• Claims Adjudication Specialist

    Mass Markets (Killeen, TX)
    …Professional Staffing (TAPS Schedule 736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, ... POSITION OVERVIEW MCI is one of the fastest-growing tech-enabled business services companies in the USA, with a strong call center footprint and operations that… more
    Mass Markets (08/28/25)
    - Related Jobs
  • Specialist , Config Oversight (healthcare…

    Molina Healthcare (Fort Worth, TX)
    …communicate written and verbal + Knowledge of verifying documentation related to updates/changes within claims processing system . + Experience using claims ... to ensure accuracy in auditing of critical information on claims ensuring adherence to business and system...coding, abuse and fraudulent billing practices, waste, overpayments, and processing errors of claims . ( _Use for… more
    Molina Healthcare (09/24/25)
    - Related Jobs
  • Specialist , Provider Network…

    Molina Healthcare (Houston, TX)
    …Provider Network Operations, Hospital or Physician Billing, or similar. + Claims processing background including coordination of benefits, subrogation, and/or ... **JOB DESCRIPTION** **This role will have standard EST business hours.** **Job Summary** Provider Network Administration is...claims and provider databases. Staff ensure adherence to business and system requirements of internal customers as it… more
    Molina Healthcare (08/14/25)
    - Related Jobs
  • Early Careers - Audit Specialist Intern

    Health Care Service Corporation (Richardson, TX)
    … auditing experience is a strong plus. + Knowledge of or experience with BlueChip claims processing is a strong plus. + Knowledge of quality review processes is ... reporting of monthly potential error findings for analysis and rebuttal with internal business partners that support claims and customer service to contribute to… more
    Health Care Service Corporation (10/08/25)
    - Related Jobs
  • Specialist , Appeals & Grievances

    Molina Healthcare (Dallas, TX)
    …concisely, accurately and in accordance with regulatory requirements. * Researches claims processing guidelines, provider contracts, fee schedules and systems ... or equivalent combination of relevant education and experience. * Health claims processing experience, including coordination of benefits (COB), subrogation… more
    Molina Healthcare (10/16/25)
    - Related Jobs
  • Senior Business Development…

    Mass Markets (TX)
    …Professional Staffing (TAPS Schedule 736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, ... POSITION OVERVIEW MCI is one of the fastest-growing tech-enabled business services companies in the USA, with a strong call center footprint and operations that… more
    Mass Markets (08/09/25)
    - Related Jobs
  • Specialist , Appeals & Grievances

    Molina Healthcare (Austin, TX)
    …concisely and accurately, in accordance with regulatory requirements. + Research claims processing guidelines, provider contracts, fee schedules and system ... + Min. 2 years operational managed care experience (call center, appeals or claims environment). + Health claims processing background, including… more
    Molina Healthcare (10/16/25)
    - Related Jobs
  • Talent Acquisition Specialist

    Mass Markets (Killeen, TX)
    …Professional Staffing (TAPS Schedule 736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, ... POSITION OVERVIEW MCI is a leading Business Process Outsourcing (BPO) company that specializes in...in the industry. We're looking for a Talent Acquisition Specialist to support our growing team by managing the… more
    Mass Markets (10/11/25)
    - Related Jobs
  • Sales Specialist

    Mass Markets (TX)
    …Professional Staffing (TAPS Schedule 736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, ... POSITION OVERVIEW MCI is one of the fastest-growing tech-enabled business services companies in the USA, with a strong call center footprint and operations that… more
    Mass Markets (08/28/25)
    - Related Jobs
  • Specialist - Debit Card Fraud Services I

    Woodforest National Bank (The Woodlands, TX)
    …and customer experience center, assisting with questions and issues resolution. . Processing debit card dispute claims initiated by customers. . Review ... a part of one of the largest employee-owned banks in the country! The Specialist , Debit Card Fraud Services I - is responsible for providing administrative and… more
    Woodforest National Bank (10/06/25)
    - Related Jobs