compensation, State Short Term Disability, and other disability offsets.
Global Cargo Claims Specialist Crane Worldwide LogisticsGlobal Cargo Claims SpecialistHouston, TXUnderstanding of basic accounting principles and processes; computer skills - including heavy Excel knowledge; verbal and written communication skills; adept at problem resolution. Collect, organize, analyze and provide claim reports to management and other departments as required.
Sr. Technical Specialist - Workers' Compensation Claims Major Case Unit, VA & MN American International Group Inc (AIG)Sr. Technical Specialist - Workers' Compensation Claims Major Case Unit, VA & MNHouston, TXul>Manage indemnity, medical and legal aspects of highest valued, complex WC claims, for Virginia (VA), Minnesota (MN) and other jurisdictions, through use of various resources available (i.e., utilizing medical management services in controlling medical treatment as necessary, coordinating independent medical evaluations where appropriate). Our Claims teams are the proven problem solvers of choice for clients, delivering consistent technical excellence and showcasing our service differentiation to create an unparalleled global claims handling experience.
Warranty Claims Specialist Abacus Plumbing, Air Conditioning and ElectricalWarranty Claims SpecialistHouston, Texas$18–$20 / hourFull timeThis role is primarily responsible for managing warranty and rebate claims from start to finish, ensuring all equipment is properly registered, coordinating with internal teams to locate and return parts, and maintaining accurate records related to warranty, rebate, and registration activities. The company encourages all qualified candidates who are eligible to work in the United States to apply, but it does not sponsor applicants or employees who require a visa to work legally.
Claims Specialist Energy Transfer LPClaims SpecialistHOUSTON, TXOccasional visits to industrial/manufacturing settings, which may include exposure to various materials and chemicals, as well as extreme temperature conditions and loud machinery, and require appropriate personal protective equipment. The ideal candidate will have hands-on experience handling subrogation, auto liability, and general liability claims, with exposure to retail and trucking claims strongly preferred.
Senior Claims Specialist - Healthcare Liability GallagherSenior Claims Specialist - Healthcare LiabilityHouston, TexasRemoteFull timeThe actual compensation will be influenced by a wide range of factors including, but not limited to previous experience, education, pay market/geography, complexity or scope, specialized skill set, lines of business/practice area, supply/demand, and scheduled hours. Ability to think critically, solve problems, plan and organize activities, serve clients, negotiate, effectively communicate verbally and in writing and embrace new challenges.
Senior Complex Claims Specialist - Commercial Liability GallagherSenior Complex Claims Specialist - Commercial LiabilityHouston, TexasRemoteFull timeThe actual compensation will be influenced by a wide range of factors including, but not limited to previous experience, education, pay market/geography, complexity or scope, specialized skill set, lines of business/practice area, supply/demand, and scheduled hours. Ability to think critically, solve problems, plan and organize activities, serve clients, negotiate, effectively communicate verbally and in writing and embrace new challenges.
Senior Claims Specialist - Cyber Liability GallagherSenior Claims Specialist - Cyber LiabilityHouston, TexasRemoteFull timeThe actual compensation will be influenced by a wide range of factors including, but not limited to previous experience, education, pay market/geography, complexity or scope, specialized skill set, lines of business/practice area, supply/demand, and scheduled hours. Ability to think critically, solve problems, plan and organize activities, serve clients, negotiate, effectively communicate verbally and in writing and embrace new challenges.
Senior Inland Marine Technical Claims Specialist Argo Group International Holdings IncSenior Inland Marine Technical Claims SpecialistHouston, TX$151,000–$181,250 / yearQualifications / Experience Required: A deep knowledge of adjudicating commercial Inland Marine claims typically achieved through a minimum of: Seven years' experience adjudicating inland marine policy claims, particularly motor truck cargo claims, with exposure of $100,000 or more. Essential Responsibilities: Working with limited oversight under broad management direction, adjudicate highly complex claims, at the highest authority limits on assignments reflecting the highest degree of technical complexity, potentially with major impact on departmental results.
