Claims Examiner Senior \ 160 IMCS Group IncClaims Examiner Senior \ 160Irving, TXCompany Description: IMCS Group is one of the fastest growing MWBE (Minority Woman Owned Enterprise) staffing firms in the U.S. We focus on bringing a Diversity Recruitment approach to Fortune 500 companies within North America and EMEA region contingent labor programs. IMCS Group is committed to maintaining an inclusive workforce, where employees are hired, retained, compensated, and promoted based on their contributions to our Company.
Patient Account Representative - A/R Follow-up - Medicare, Medicaid, Commercial Claims GuidehousePatient Account Representative - A/R Follow-up - Medicare, Medicaid, Commercial ClaimsLewisville, TexasNote that Guidehouse will never charge a fee or require a money transfer at any stage of the recruitment process and does not collect fees from educational institutions for participation in a recruitment event. Representatives are responsible for taking in-coming and making out-going calls to patients and insurance companies to resolve account balances.
Patient Account Representative - A/R Follow-Up - Medicare, Medicaid, Commercial Claims GuidehousePatient Account Representative - A/R Follow-Up - Medicare, Medicaid, Commercial ClaimsLewisville, TXAll communication regarding recruitment for a Guidehouse position will be sent from Guidehouse email domains including @guidehouse.com or guidehouse@myworkday.com. Note that Guidehouse will never charge a fee or require a money transfer at any stage of the recruitment process and does not collect fees from educational institutions for participation in a recruitment event.
Claim Representative Amtrust Financial Services IncClaim RepresentativeDallas, TXThis role requires strong analytical skills, attention to detail, and the ability to communicate effectively with various stakeholders, including insured parties, claimants, attorneys, public adjusters and other professionals. Communicate effectively and professionally with policyholders, agents, contractors, experts, attorneys, public adjusters and other parties involved in the claim process, and provide timely and accurate updates on the status and resolution of the claims.
Independent Dispute Resolution (IDR) Claims/OON Specialist Exceptional Healthcare Inc.Independent Dispute Resolution (IDR) Claims/OON SpecialistDallas, TXRequires visual acuity to inspect and analyze work close to the eyes and ability to hear sound with or without correction; Ability to climb, stoop, kneel, reach, stand, walk pull, push lift, and able to exert up to 40 pounds of force occasionally and/or up to 10 pounds of force constantly to move objects. As an IDR Representative, you will be responsible for managing disputes between healthcare providers and insurers, determining the appropriate payment amounts for out-of-network services, and working to resolve disputes efficiently and effectively.
Financial Claim Manager Samsung Electronics America IncFinancial Claim ManagerPlano, TXHeadquartered in Plano, Texas, Samsung Electronics America, Inc. (SEA), the U.S. Sales and Marketing subsidiary, is a leader in mobile technologies, consumer electronics, home appliances, enterprise solutions and networks systems. Cross functionally collaborate with internal & external stakeholders to ensure team has alignment on all current business areas and has awareness of underlining issues that will cause impacts and delays.
NewWorkers'''' Compensation Claim Specialist Amerisure Mutual Insurance CompanyWorkers'''' Compensation Claim SpecialistIrving, TXRanked as one of the top 100 Property & Casualty companies in the United States, we proudly manage nearly $1 Billion of Direct Written Premium and maintain $1.21 billion in surplus. As a property and casualty insurance company, Amerisure's promise to our partner agencies and policyholders begins with a comprehensive line of insurance products designed to protect businesses, as well as the health and safety of every employee.
Construction & Restoration Coordinator ServproConstruction & Restoration CoordinatorGrapevine, Texas$55,000–$70,000 / yearSERVPRO Team Shaw – Ranked 2024 #4 Fastest Growing Mid-Market Company in DFW & #69 Fastest Growing Private Restoration/Construction Company in the Country SERVPRO Team Shaw is one of the largest SERVPROs in the Country and has grown from one location in 2020 to 33 locations today across three major markets. We’re seeking self-motivated, proactive, responsible, and service-oriented teammates to join us in our mission of helping customers in their greatest moments of need by repairing and restoring homes and businesses with an industry-leading level of service.
Commercial Auto Liability Adjuster Kemper CorpCommercial Auto Liability AdjusterDallas, TXWe are currently looking for Commercial Auto Liability Adjusters to investigate claims, determine liability, confirm coverage, establishes damages, and negotiate settlement of claims. We believe a high-performing culture, valuable opportunities for personal development and professional challenge, and a healthy work-life balance can be highly motivating and productive.
NewFront Desk Optometrist’s Tech FT Onalaska, WI #011 Eyemart ExpressFront Desk Optometrist’s Tech FT Onalaska, WI #011Arlington, TXPatient Assessment: Assess and interpret patient’s needs/wants based upon prescription requirements, facial features, lifestyle, and occupation, and suggest the most appropriate products (i.e., frames, lens type, coatings). Today, Eyemart Express is celebrated for promptly delivering quality eyewear at great prices, while maintaining great relationships with optometrists and local communities.
