- Moore County Hospital District (Dumas, TX)
- …payment transfers to ensure deadlines are met. Contact office manager for assistance in claims processing in a timely manner. Answers phone calls and greets ... from multiple payers, ensure discounts and adjustment are correct. Works denied claims daily gathering requested information for resubmittal of a corrected claim… more
- Molina Healthcare (San Antonio, TX)
- …Provides leadership and direction to MMS Operational Units management staff (eg, Claims Processing , Provider Services, Provider Enrollment, Finance, Managed Care ... or equivalent experience **Required Experience** 3 years supervision/management experience in Claims Processing or Provider Services environment and/or any high… more
- Evolent (Austin, TX)
- …: This role works closely with our Evolent partners to support data management, claims processing , and other activities that are within scope. You will work ... and Enrollment/Eligibility to ensure timely and accurate data loads and claims processing occurs. **What You'll Be Doing** : + Maintenance of provider… more
- Elevance Health (Grand Prairie, TX)
- …within the enterprise. Included are processes related to enrollment and billing and claims processing , as well as customer service written and verbal inquiries. ... management. + Participates in pre and post implementation audits of providers, claims processing and payment, benefit coding, member and provider inquiries,… more
- Elevance Health (Grand Prairie, TX)
- …within the enterprise. Included are processes related to enrollment and billing and claims processing , as well as customer service written and verbal inquiries. ... management. + Participates in pre and post implementation audits of providers, claims processing and payment, benefit coding, member and provider inquiries,… more
- The Cigna Group (Austin, TX)
- …+ Receive requests by email or telephone regarding insurance claims /policies while operating on multiple computer applications. Respond to inquiries ... and interpret policy provisions to determine most effective response. Mail or route claim forms and supporting documentation to various units for final processing… more
- CenterWell (Mineral Wells, TX)
- …personnel communication systems, overall management of agency supplies / mail, and processing of accounts payables. Depending on branch census you may be responsible ... computer programs as appropriate. + Complete End of Period claim workflow as part of Billing Specialist responsibilities. This...to ensure other billing requirements are satisfied to release claims timely. + Adhere to and participate in Agency's… more
- Highmark Health (Austin, TX)
- …analytical and communication skills Preferred + Associate's Degree + 3 years with claims processing and data management + Past auditing and strong ... and ensures compliance with DRG/APC structure and regulatory requirements. Performs periodic claim form reviews to check code transfer accuracy from the abstracting… more
- CenterWell (Athens, TX)
- …personnel communication systems, overall management of agency supplies / mail, and processing of accounts payables. Depending on branch census you may be responsible ... computer programs as appropriate. . Complete End of Period claim workflow as part of Billing Specialist responsibilities. This...to ensure other billing requirements are satisfied to release claims timely. . Adhere to and participate in Agency's… more
- Air Education and Training Command (Randolph AFB, TX)
- …individual employees or supervisors by telephone to resolve questions before processing final actions; provide information on HR systems, processes and procedures; ... grade point average/master's degree requirements, qualifying experience or veterans' preference claim will be determined incomplete, ineligible or not identified as… more