Claims/Benefits Specialist Texas Children's HospitalClaims/Benefits SpecialistBellaire, TXReview, investigate and provide accurate and efficient follow-up Ensure Special Projects are completed accurately, in a timely and efficient manner Participates in system testing and reviews for upgrades/implementation Identify and communicate to team, leadership, and other departments (if applicable), trends related to appeals processing, not yet addressed in a desk level procedure or identified by another team member Collaborate with Provider Relations team to educate providers regarding trends identified in appeals process Analyze potential system configuration setup issues when trending appeals to determine if modifications must be made to increase the automation of the adjudication flow Investigate and research Texas Medicaid regulatory requirements for various payment methodologies for hospitals, physicians, home health agencies, CORFs, etc., to apply to various claim scenarios where system cannot be automated Utilize expertise with federal NCCI edits, MUE edits, etc., to determine if providers are billing inappropriately or fraudulently Refer potential fraud activity to FWA unit for further investigation Evaluate the appropriateness of code bundling, un-bundling, and addition of modifiers by provider to determine if higher level of payment is warranted or if provider is upcoding. Process all claims for providers flagged by the Office of Inspector General for prepayment review within 30 days of receipt Skills & Requirements HS Diploma Or GED Required 3 Years Claims Processing Experience Required * A Bachelor's degree may substitute for the required experience Founded in 1996, Texas Children's Health Plan is the nation''s first health maintenance organization (HMO) created just for children.
NewIDR Claim Specialist Gryphon HealthcareIDR Claim SpecialistHouston, TexasComputer Skills - Understands and fully utilizes computer systems used in the technological stream of researching and entering claim information including but not limited to: Microsoft Office (Excel, Outlook, Teams) and various billing systems and insurance carrier portals. Position Summary: IDR Claim Specialist is responsible for analyzing, organizing, and preparing documentation for eligible claims to be filed with the Texas Department of Insurance and Federal IDR in effort to promptly resolve billing disputes between out of network providers, facilities, and health plans.
Manager - Construction Claims Markel Group IncManager - Construction ClaimsTX$97,520–$134,090 / yearThis includes race; color; sex; religion; creed; national origin or place of birth; ancestry; age; disability; affectional or sexual orientation; gender expression or identity; genetic information, sickle cell trait, or atypical hereditary cellular or blood trait; refusal to submit to genetic tests or make genetic test results available; medical condition; citizenship status; pregnancy, childbirth, or related medical conditions; marital status, civil union status, domestic partnership status, familial status, or family responsibilities; military or veteran status, including unfavorable discharge from military service; personal appearance, height, or weight; matriculation or political affiliation; expunged juvenile records; arrest and court records where prohibited by applicable law; status as a victim of domestic or sexual violence; public assistance status; order of protection status; status as a smoker or nonsmoker; membership or activity in local commissions; the use or nonuse of lawful products off employer premises during non-work hours; declining to attend meetings or participate in communications about religious or political matters; or any other classification protected by applicable law. Pay information: The base salary offered for the successful candidate will be based on compensable factors such as job-relevant education, job-relevant experience, training, licensure, demonstrated competencies, geographic location, and other factors.