VP, Insurance And Risk Management Welltower, IncVP, Insurance And Risk ManagementPlano, TXOversee the design, placement, negotiation, renewal, and administration of all insurance programs, including property, general and professional liability, directors and officers, cyber, pollution, automobile, workers' compensation, and other executive and specialty risk lines, establishing appropriate coverage, limits, retentions, and program structures. Manage strategic relationships with operators, business partners, brokers, carriers, reinsurers, captive managers, actuarial advisors, regulators, auditors, and other third parties regarding insurance requirements, coverage, claims, loss control, and company-sponsored risk programs.
Insurance Risk Manager (Remote) DataBank Holdings Ltd.Insurance Risk Manager (Remote)Dallas, TXRemoteDataBank Holdings Ltd. is a leading provider of enterprise-class data center, cloud, and interconnection services, offering customers 100% uptime availability of data, applications, and infrastructure. Manage all corporate insurance programs (property, casualty, liability, auto, cyber, workers' comp, professional liability, OCIP/CCIP, builder's risk, and wrap-up programs).
Bilingual Sr. Consumer Loan Specialist - Sales Customer Service Republic Finance LLCBilingual Sr. Consumer Loan Specialist - Sales Customer ServiceDallas, TXYour primary responsibility is to ensure a positive total customer experience while originating consumer loans, completing loan applications, developing strong customer relationships and meeting sales goals. Company-wide, we participate in various philanthropic efforts such as volunteer opportunities, food drives and back to school drives as well as an annual fund raiser for St. Jude Children''s Research Hospital.
Automotive Collision Damage Repair Estimator Friendly ChevroletAutomotive Collision Damage Repair EstimatorDallas, TexasThe ability to effectively communicate these findings to the customer and any third-party payer is just as important as identifying the damages. Do you want to work at one of the busiest automotive dealerships in the region where your employer treats you like a member of the family.
Medical Case Manager AmTrust Financial Services, Inc.Medical Case ManagerTBD, TexasRemote$80,000–$88,000 / yearFull timeResponsible for helping to ensure injured employees receive appropriate level and intensity of care through use of medical and disability duration guidelines, directly related to the compensable injury and/or assist adjusters in managing medical treatment to drive resolution. Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines.
Subrogation Adjuster II AmTrust Financial Services, Inc.Subrogation Adjuster IIDallas, TexasFull timeOverview: The Workers Compensation Subrogation Adjuster is responsible for prompt and independent review of subrogation claims through effective coverage analysis, investigation, evaluation, negotiation and interaction with insureds, claimants, adverse parties and counsel. Responsibilities: Investigates the claim or coverage by making timely and appropriate contact with involved or interested parties including but not limited to the insured or employer representatives, claimant or injured party, witnesses, producers and adverse parties.
Medical Billing Specialist Imprimis GroupMedical Billing SpecialistDallas, TX$47,840–$52,000 / yearKey ResponsibilitiesAssign appropriate CPT (Current Procedural Terminology), ICD (International Classification of Diseases), and HCPCS (Healthcare Common Coding System) codes to medical diagnoses, procedures, and services. The billing specialist will ensure that insurance claims are prepared and submitted in a timely and compliant manner, facilitating the revenue cycle and reimbursement process for healthcare providers.
Physician Reviewer - Texas Counter Affidavit Work (Orthopedic Surgery) Dane Street, LLCPhysician Reviewer - Texas Counter Affidavit Work (Orthopedic Surgery)Dallas, TXIdentifies, critiques, and utilizes current criteria and resources such as national, state, and professional association guidelines and peer-reviewed literature that support sound and objective decision-making and rationales in reviews; refrains from using case studies, cohorts, and the like to make decisions due to their limited sample sizes. Our Physician Reviewers need to have strong experience in analyzing the application of CPT codes in combination with usual and customary state fee schedule reductions across multiple jurisdictions with an in-depth understanding of CPT codes and the state-specific fees associated with them.
Reimbursement Coordinator I Non Medicare PDGM Enhabit IncReimbursement Coordinator I Non Medicare PDGMDallas, TXRemote$16–$20 / hourSubmit clean claims timely and appropriately to various insurance companies; complete submissions electronically or by paper according to payor guidelines. Two years of previous experience with home health, hospice, or Medicare billing and collections is strongly preferred.
Manager Corporate Risk Management Methodist Health SystemManager Corporate Risk ManagementDallas, TexasNamed one of the fastest-growing health systems in America by Modern Healthcare , Methodist has a network of 12 hospitals (through ownership and affiliation) with nationally recognized medical services, such as a Level I Trauma Center, multi-organ transplantation, Level III Neonatal Intensive Care, neurosurgery, robotic surgical programs, oncology, gastroenterology, and orthopedics, among others. The Corporate Risk Manager will directly report to the AVP, Corporate Risk Management, will work in a collaborative and aligned manner with the Claims Manager and the attorneys in the Office of Legal Affairs, and will ultimately function under the direction and supervision of the Chief Legal Officer.