- Molina Healthcare (TX)
- …applicants. * Completes data corrections in the credentialing database necessary for processing of recredentialing applications. * Reviews claims payment systems ... a "mentor" to newly hired Associate Specialists. **Job Duties** + Processing Credentialing Applications * Evaluates credentialing applications for accuracy and… more
- Mass Markets (Dallas, TX)
- …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... Representatives to support inbound customer service, help desk, and back-office processing representatives for commercial and public sector support positions. In… more
- Mass Markets (Dallas, TX)
- …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... Representatives to support inbound customer service, help desk, and back-office processing representatives for commercial and public sector support positions. In… more
- Mass Markets (Killeen, TX)
- …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... services agents to support inbound customer service, help desk, and back-office processing for commercial and public sector support positions. In this role, you… more
- Mass Markets (TX)
- …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... completion of assigned projects, event/meeting planning, filing, mail handling, and processing of letters/correspondence + Organize meetings summits from start to… more
- Humana (Austin, TX)
- …Certifications, CPC, CCS, CFE, AHFI) + Understanding of healthcare industry, claims processing and internal investigative process development + Experience ... it takes to Succeed** + Bachelor's Degree + Minimum of 3 yrs health insurance claims or Medicare experience + Minimum 3 years of experience with Fraud, Waste, and… more
- Kelsey-Seybold Clinic (TX)
- …Preferred: N/A **Special Skills** Required: Strong knowledge of HMOPlan Design and Claims Processing Managed Care Representatives must build and maintain ... to health plan operations including benefit interpretation for providers, claims resolution, referral inquiries, general plan benefits, Kelsey-Seybold Clinic… more
- UIC Government Services and the Bowhead Family of Companies (Irving, TX)
- …required. + Extensive computer/PC knowledge required including; spreadsheet software, word processing software and knowledge of MS Office Suite. + Must be ... and other protected characteristics EOE/D/V. In furtherance, pursuant to The Alaska Native Claims Settlement Act 43 USC Sec. 1601 et seq., and federal contractual… more
- Houston Forensic Science Center, Inc (Houston, TX)
- …trial programs. + Provide significant support to contracts management, ensuring timely processing of requests for contract review, drafting, and editing. + Ensure ... of the Public Information Act, Open Meetings Act, Tort Claims Act, and Local Government Code. + Demonstrated understanding...of the Public Information Act, Open Meetings Act, Tort Claims Act, and Local Government Code. + Demonstrated understanding… more
- Molina Healthcare (Fort Worth, TX)
- …models to support analytical and operational use cases, including healthcare claims and utilization data. * Collaborate with cross-functional teams, including data ... Presto, Phoenix, Kylin, and Hadoop (HDFS, YARN). * Experience building real-time stream- processing systems using Kafka, Storm, or Spark Streaming. * Strong knowledge… more