- Centene Corporation (Austin, TX)
- …in the Continental United States. **Position Purpose:** Direct and oversee claims audit operations and medical code editing scenarios. Oversee payment integrity ... years of Managed Care or CMS related experience, including compliance, claims , payment integrity, or special investigation experience required. + Previous management… more
- Sedgwick (Dallas, TX)
- …for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The ... advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With… more
- Mass Markets (Killeen, TX)
- …to resolve issues when needed + Accurately document and process customer claims in appropriate systems + Lead fact-finding discussions to determine the best ... 736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing, Collections, Customer Experience Provider (CXP), Customer Service,… more
- Mass Markets (Killeen, TX)
- …to complete account management tasks + Accurately document and process customer claims in appropriate systems + Follow all required scripts, policies, and procedures ... 736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing, Collections, Customer Experience Provider (CXP), Customer Service,… more
- NTT DATA North America (Dallas, TX)
- …experience in a Healthcare processing (Provider Data Management preferred, Claims , Credentialing, or other Healthcare Payer/ Provider experience) Preferred ... Skills/Experience: + Experience in Provider Data Management, Provider Credentialing, Medical Claims + 3+ years of experience using a computer with Windows PC… more
- Banner Health (TX)
- …activities in one or more assigned areas of billing, payment posting, collections, payor claims research, and other accounts receivable work. Works as a member of a ... CORE FUNCTIONS 1. May be assigned to process payments, adjustments, claims , correspondence, refunds, denials, financial/charity applications, and/or payment plans in… more
- Walgreens (Austin, TX)
- …and maintaining front end and pharmacy asset protection techniques, and filing claims for warehouse and vendor overages (merchandise received, but not billed), ... for non-returnable ABC overstock. Verifies posting of all pharmacy/ prescription claims . + Completes execution of all pricing activities including price changes,… more
- Baylor Scott & White Health (Plano, TX)
- …of patient registration procedures and documentation. + Knowledge of medical insurance claims procedures and documentation. Needs to have thorough knowledge of the ... preparing and maintaining patient records. + Able to examine unpaid third-party claims and delinquent accounts to resolve appropriate follow-up actions to ensure… more
- BrightSpring Health Services (Corpus Christi, TX)
- …personnel costs, consultant services + Monitors worker's compensation and unemployment claims for assigned service site(s). Is proactive in efforts to reduce ... claims and minimize risk/exposure of agency in these areas + Other duties as assigned Qualifications + BA/BS in Business, Health Care Administration, or Social… more
- Mass Markets (Killeen, TX)
- …to resolve issues when needed + Accurately document and process customer claims in appropriate systems + Utilize knowledge base and training to accurately ... 736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing, Collections, Customer Experience Provider (CXP), Customer Service,… more