Executive Claims Examiner Markel Group IncExecutive Claims ExaminerHouston, TX$97,520–$134,090 / yearSuccessful achievement of industry designations (INS, IEA, AIC, ARM, SCLA, CPCU) or I-Lead or other Management Training Minimum of 10 years of claims handling experience or equivalent combination of education and experience Experience handling high exposure construction bodily injury and property damage claims Market leading specialist knowledge within casualty construction lines Expert policy language skills enabling accurate and consistent policy wording interpretation Experience in negotiation, mediation and arbitrations Experience in conducting technical claims audits and effectively following up on findings Ability to manage claims outside of local jurisdiction where appropriate, including understanding of laws and regulations Strong senior stakeholder management experience, both internal (underwriting, distribution, actuarial, finance and executive management) and external (brokers, major account clients) Ability to influence claims stakeholders and to effectively direct claims strategy Ability to lead within a team environment Strong presentation skills Excellent written and oral communication skills Strong analytical and problem solving skills Strong organization and time management skills Ability to deliver outstanding customer service Intermediate skills in Microsoft Office products (Excel, Outlook, Power Point, Word) Ability to work in a team environment Strong desire for continuous improvement Markel offers hybrid working schedules of 3 days in the office and 2 days remote. This includes race; color; sex; religion; creed; national origin or place of birth; ancestry; age; disability; affectional or sexual orientation; gender expression or identity; genetic information, sickle cell trait, or atypical hereditary cellular or blood trait; refusal to submit to genetic tests or make genetic test results available; medical condition; citizenship status; pregnancy, childbirth, or related medical conditions; marital status, civil union status, domestic partnership status, familial status, or family responsibilities; military or veteran status, including unfavorable discharge from military service; personal appearance, height, or weight; matriculation or political affiliation; expunged juvenile records; arrest and court records where prohibited by applicable law; status as a victim of domestic or sexual violence; public assistance status; order of protection status; status as a smoker or nonsmoker; membership or activity in local commissions; the use or nonuse of lawful products off employer premises during non-work hours; declining to attend meetings or participate in communications about religious or political matters; or any other classification protected by applicable law.
NewClaims Processing Agent - Freelance AI Trainer MindriftClaims Processing Agent - Freelance AI TrainerHouston, TXWhile each project involves unique tasks, contributors may: Evaluate AI-generated auto insurance claims decisions for accuracy, coverage correctness, and regulatory compliance; Design FNOL scenarios with deliberate contradictions, decoy files, and outdated documents to test agent robustness; Write and grade fraud-flagging scenarios using structured reason codes (late reporting, recently purchased policy, inconsistent damage) for SIU referral; Build subrogation test cases applying state-specific negligence rules (comparative vs. Ideally, contributors will have: Degree in Insurance, Risk Management, Business Administration, Finance, Law, or any related field; 3+ years of insurance, claims, legal, or financial services experience; Current or recent experience in claims & adjusting or adjacent roles; Familiarity with auto insurance coverage decisions, state-specific negligence rules, and adjuster authority-limit culture; AIC, CPCU, CIFI, or SCLA credential is a strong positive signal, though not required if hands-on experience is solid; Strong written English (C1+).
Claims Examiner Texas Children's HospitalClaims ExaminerHouston, TXCurrently, the Health Plan has more than 375,000 members who receive care from our network of more than 1,100 primary care physicians, 3,200 specialists, and 70 hospitals. The claims that are manually adjudicated must have notes entered as reviewed by weekly audits, check run, returned claims, management review 98% of the time.
Customer Technical Support/Claims Specialist Benteler International AGCustomer Technical Support/Claims SpecialistHouston, TXSupport sales operations, quality and procurement stakeholders in various activities; including but not limited to on-site quality inspections, claims, qualification of external suppliers, non-conformance/ corrective action demands. From promoting individual talents to international career prospects, or from generous opportunities for designing your career to personal development opportunities-at BENTELER, we always have answers to your questions about the future, based entirely on your personal needs.
Patient Account Specialist Senior - TLRA Insurance CHRISTUS HealthPatient Account Specialist Senior - TLRA InsuranceHouston, TXEnsures that self-pay accounts are handled in a customer service-oriented manner that accomplishes the goal of collecting monies due to clients, while at the same time preserving the positive image of TLRA that exists in the community. This involves performing collection activities related to follow-up and account resolution and includes communication with patients, clients, reimbursement vendors, and other external entities while adhering to all client, state, and federal guidelines.
NewWorkers Compensation - Sr Consultant Casualty Claims - Southwest The Hanover Insurance Group IncWorkers Compensation - Sr Consultant Casualty Claims - SouthwestHouston, TXCompensation: The target hiring range for this role may vary based on geographic location and other factors, including merit or performance, demonstrated proficiency, skills for the role, education, travel requirements, and experience. Individuals with disabilities who wish to request a reasonable accommodation to participate in the job application or interview process, or to perform essential job functions, should contact us at:HRServices@hanover.com and include the link of the job posting in which you are interested.
