- CVS Health (Austin, TX)
- …analytical, critical-thinking, and problem-solving skills. **Preferred Qualifications** + Claims processing experience. + Customer service experience. ... related to Network contracts and agreements. + Research identified issues; submit claim adjustment requests and determine the root cause of disputes. + Serve… more
- Molina Healthcare (TX)
- …Medicare experience **Required Experience** * 7 years experience in healthcare claims review and/or member appeals and grievance processing /resolution, including ... for reviewing and resolving member and provider complaints, appeals, and claim disputes, and communicating resolution to members, providers, or authorized… more
- Sedgwick (Austin, TX)
- …to apply critical thinking under pressure + Knowledge of the insurance industry and claims processing + Knowledge of field case management + Excellent oral and ... Field Case Manager assignment and facilitates initial onsite hospital visit for the claim . + Maintains communication with the customer, Client Service Director, and … more
- Banner Health (TX)
- …data base and indices, and must be familiar with coding and abstracting software, claims processing tools, as well as common office software and electronic ... to resolve issues and support appropriate reimbursement. Proficiency in claims software to address coding edits and claim... claims software to address coding edits and claim denials utilizing multiple platforms and internal tracking tools.… more
- Acosta Group (Lewisville, TX)
- …Ability Requirements:** + Knowledge of insurance contract language, insurance underwriting, and claims processing + Deep knowledge of casualty insurance, ... The Director will manage a team including the Sr. Risk Claims Analysts and collaborate closely with internal stakeholders, third-party administrators, brokers,… more
- Fresenius Medical Center (Plano, TX)
- …of outstanding payments from past due accounts. + Ensure timely receipt of claim payments; processing payments accordingly and reconciling all necessary data. + ... the Patient Account Representative - Collections ensures the timely receipt of claim payments and minimizes bad debt accrual. In this capacity, the Patient… more
- Reynolds & Reynolds (Austin, TX)
- …- Obtaining any needed documentation from the customer to assist with processing maintenance claims - Assisting customers with general questions related to ... inbound calls from AGWS Customers to assist with questions related to maintenance claims . You will assist customers by walking them through and helping them… more
- Mass Markets (Killeen, TX)
- …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... service agents to support inbound customer service, help desk, and back-office processing representatives . In this role, you will provide full lifecycle customer… more
- JPMorgan Chase (Fort Worth, TX)
- …with various stakeholders to ensure effective management of insurance policies, claims , and renewals, enhancing operational efficiency and mitigating risks. **Job ... underwriters, and property managers, to ensure effective management of insurance policies, claims , and renewals. + Leverage expertise in Real Estate, Oil & Gas,… more
- Integrative Emergency Services (Dallas, TX)
- …system updates and identifying/resolving problems. Handles corrections or rejections of claims due to enrollment errors and/or claim submission requirements. ... are submitted on timely basis to avoid risk of claims /adjustments and an unnecessary increase of Held AR. Maintain...and determines which applications require management approval or special processing requirements. + Able to work with high volume… more