- 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
- Zelis (Plano, TX)
- …reimbursements. This role involves leveraging data to ensure accurate and efficient claim processing , offer insights into contract performance, and communicate ... Data Analyst will be responsible for analyzing and managing healthcare repricing claim data, with a focus on various pricing methodologies including Medicare,… more
- Highmark Health (Austin, TX)
- …(ASO); TPA services with an expanded BCI/HNAS offering and management of claims funding and cash management. While identifying and driving process improvements ... in projects and activities that impact the Sales and Operations and claims finance business unit functions. HNAS (Health Now Administrative Services) offers… 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
- EMCOR Group (Manchaca, TX)
- …accordance with applicable established policies and procedures. + Manage all data processing operations to ensure timely and accurate reporting as required. + Ensure ... with Purchasing Manager for inclusion of terms and discounts. + Coordinate claims issues and legal activity with EMCOR Construction Services legal counsel by… more
- Baylor Scott & White Health (Austin, TX)
- …appropriate statistical trend analysis. + Performs root cause analysis of claims /encounters processing and submission issues; develops recommendations based on ... and outbound encounter process. + Monitors and oversees the end-to-end claims encounter management workflow. + Identifies and interprets encounter data, submission… more
- Cardinal Health (Austin, TX)
- …to patient care + Consults with appeals department for disputed / denied claims . + Works / Understands electronic claim interchange + Understands life ... cycle of primary and secondary claims + Maintains front office support relationship + Takes...accomplishing related results as needed. + Ensures that all processing and reporting deadlines are consistently achieved. + Perform… more
- 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
- 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
- HCA Healthcare (San Antonio, TX)
- …regulatory requirements, in order to resolve edits or exceptions detected during system processing of the claim in Patient Accounting, Relay Health or the ... coding based on the chargemaster expertise and that are delaying claims from processing in the Patient Accounting and/or Relay Health systems. This includes… more