Claims Examiner - Federal Workers' Compensation American International Group Inc (AIG)Claims Examiner - Federal Workers' CompensationHouston, TXMake your mark in Claims Our Claims teams are the proven problem solvers of choice for clients, delivering consistent technical excellence and showcasing our service differentiation to create an unparalleled global claims handling experience. Reimagining insurance to make a bigger difference to the world American International Group, Inc. (AIG) is a global leader in commercial and personal insurance solutions; we are one of the worlds most far-reaching property casualty networks.
Insurance Follow-Up & Medical Collections Specialist (Sugar Land, TX) GetixHealthInsurance Follow-Up & Medical Collections Specialist (Sugar Land, TX)Houston, TexasYou’ll work directly with insurance carriers, review claims, and resolve billing issues to secure payment—while also working accounts to drive resolution and reduce outstanding balances. Life and Disability Insurance: Basic life/AD&D, short-term, and long-term disability coverage provided, with options for voluntary life/AD&D.
Insurance Follow-Up & Medical Collections Specialist (Sugar Land, TX) ARstrat, LLCInsurance Follow-Up & Medical Collections Specialist (Sugar Land, TX)Houston, TXPart timeul style="list-style-type:disc">Comprehensive Health Coverage: Group medical, dental, and vision plans available from the first day of the month following 90 days of full-time employment. Life and Disability Insurance: Basic life/AD&D, short-term, and long-term disability coverage provided, with options for voluntary life/AD&D.
NewSenior Claims Manager - Medical Negligence and Multi-Line - Full time, Day Providence St. Joseph HealthSenior Claims Manager - Medical Negligence and Multi-Line - Full time, DayHouston, TXTogether, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. Required Qualifications: Bachelor''s Degree in Business Administration, Finance, or a related discipline or Equivalent combination of education and experience in the insurance industry; claims management; or legal handling of claims issues.
Director, Claims Triage Argo Group International Holdings IncDirector, Claims TriageTX$132,294–$155,856 / yearWorking with the SVP - Global Claims Operations partner with key Claims Management to develop plans aimed at achieving efficiencies so that incoming claims are triaged correctly and quickly assigned to the appropriate department and the Triage department can meet its Critical Success Goals and the Company can meet both growth and profitability targets. Qualifications / Experience Required: Proven people management experience, an advanced knowledge of triage claims and process improvement, and an exceptional customer service focus, typically obtained through: Minimum 7 years claims operations experience, including 4 years in a People Leadership capacity.
Insurance Verification Specialist I - Kelsey-Seybold Clinic - Hybrid in Pearland TX UnitedHealth Group IncInsurance Verification Specialist I - Kelsey-Seybold Clinic - Hybrid in Pearland TXPearland, TX$16.15–$28.80 / hourThe fraudulent LinkedIn messages and emails, which do not originate from any Executives LinkedIn account or of UnitedHealth Group's email domains, or those of any of its operating divisions, supposedly conducts an interview via a Zoom meeting, offers a work from home job at Optum, emails an application, sends a fake check by next day delivery through USPS and asks recipients to pay a vendor a large dollar amount. Communicates with patients by phone or electronically to explain coverage and benefits, pre-treatment cost estimates and patient financial liability, advises of non-coverage, takes payments, and sets up payment plans for services following department policies.
Entry-Level Medical Billing Specialist ReveljobsEntry-Level Medical Billing SpecialistHouston, TexasThe Entry-Level Medical Billing Specialist will assist with preparing and reviewing insurance claims, updating patient and insurance information, supporting basic billing and coding processes, and helping patients with billing-related questions. A confidential healthcare organization is seeking a detail-oriented Entry-Level Medical Billing Specialist to support medical billing, insurance claims, patient account questions, coding-related workflows, and general administrative functions.
NewMedical Billing - AR Specialist Gryphon HealthcareMedical Billing - AR SpecialistHouston, Texas$30–$50 / hourJOB SUMMARYThe Account Receivable Specialist is responsible for submitting claims, appeals of denied claims and working with commercial insurance carriers to ensure prompt accurate payment. EDUCATION REQUIREMENTS High School Diploma or equivalent required EXPERIENCE REQUIREMENTS 2 years in medical billing preferred with the following detailed experience: Knowledge of medical / billing collection practices.
