- WTW (Dallas, TX)
- …Auditor, you will apply your medical claims audit, project management and claim processing and auditing experience to perform self-insured client audits. You ... administration, as well as of vendors' processes and operating environment + Claims processing knowledge/exposure to one or more administrator claim systems… more
- Molina Healthcare (Houston, TX)
- …updates/changes to member enrollment, provider contract, provider demographic information, and/or claim processing guidelines. Evaluates the accuracy of these ... communicate written and verbal + Knowledge of verifying documentation related to updates/changes within claims processing system . + Experience using claims … more
- Community Health Systems (Corsicana, TX)
- **Job Summary** The Billing Specialist I is responsible for performing insurance claim processing , billing, and follow-up to ensure timely and accurate ... or Coding preferred + 0-2 years of experience in medical billing, insurance claims processing , or revenue cycle management required **Knowledge, Skills and… more
- Molina Healthcare (TX)
- …concisely and accurately, in accordance with regulatory requirements. + Research claims processing guidelines, provider contracts, fee schedules and system ... response to incoming provider reconsideration request is relating to claims payment and requests for claim adjustments...years operational managed care experience (call center, appeals or claims environment). + Health claims processing… more
- Cardinal Health (Austin, TX)
- …+ Mails all paper claims . + Acts as a subject matter expert in claims processing . + Manages billing queue as assigned in the appropriate system. + Manages ... done. **The Accounts Receivable Specialist II is responsible for processing insurance claims and billing. They will...company policy, regulations, or third-party policy. + More challenging claim cases + Investigates and updates the system with… more
- UTMB Health (Galveston, TX)
- …Specialist will be responsible for billing all third party payers through a claims processing vendor and/or for appeal of denied professional and/or hospital ... claims . Identifies billing issues affecting hospital and/or physicians ...and takes necessary action to ensure timely and appropriate claim filing. Performs follow-up activities and identifies reimbursement issues… more
- UTMB Health (Galveston, TX)
- …Account Specialist will be responsible for billing all third-party payers through a claims processing vendor and/or for appeal of denied professional and/or ... hospital claims . Identifies billing issues affecting hospital and/or physicians ...and takes necessary action to ensure timely and appropriate claim filing. Performs follow-up activities and identifies reimbursement issues… more
- UTMB Health (Galveston, TX)
- …Account Specialist will be responsible for billing all third-party payers through a claims processing vendor and/or for appeal of denied professional and/or ... hospital claims . Identifies billing issues affecting hospital and/or physicians ...and takes necessary action to ensure timely and appropriate claim filing. Performs follow-up activities and identifies reimbursement issues… more
- Waste Connections (The Woodlands, TX)
- …across the Fleet. **Required Competencies** + **Experience in warranty management, claims processing , or related is preferred** + **Exceptional Communication ... vendors, and internal departments to ensure accurate and timely warranty claims , cost recovery, and process improvement. **Key Responsibilities** + Manage and… more
- Baylor Scott & White Health (Austin, TX)
- …issues. + Knowledge and expertise of medical benefit policies and plan designs, claims hospital and medical processing , and adjudication with data skills. + ... needed + Participate in the development and implementation of an enterprise claim platform, providing subject matter expertise on the system configuration and… more