- Quality Technology Services, LLC (Irving, TX)
- …Internal Reporting and External Reporting + Accounts Payable and Accounts Receivable processing + Approval of invoices and requisitions + Approve and create ... who assist or participate in the investigation of any complaint or discrimination claim . The "Know Your Rights" Poster is included here: Know Your Rights (English)… more
- Coinbase (Austin, TX)
- …experience * Strong knowledge of pull payment processes and experience with fraud claim investigations * A passion for fighting fraud and abuse, and the curiosity ... By submitting your application, you are agreeing to our use and processing of your data as required. For US applicants only, by submitting… more
- Select Medical (Carrollton, TX)
- …documents. + Reconciles and posts charges daily and other reporting to ensure clean claim processing . + Responds to all request for information from patients, ... other department and physicians. + Maintains office, orders supplies and manages mail. + Willingness to adjust schedule to center needs. + Travels Attends all mandatory meetings and in-service education programs. + Travels to non-home location center or other… more
- Cognizant (Austin, TX)
- …to the Health Plan/Payer. The comprehensive process includes analyzing, reviewing, and processing medical necessity denials for resolution. You will be a valued ... accounts. . Maintain working knowledge of applicable health insurers' internal claims , appeals, and retro-authorization as well as timely filing deadlines and… more
- Elevance Health (Grand Prairie, TX)
- …+ Performs in-depth investigations on identified providers as warranted. + Examines claims for compliance with relevant billing and processing guidelines and ... fraud and abuse prevention and control. + Review and conducts analysis of claims and medical records prior to payment. Researches new healthcare-related questions as… more
- Kemper (Beaumont, TX)
- …and Salesforce processes. + Communicate with Home Office regarding policy status, claims , and underwriting. **Payment Processing & Balancing:** + Process ... Enter paper applications into FDE + Batch, scan, and index documents ( claims , underwriting, policy administration, policy delivery receipts) into the imaging system.… more
- GovCIO (Austin, TX)
- …Healthcare Claims X.12 Transaction (837, 835, 277, etc.), Healthcare Claims and Payment Processing knowledge, Healthcare Eligibility Verification knowledge + ... Experience working with accessibility testing tools. **Clearance Required:** Ability to obtain/maintain Public Trust/Suitability clearance for the VA. **Company Overview** GovCIO is a team of transformers--people who are passionate about transforming… more
- Ascension Health (Austin, TX)
- …accrediting agencies as required. Work with legal counsel to coordinate the investigation, processing , and defense of claims against the organization. + Enhance ... safety information. Collect, evaluate, and maintain data concerning injuries, complaints, claims , and/or other patient safety-related data. + Educate and train the… more
- Molina Healthcare (Dallas, TX)
- …proficiency in SQL for large dataset analysis and transformation, specifically in processing healthcare claims data and supporting managed care reporting needs ... advanced SQL queries to extract, validate, and analyze healthcare data, including claims , authorization, pharmacy, and lab datasets. * Build and maintain efficient… 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