- Prime Therapeutics (Austin, TX)
- …make. **Job Posting Title** Lead Claims Processor, Government Programs **Job Description** Adjudicate or submit claims and adjustments as required. Track and trend ... training as needed. Resolve claims edits and suspended claims. **Responsibilities** + Adjudicate or submit claims and adjustments as required. + Implementation and… more
- Sedgwick (San Antonio, TX)
- …some of the world's best brands? + Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. + Deliver ... organizations. + Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service. + Leverage Sedgwick's broad,… more
- NTT America, Inc. (Plano, TX)
- …The quality, integrity, and commitment of our employees are key factors in our company 's growth, market presence and our ability to help our clients stay a step ... 2. Reviewing the policies and benefits 3. Comply with company regulations regarding HIPAA, confidentiality, and PHI 4. Abide...and act on the claims 6. Prioritize work and adjudicate claims as per turnaround time/SLAs 7. Ensure claims… more
- Sedgwick (Irving, TX)
- …some of the world's best brands? + Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. + Deliver ... organizations. + Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service. + Leverage Sedgwick's broad,… more
- NTT DATA North America (Plano, TX)
- …The quality, integrity, and commitment of our employees are key factors in our company 's growth, market presence and our ability to help our clients stay a step ... + Reviewing the policies and benefits + Comply with company regulations regarding HIPAA, confidentiality, and PHI + Abide...and act on the claims + Prioritize work and adjudicate claims as per turnaround time/SLAs + Ensure claims… more
- Sedgwick (Irving, TX)
- …some of the world's best brands? + Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. + Deliver ... organizations. + Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service. + Leverage Sedgwick's broad,… more
- NTT America, Inc. (Plano, TX)
- …files by provider + Reviewing the policies and benefits + Comply with company regulations regarding HIPAA, confidentiality, and PHI + Abide with the timelines to ... independently to research, review and act on the claims + Prioritize work and adjudicate claims as per turnaround time/SLAs + Ensure claims are adjudicated as per… more
- Adecco US, Inc. (Irving, TX)
- …regulations * Process and send refill requests, verify eligibility, and adjudicate third-party claims * Accurately interpret prescriptions, verify patient and ... will use your information, please navigate to https://www.adecco.com/en-us/candidate-privacy The Company will consider qualified applicants with arrest and conviction… more
- NTT DATA North America (Dallas, TX)
- …files by provider + Reviewing the policies and benefits + Comply with company regulations regarding HIPAA, confidentiality, and PHI + Abide with the timelines to ... independently to research, review and act on the claims + Prioritize work and adjudicate claims as per turnaround time/SLAs + Ensure claims are adjudicated as per… more
- Allied Solutions (Plano, TX)
- …also review database information found in systems such as Unitrac, insurance company websites, Lexis Nexis, ISO, and other automobile databases to investigate the ... accurately to more senior level adjusting staff for adjudication and collection; + Adjudicate claims within the guidelines of the appropriate carrier on GAP and CPI.… more