- 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
- Robert Half Legal (Austin, TX)
- …a contract basis in Austin, Texas. In this role, you will support claims management operations and handle administrative tasks with precision and efficiency. This ... position is ideal for individuals with a background in claims or insurance who thrive in a fast-paced and...data entry and verification of information to support case processing . * Utilize case management software to track and… more
- Molina Healthcare (Dallas, TX)
- …pricing configuration, claim adjudication or reimbursement processes + Experience processing or reviewing facility claims + Prior professional experience ... vendor, operations, health plan representatives, and other business teams involved in claim processing . Maintains expertise in all forms of reimbursement… more
- Woodforest National Bank (The Woodlands, TX)
- …banks in the country! The Dispute Specialist I is responsible for investigating and processing debit card and/or ACH dispute claims , and Stop Payments, initiated ... banks policies and procedures. Key Responsibilities: . Research customer dispute claims by reviewing card transactions, account records and information provided by… more
- Molina Healthcare (Austin, TX)
- …and tests assumptions through data, but leads with contextual knowledge of claims processing , provider contracts, and operational realities. + Creates succinct ... operational initiatives tied to Payment Integrity (PI) and provider claims accuracy. The individual will be relied upon to...SAI targets are met. + Leads efforts to improve claim payment accuracy and financial performance without needing extensive… more
- Cardinal Health (Austin, TX)
- …reviewing, and transmitting claims using billing software including electronic and paper claim processing + Following up on unpaid claims within standard ... for verifying patient insurance and benefits, preparing and submitting claims to payers, correcting rejected claims , following...and submitting claims to payers, correcting rejected claims , following up on unpaid and denied claims… more
- Lithia & Driveway (Mesquite, TX)
- …occur. + Check each repair order against the vehicles' service history to avoid processing duplicate claims or submitting claims forshop comebacks. + Review ... and process all returned/rejected/adjusted warranty claims , track each claim until its final resolution. + Contact the appropriate warranty claims … more
- Philadelphia Insurance Companies (Plano, TX)
- Description Marketing Statement: TM Claims Service (TMCS) is an independent global claims management firm established in 1987 to provide clients with a broad ... range of claims related services in the areas of transportation, product...following up on status of funding for the remittances, processing payments, processing adjustments, responding to payment… more
- CVS Health (Austin, TX)
- …with key payers to discuss reimbursement issues and payer publication notices affecting claims processing changes + Ensure daily reconciliation of electronic ... are responsible for contacting payers to collect on unpaid claims in a timely and accurate manner, researching and...variances, and managing the accurate and timely filing of claims within payer function group. **Additional responsibilities of the… more
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