- Mass Markets (Killeen, TX)
- …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... MCI Federal Services (MFS), OnBrand24, The Sydney Call Center, Valor Intelligent Processing (VIP), BYC Aqua, EastWest BPO, TeleTechnology, and Vinculum. The purpose… more
- Mass Markets (Killeen, TX)
- …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... MCI Federal Services (MFS), OnBrand24, The Sydney Call Center, Valor Intelligent Processing (VIP), BYC Aqua, EastWest BPO, TeleTechnology, and Vinculum. The purpose… more
- Baylor Scott & White Health (Temple, TX)
- …of SQL and Python scripting . Knowledge of HealthEdge/HealthRules Payor, or other claims processing systems . Knowledge of Selenium/Cypress tools with Java /Java ... scripting . Knowledge of EDI file formats . Skill in performing thorough regression testing when bugs are resolved . Skill in monitoring debugging process results, troubleshooting and problem-solving . Skill in tracking quality assurance metrics, including… more
- Walgreens (Farmersville, TX)
- …pharmacy errors and the Continuous Quality Improvement Program. + Ensures the accurate processing of insurance claims to resolve customer issues and prevent ... payment rejections. Follows-up with insurance companies as well as medical providers and conducts or participates in 3rd party audit. + Assists and supports Store Manager and Pharmacy Manager in analyzing and seeking to improve pharmacy financials, operational… more
- Providence (Levelland, TX)
- …+ Revenue Cycle Management Expertise: Deep understanding of billing, coding, claims processing , denials management, and reimbursement methodologies + Data ... Analytics & Financial Acumen: Ability to interpret financial data, identify trends, and make strategic decisions to optimize revenue and reduce costs + Program & Project Management: Skilled in leading cross-functional initiatives, managing timelines, budgets,… more
- Caris Life Sciences (Irving, TX)
- …needed to complete coverage verification. + Verifies insurance eligibility to ensure claims are billed accurately and in accordance to payer guidelines. + Ensures ... manage frequent changes effectively and efficiently + Basic knowledge of insurance processing , guidelines and general laws related to all payers. + Basic knowledge… more
- Elevance Health (Houston, TX)
- …Lead** is responsible for providing technical direction, guidance, and resources to claims , customer service, or membership associates on a day-to-day basis. **How ... minimum of 3 years of experience and expertise with company relevant automated processing systems; or any combination of education and experience which would provide… more
- Walmart (Mckinney, TX)
- …products and services while maintaining a safe shopping environment creating and processing customer requests and service orders in accordance with company policies ... equipment in accordance with company guidelines handling customer and merchandise claims and returns zoning the area ordering arranging and organizing merchandise99… more
- Walgreens (Coppell, TX)
- …accordance with Walgreens standard operating procedures for entering, third party processing , filling, and dispensing prescriptions. + Assists pharmacists and other ... Maintains knowledge of Company asset protection techniques, and files claims for warehouse overages (merchandise received, but not billed), shortages… more
- Baylor Scott & White Health (Temple, TX)
- …interprets explanation of benefits from payers. This helps patients and guarantors understand claims processing or denial of services. **Key Success Factors** + ... 3 years of healthcare experience or education equivalency required. + Proven ability to problem-solve, perform critical thinking. + Requires good listening, interpersonal and communication skills, and professional, pleasant and respectful telephone etiquette.… more