Senior Systems Analyst (Resolute Physician Billing & Claims) Texas Children's HospitalSenior Systems Analyst (Resolute Physician Billing & Claims)Houston, TXTexas Children's comprehensive health care network includes our primary hospital in the Texas Medical Center with expertise in over 40 pediatric subspecialties; the Jan and Dan Duncan Neurological Research Institute (NRI); the Feigin Tower for pediatric research; Texas Children's Pavilion for Women, a comprehensive obstetrics/gynecology facility focusing on high-risk births; Texas Children's Hospital West Campus, a community hospital in suburban West Houston; Texas Children's Hospital The Woodlands, the first hospital devoted to children's care for communities north of Houston; and Texas Children's Hospital North Austin, the new state-of-the-art facility providing world-class pediatric and maternal care to Austin and Central Texas families. We have also created Texas Children's Health Plan, the nation's first HMO focused on children; Texas Children's Pediatrics, the largest pediatric primary care network in the country; Texas Children's Urgent Care clinics that specialize in after-hours care tailored specifically for children; and a global health program that is channeling care to children and women all over the world.
Medical Benefits and Claims Specialist Team1MedicalMedical 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.
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.
Senior Claims Specialist - Healthcare Professional Liability - Long Term Care GallagherSenior Claims Specialist - Healthcare Professional Liability - Long Term CareHouston, TexasRemoteFull timeAbility to think critically, solve problems, plan and organize activities, serve clients, negotiate, effectively communicate verbally and in writing and embrace new challenges. Whether you're managing claims, supporting clients, or improving processes, you’ll play a vital role in helping businesses and individuals move forward with confidence.
Senior Claims Specialist - Cyber Liability GallagherSenior Claims Specialist - Cyber LiabilityHouston, TexasRemoteFull timeAbility to think critically, solve problems, plan and organize activities, serve clients, negotiate, effectively communicate verbally and in writing and embrace new challenges. Whether you're managing claims, supporting clients, or improving processes, you’ll play a vital role in helping businesses and individuals move forward with confidence.
Claims Manager Apache Industrial HoldingsClaims ManagerHouston, TXClaims Management: Workers Compensation: Coordinates with Director of Risk Management, Safety, Legal, Human Resources, and Operations to assess and administer worker's compensation claims, including adjusters, treatment plans, investigation, return to work, and other resolutions. Non-Supervisory role, supporting mitigation of the organization's exposure to risk by formulating, developing, and coordinating all claims-related activities, as well as resolving bona fide claims promptly and within the cost parameters authorized by the organization's management.
Epic Lead Business Analyst - Hospital Billing & Claims Harris Health SystemEpic Lead Business Analyst - Hospital Billing & ClaimsBellaire, TXHarris Health is among an elite list of health systems in the U.S. achieving Magnet nursing excellence designation for its hospitals, the prestigious National Committee for Quality Assurance designation for its patient-centered clinics and health centers and its strong partnership with nationally recognized physician faculty, residents and researchers from Baylor College of Medicine; McGovern Medical School at The University of Texas Health Science Center at Houston (UTHealth); The University of Texas MD Anderson Cancer Center; and the Tilman J. Fertitta Family College of Medicine at the University of Houston. As an essential healthcare system, Harris Health champions better health for the entire community, with a focus on low-income uninsured and underinsured patients, through acute and primary care, wellness, disease management and population health services.
Manager, Claims Audit, Collections IQVIAManager, Claims Audit, CollectionsHouston, TexasAs the Collections Manager, Value-Based Care (VBC) Operations, you will lead the collections function for a portfolio of specialty care provider clients, ensuring strong financial performance, operational excellence, and exceptional client satisfaction. As a key member of the VBC Operations team, you will help shape processes, drive continuous improvement initiatives, and ensure providers receive the reimbursement they have earned while delivering a high level of service to clients and stakeholders.
Litigation and Claims Operations Specialist Dnow IncLitigation and Claims Operations SpecialistHouston, TXThe Litigation and Claims Operations Specialist supports the legal department's dispute resolution and legal operations functions by managing pre-litigation claims, coordinating litigation support activities throughout the duration of the filing, and completing other tasks as needed. Audit and process invoices for payment, including coordinating with outside counsel / vendors, TPAs, and Accounts Payable to set up accounts, monitor payment statuses, and resolve any billing discrepancies.
Manager, Claims Billing (VBC) IQVIAManager, Claims Billing (VBC)Houston, TexasThrough data-driven decision making and collaboration with operational, clinical, coding, credentialing, and financial teams, the Billing Manager will help optimize reimbursement, reduce accounts receivable aging, improve operational efficiency, and support the successful delivery of value-based care and bundled payment programs. The Billing Manager will help ensure billing operations effectively support evolving reimbursement models by monitoring financial performance, identifying reimbursement opportunities, managing denials and appeals, and improving operational workflows that drive quality outcomes and financial results.