Medical Billing Specialist Abel HR IncMedical Billing SpecialistHouston, TXFull timeThis policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training. Strong cognitive skills including analysis, problem solving, high attention to detail, and .
NewBilling Specialist SynergenX Health Holdings LLCBilling SpecialistTomball, TXFull timeYou will be responsible for managing the full lifecycle of claims—from charge entry to payment posting—while working closely with internal teams, patients, and insurance payers. This is a highly visible role that requires strong communication skills, critical thinking, and the ability to manage multiple priorities in a fast-paced healthcare environment.
Insurance Coordinator Specialty1 PartnersInsurance CoordinatorHouston, TX$19–$23 / hourE-Verify is used to confirm the employment authorization of all newly hired employees through an electronic database maintained by the Social Security Administration and Department of Homeland Security. Dental Assistants, Sterilization Technicians, Specialists, Office Managers, Patient Care Coordinators and many more all work together to improve the patient care experience and great clinical results.
Life Insurance Position - State Farm Agent Team Member Mitch Landry - State Farm AgentLife Insurance Position - State Farm Agent Team MemberHouston, TXAs a customer-oriented expert, you will market Life/Health insurance services and products to benefit customers and their families. As a strategic and emotionally intelligent resource to the community, we are excited to expand our successful agency with your skillset.
Insurance Coverage Attorney Kennedys Law LLPInsurance Coverage AttorneyHouston, TX$130,000–$220,000 / yearOur ideal candidate will have at least three years of relevant diverse coverage experience such as; excess and surplus lines, general liability, construction defect, D&O, environmental, personal and advertising injury claims in Texas. Kennedys, a Legal 500 and Chambers-ranked global law firm serving insurers and the London market, is seeking motivated and dynamic attorneys to join its national and international insurance coverage practice.
Life Insurance Position - State Farm Agent Team Member Tyler Johns - State Farm AgentLife Insurance Position - State Farm Agent Team MemberConroe, TXAs a customer-oriented expert, you will market Life insurance services and products to benefit customers and their families. As a strategic and emotionally intelligent resource to the community, we are excited to expand our successful agency with your skillset.
Accounts Receivable Specialist Houston Methodist HospitalAccounts Receivable SpecialistKaty, TXThe Accounts Receivable Specialist interacts with all Central Business Office (CBO) sub-units and other hospital service areas daily and cultivates good business relationships to promote harmony and effective communication to resolve patient and billing concerns post care. Houston Methodist also includes a research institute; a comprehensive residency program; international patient services; freestanding comprehensive care clinics, emergency care and imaging centers; and outpatient facilities.
Accounts Receivable Specialist CORPAccounts Receivable SpecialistKaty, TexasThe Accounts Receivable Specialist interacts with all Central Business Office (CBO) sub-units and other hospital service areas daily and cultivates good business relationships to promote harmony and effective communication to resolve patient and billing concerns post care. FINANCE ESSENTIAL FUNCTIONSAccurately and compliantly resolves insurance or institutional balance after payment or adjudication, and correctly identifies any patient liability (i.e., contractual/payment review, etc.) and ensures accurate resolution of account to payment or client terms .
Medicaid Billing Specialist Team1MedicalMedicaid Billing SpecialistHouston, TX$18–$21 / hourJob DescriptionA leading Prevention & Counseling Services organization is seeking a Medicaid Billing Specialist who will process and submit Medicaid claims, resolve billing issues, and ensure accurate reimbursement for services provided. Your Career Partner:Team1Medical, a Reserves Network company, a veteran-founded and family-owned company, specializes in connecting exceptional talent with rewarding opportunities.
NewPatient Account Specialist Senior-Onsite Sigma IncPatient Account Specialist Senior-OnsiteHouston, TXApply industry knowledge to resolve various account types: hospital and professional claims, governmental and non-governmental claims, high-priority accounts, and denials. Minimum 3 years of experience in healthcare billing/collections, medical collection agency, or customer service focused on healthcare collections.
