- Molina Healthcare (Houston, TX)
- …Provider Network Operations, Hospital or Physician Billing, or similar. + Claims processing background including coordination of benefits, subrogation, and/or ... and timely validation and maintenance of critical provider information on all claims and provider databases. Staff ensure adherence to business and system… 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. ... offered money for equipment fees or some other application processing fee, even if claimed you will be reimbursed,...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Jack Henry & Associates (Allen, TX)
- …point of contact for these clients, ensuring success of day-to-day processing , implementation of new processes, research and troubleshooting of existing processes ... you'll need the ability to multi-task, including managing incoming phone calls, processing existing queues, and completing new intakes. This is a remote position… more
- Mass Markets (Dallas, TX)
- …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... to support inbound customer service, technical support, and back-office processing representatives for commercial and public sector support positions. In… more
- Highmark Health (Austin, TX)
- …leverage comprehensive healthcare knowledge graphs, integrating diverse patient, provider, claims , and clinical data to uncover hidden patterns, propagate insights ... databases (eg, Neo4j, ArangoDB, Amazon Neptune, Ontotext GraphDB), distributed graph processing frameworks (eg, Apache Spark GraphX, Dask-Graph), and leading GML… more
- Mass Markets (Killeen, TX)
- …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... service representatives to support inbound customer service, help desk, and back-office processing for commercial and public sector support positions. In this role,… more
- Mass Markets (Dallas, TX)
- …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... support inbound customer service, help desk, technical support, and back-office processing representatives for commercial and public sector positions. In this role,… more
- Health Care Service Corporation (Richardson, TX)
- …abilities and sound decision-making. *Knowledge of contracts, applications and products; claims processing systems. *Knowledge and experience in provider ... providers; and acting as liaison with providers through education, training, claims assistance and ongoing provider service. Required Job Qualifications: *Bachelor… more
- Elevance Health (Grand Prairie, TX)
- …associated with fraud and abuse. **How you will make an impact:** + Examines claims for compliance with relevant billing and processing guidelines and identifies ... prevention and control. + Reviews and conducts analysis of claims and medical records prior to payment and uses...document determinations and continue to next step in the claims lifecycle. + Researches new healthcare related questions as… more
- Allegion (Houston, TX)
- …for all employee performance planning/reporting, overseeing/maintaining OSHA logs, payroll processing and approving of branch personnel expense reports + Manage ... all workman's comp claims and participate in depositions pertaining to claims against the branch + Conduct all hiring, discipline, and termination of personnel.… more