- Cognizant (Austin, TX)
- …will make an impact by configuring and maintaining QNXT systems to ensure accurate claims processing and compliance with client requirements. You will be a ... + Perform **back-end queries** and validate configuration setups to ensure accurate claim processing . + Advise clients on **configuration decisions** in… more
- CVS Health (Irving, TX)
- …is accountable for CVS Health's Health Care Benefits division (Aetna) commercial claim processing and the surrounding ecosystem of commercial claim ... and other IT partners. As part of the AT Claim Organization, you will be responsible for code deliverables...experience in one or more of these areas: + Claim Adjudication + Claim Payment/Banking, Electronic Funds… more
- CVS Health (Irving, TX)
- …is accountable for CVS Health's Health Care Benefits division (Aetna) commercial claim processing and the surrounding ecosystem of commercial claim ... and other IT partners. As part of the AT Claim Organization, you will be responsible for code deliverables...experience in one or more of these areas: + Claim Adjudication + Claim Payment/Banking, Electronic Funds… more
- Walgreens (Dallas, TX)
- …all required documentation for billing is completed and accurate prior to claim submission (ie, medical claims billing). + Process reimbursement checks/payment ... + Process and file all SDL (submit direct link) claims in accordance with company policy. + Processing... claims in accordance with company policy. + Processing of prescription exceptions including prior authorizations, triaging of… more
- Johnson Thermal Systems (Abilene, TX)
- …practices using leading and trailing indicators. + Facilitates the workers' compensation claims process including initial entering of claim ; assisting in the ... investigation; communicating with employees, adjusters, and investigators; and processing documents pertaining to the incident and claim . + Facilitate onboarding… more
- Molina Healthcare (Dallas, TX)
- …managed care or payer environment. + In-depth knowledge of medical and hospital claims processing , including CPT/HCPCS, ICD, and modifier usage. + Strong ... requirements related to but not limited to coverage, reimbursement, and processing functions to support systems solutions development and maintenance. This role… more
- Lowe's (Desoto, TX)
- …Bulk Distribution Centers (BDC). Your day involves reviewing calls, emails, and claims , providing status updates, processing special orders, and monitoring load ... well-functioning distribution process. **Key Responsibilities** + Review voicemails, emails, and claims for developing issues, providing status updates to the Bulk… more
- Otsuka America Pharmaceutical Inc. (Austin, TX)
- …+ Transact and document inventory movements and reconciliations, return and claim approvals, and product destructions. + Manage inventory reporting and communicate ... offered money for equipment fees or some other application processing fee, even if claimed you will be reimbursed,...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… 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