Accumulator Claims Coordinator - US Remote NTT DATAAccumulator Claims Coordinator - US RemoteHouston, TXRemote$18–$20 / hourAs part of NTT DATA, a $30 billion trusted global innovator with a combined global reach of over 80 countries, we help clients transform through business and technology consulting, industry and digital solutions, applications development and management, managed edge-to-cloud infrastructure services, BPO, systems integration and global data centers. NTT Business Process Outsourcing (BPO) team offers end-to-end administrative services to help streamline operations, improve productivity, and strengthen cash flow to help our customers stay competitive and improve member satisfaction.
Manager, Claims Audit, Billing IQVIA Holdings IncManager, Claims Audit, BillingHouston, TX$73,400–$183,600 / yearAs the Collections Manager, Value-Based Care (VBC) Operations, you will lead the collections function for a portfolio of specialty care provider clients, ensuring strong financial performance, operational excellence, and exceptional client satisfaction. As a key member of the VBC Operations team, you will help shape processes, drive continuous improvement initiatives, and ensure providers receive the reimbursement they have earned while delivering a high level of service to clients and stakeholders.
Insurance Claim Litigation Systems And Third Party Performance Lead American International GroupInsurance Claim Litigation Systems And Third Party Performance LeadHouston, TX$125,000–$138,000 / yearReporting directly to the Head of NAM Claim Supplier Management, the role is responsible for owning the strategy, development, and performance of AIG's global legal matter management and vendor e-billing platforms. That is why we created our Total Rewards Program, a comprehensive benefits package that extends beyond time spent at work to offer benefits focused on your health, wellbeing and financial security-as well as your professional development-to bring peace of mind to you and your family.
Claim Litigation Systems and Third Party Performance Lead American International Group Inc (AIG)Claim Litigation Systems and Third Party Performance LeadHouston, TX$125,000–$138,000 / yearReporting directly to the Head of NAM Claim Supplier Management, the role is responsible for owning the strategy, development, and performance of AIG's global legal matter management and vendor e-billing platforms. That is why we created our Total Rewards Program, a comprehensive benefits package that extends beyond time spent at work to offer benefits focused on your health, wellbeing and financial security-as well as your professional development-to bring peace of mind to you and your family.
Litigation Specialist IES Residential, Inc.Litigation SpecialistSugar Land, TexasLicense Required: Yes Job Locations: US-TX-Sugar Land Company Overview: IES is a national provider of industrial products and infrastructure services to a variety of end markets, including electrical, mechanical and communications contracting solutions for the commercial, industrial, residential and renewable energy markets. NOTE TO ALL AGENCIES: Any unsolicited agency resumes or agency represented candidates that are presented to any IES employee without first having a signed contract between that agency and the IES Talent Acquisition organization will become the property of IES and no fees will be paid.
PowerFLX Warranty Project Manager PROENERGYPowerFLX Warranty Project ManagerHouston, KansasReports To: Director Warranty Work Location: 6246 McHard Road, Houston, TX 77053, 6401 North Eldridge Pkwy, Houston, TX 77041, 11141 Overbrook Rd #202, Leawood, KS 66211 OR 2001 ProEnergy Blvd, Sedalia, MO 65301 Position Responsibilities: Manage warranty claim workflow, ensure prompt processing of received claims, monitor implementation of warranty actions, and facilitate timely resolution of claims. It requires direct management of the warranty process, oversight of issue verification, root cause analyses, claim validation, and the planning and execution of warranty repair plans in coordination with internal stakeholders, supply chain partners, and equipment suppliers.
NewClaim Technician Health Care Service CorpClaim TechnicianHouston, TX$17.75–$26.17 / hourPay Transparency Statement: At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. Must have trained on the six-eight-week Blue Chip claims processing system or have the ability to fully complete the six-eight-week Blue Chip Training class.
NewClaim Technician HCSCClaim TechnicianHouston, TexasAt Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. * Must have trained on the six-eight-week Blue Chip claims processing system or have the ability to fully complete the six-eight-week Blue Chip Training class.
Complex Claim Director - Mass Tort Unit CNA Financial Corp.Complex Claim Director - Mass Tort UnitHouston, TX$97,000–$189,000 / yearJOB DESCRIPTION: Essential Duties & Responsibilities: Performs a combination of duties in accordance with departmental guidelines: Leads the work activities of medium to high severity specialized Claims Professionals, has full management responsibility for setting and communicating expectations, providing direction and situational coaching, and facilitating ongoing training. Leads a team of Claims Consultants and Consulting Directors that are responsible for the handling of complex, high exposure mass tort and environmental claims, including social media addiction, PFAS, talc, sexual molestation, and other long tail general liability and pollution related matters.
Claim Specialist - Property Field Inspection State FarmClaim Specialist - Property Field InspectionHouston, Texas$69,398.62–$99,000 / yearFull timeCompetitive candidates should reside within one of the listed zip codes and will service this same territory: 77002 77008 77009 77014 77016 77018 77022 77026 77028 77032 77037 77038 77039 77050 77060 77067 77068 77073 77076 77078 77088 77090 77091 77093 77338 77373 77386 77396 77357 77365 77375 77377 77379 77388 77532. With the opportunity to initially earn up to 20 days annually plus parental leave, paid holidays, celebration day, life leave (40 hours/year), bereavement leave, and community service/education support days, there will be plenty of time for you!