- Molina Healthcare (Houston, TX)
- …and timely validation and maintenance of critical provider information on all claims and provider databases. Staff ensure adherence to business and system ... care experience + Experience in one or more of the following: Claims , Provider Services, Provider Network Operations, Hospital or Physician Billing, or similar.… more
- Otsuka America Pharmaceutical Inc. (Austin, TX)
- …third-party data assets, including Xponent Plantrak, DDD, HCOS, Claims Data, Specialty pharma, omnichannel data, SalesForce/Veeva (Call/Sample/Detail), etc. ... you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to...legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,… more
- Support Services Group (TX)
- …part of our response team, you'll assist residents with filing and navigating insurance claims so they can begin rebuilding their lives and homes. What You'll Do: + ... distress + Assist with documenting damages and submitting insurance claims + Answer questions and offer clear guidance on...+ Answer questions and offer clear guidance on the claims process + Collaborate with local teams and insurance… more
- Elevance Health (Grand Prairie, TX)
- …and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group (DRG) paid claims . **How you will make an impact:** + Analyzes and audits claims ... applicable state(s). + Requires a minimum of 10 years of experience in claims auditing, quality assurance, or clinical documentation improvement, and a minimum of 5… more
- Dallas Behavioral Healthcare Hospital (Desoto, TX)
- …Clerk/Coder to assign procedure, and diagnosis codes for insurance billing, review claims data, research, and correspond with insurance companies to obtain accurate ... reimbursement for healthcare claims . This person will also be responsible for analyzing,...procedure and diagnosis codes for insurance billing. + Review claims data to ensure that assigned codes meet required… more
- Kemper (Mcallen, TX)
- …program, to get you prepared on everything you need to know about insurance claims and help you succeed in this role. **Position Responsibilities** : + Always ... a call center. + Receive incoming calls from customers regarding claims . + Enter information into the claims system Initiating the claims handling process. +… more
- Molina Healthcare (San Antonio, TX)
- …leadership and direction to MMS Operational Units management staff (eg, Claims Processing, Provider Services, Provider Enrollment, Finance, Managed Care Provider ... equivalent experience **Required Experience** 3 years supervision/management experience in Claims Processing or Provider Services environment and/or any high volume… more
- HCA Healthcare (Mckinney, TX)
- …Summary and Qualifications** Billing Specialist PHY GENERAL SUMMARY OF DUTIES: Processes claims electronically to insurance carriers. Mails claims to carriers ... a daily/weekly basis. This applies to all non-transmitted pending claims . Communicates daily information needed for billing to the...via action notes and e-mail. Daily transmits all electronic claims to the billing vendor to be sent directly… more
- Prime Therapeutics (Austin, TX)
- …experience in at least one of the specific areas for position (eg, claims , eligibility, product, benefits, implementations or related area) + Must be eligible to ... strong client relations + Implementation experience + Thorough understanding of pharmaceutical claims data and general understanding of medical claims data;… more
- Zurich NA (Houston, TX)
- …Diploma or equivalent and 10 or more years of experience in the claims or underwriting support areaOR + Zurich approved Apprenticeship program including an associate ... and 8 or more years of experience in the Claims or Underwriting Support area. + Knowledge of Microsoft...and 14 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance… more