- Walgreens (Fort Worth, 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
- Molina Healthcare (Houston, TX)
- …concisely and accurately in accordance with regulatory requirements. * Researches claims processing guidelines, provider contracts, fee schedules and systems ... or equivalent combination of relevant education and experience. * Health claims processing experience, including coordination of benefits (COB), subrogation… more
- BrightSpring Health Services (Lubbock, TX)
- …and employees of worker's compensation claim process. Assist as needed with claim processing . Keep supervisors and management team informed of open claims ... required for clinical staff credentialing process + Provide Automatic Data Processing Enterprise entry and administration support for the Division + Conduct… more
- Molina Healthcare (Fort Worth, 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
- 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
- Sedgwick (San Antonio, TX)
- …college or university preferred. **Experience** Four (4) years of experience in claims processing or related business experience, or equivalent combination of ... **Skills & Knowledge** + Working knowledge of billing and reconciliation systems, claim systems, financial services, and insurance products + Excellent oral and… more
- Integrative Emergency Services (Dallas, TX)
- …all providers and groups. + Partner with RCM vendors in the management of claim corrections or rejections due to enrollment errors and/or claim submission ... are submitted on timely basis to avoid risk of claims /adjustments and an unnecessary increase of Held AR. +...and determines which applications require management approval or special processing requirements. + Able to work with high volume… more
- Intermountain Health (Austin, TX)
- …**Essential Functions** + Oversees the day-to-day revenue cycle functions including claims processing , denials, payments, customer service, and follow up ... + Insurance Processing and Issues + Medical Terminology + Claims Processing + Collaboration + Time Management + Team Building **Qualifications** + High… 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
- Molina Healthcare (Houston, TX)
- … claims , COB and DRG/RCC pricing). * Experience with Medicaid and Medicare claims denials and appeals processing , and knowledge of regulatory guidelines for ... JOB DESCRIPTION Job Summary Leads and manages team responsible for claims activities including reviewing and resolving member and provider complaints, and… more
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