Insurance Senior Trial Attorney - Work From Home Sentry Insurance GroupInsurance Senior Trial Attorney - Work From HomeHouston, TXRemote7+ years of related work experience with experience as a licensed attorney in at least one state with some insurance defense litigation, and including experience taking/defending depositions, court appearances, handling dispositive motions, retaining expert witnesses, and trial experience as first chair or solo trial counsel. Handle pleadings, motion practice, depositions, written discovery, expert witness retention and discovery, dispositive motions, and trial preparation and presentation with minimal oversight.
Billing Specialist Interim HealthCare IncBilling SpecialistHouston, TXPerform collection functions, including running aging reports, communicating with insurance companies and patients regarding outstanding balances, and updating management on account statuses. Monitor the status of billed and unbilled patients, effectively tracking and managing accounts receivable.
NewBilling Specialist Vital Care Infusion ServicesBilling SpecialistHouston, TexasRemoteRequired Skills/Abilities:Excellent communications skills; listening, speaking, understanding, and writing English while influencing patients, caregivers, payer representatives, and others, answering questions, and advancing reimbursement and collection efforts. Income protection programs include company-sponsored basic life insurance and long-term disability insurance, as well as employee-paid voluntary life, accident, critical illness, and short-term disability insurance.
Business Insurance Position - State Farm Agent Team Member Tyler Johns - State Farm AgentBusiness Insurance Position - State Farm Agent Team MemberConroe, TXROLE DESCRIPTION: As a Business Insurance Specialist with Tyler Johns State Farm Agency, you will successfully market the financial products that manage everyday risks. Your proficient knowledge of financial products reinforces your sales-minded and consultative approach to educating customers on their financial options.
NewPatient Account Specialist Senior-Onsite Sigma Systems, Inc.Patient Account Specialist Senior-OnsiteHouston, TexasMust have a minimum of 3 years' experience in a Customer Service call center environment with a focus on healthcare billing/collections or a collection agency environment or 3 years' experience working in a client service or marketing capacity, preferably in a healthcare or collection agency environment. Utilizes and applies industry knowledge to resolve aged accounts receivable by working various account types, including, but not limited to: hospital and/or professional claims, governmental and/or non-governmental claims, denied claims, high-priority accounts, etc.
Client Manager, Commercial Risk - Insurance Advisory Solutions, SW Region Baldwin Group ColleagueClient Manager, Commercial Risk - Insurance Advisory Solutions, SW RegionHouston, TexasThe Baldwin Group is an award-winning entrepreneur-led and inspired insurance brokerage firm delivering expertly crafted Commercial Insurance and Risk Management, Private Insurance and Risk Management, Employee Benefits and Benefit Administration, Asset and Income Protection, and Risk Mitigation strategies to clients wherever their passions and businesses take them throughout the U.S. and abroad. Manage the day-to-day activities of client accounts including, but not limited to policy review, changes and updates, contract review for certificates processing, preparing renewal documents, marketing and negotiating insurance programs, filing surplus lines, review leases, and financial statements related to the client’s insurance.
NewPharmacy Benefits Verification Specialist Onco360Pharmacy Benefits Verification SpecialistHouston, TexasSkills/Knowledge: Required: Pharmacy insurance and benefit verification, PBM and Medical contracts, knowledge/understanding of Medicare, Medicaid, and commercial insurance, pharmacy test claim and NCPDP claim rejection resolution, coordination of benefits, NDC medication billing, pharmacy or healthcare-related knowledge, knowledge of pharmacy terminology including sig codes, and Roman numerals, brand/generic names of medication, basic math and analytical skills, Intermediate typing/keyboarding skills. Pharmacy Benefit Verification SummaryThe Benefit Verification Specialist will investigate, review, and load accurate patient insurances, including medical and pharmacy coverage, assign coordination of benefits, run test claims to obtain a valid insurance response on patient medications, investigate/identify authorization requirements needed to obtain medication coverage, and enroll eligible patients in copay card assistance programs.