- IQVIA (San Antonio, TX)
- …+ Call center experience required (3+ years preferred) + Experience in medical claim processing is a plus + Bi-lingual (English/Spanish) **The pay range ... we are looking for a 100% remote (work from home -WFH) contract **Pharmacy Support Call Center Representative** to join...improve patient outcomes and population health worldwide. Learn more at https://jobs.iqvia.com IQVIA is proud to be an equal… more
- CVS Health (Austin, TX)
- …with key payers to discuss reimbursement issues and payer publication notices affecting claims processing changes + Ensure daily reconciliation of electronic ... At CVS Health, we're building a world of...are responsible for contacting payers to collect on unpaid claims in a timely and accurate manner, researching and… 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 ... has the right talent, focused on the right priorities, at the right time. If you want to make...for clinical staff credentialing process + Provide Automatic Data Processing Enterprise entry and administration support for the Division… more
- Humana (Austin, TX)
- …certification from the AAPC and/or AHIMA) + Extensive knowledge of medical claims processing and familiarity with reimbursement methodologies, ICD, CPT, and ... Policies and Claims Payment Policies + CAS claims processing experience + Experience in data...experience + Experience in data analysis and trend monitoring **Work- At - Home Requirements** To ensure Home … more
- Evolent (Austin, TX)
- …with Group Health track **(Preferred)** + Familiarity with healthcare claim processing **(Preferred)** + 5+ years experience at payer or management ... clean and consistent tracking of Evolent's covered membership and claims + Synthesize complex analyses into succinct presentations for...require that all employees have the following technical capability at their home : High speed internet over… more
- Humana (Austin, TX)
- …Operations encompasses critical functions including care coordination, quality measurement, billing, claims processing , and customer service, each essential to ... knowledge of core functional areas (care coordination, quality, billing, claims , and customer service). + Collaborate with each Insurance...Home /Office employees must meet the following criteria: + At minimum, a download speed of 25 Mbps and… more
- Health Care Service Corporation (Mesquite, TX)
- …Ability to travel to the client(s) office/facility on a regular basis. + Prior claim processing /health insurance experience + Ability to work in a fast-paced, ... At Luminare Health , our employees are the...workday. Minimal working hours will be spent in a work-from- home office or in a Luminare Health office. The… more
- Mass Markets (Dallas, TX)
- …back-office, chat, or administrative support in a contact center environment + Work at home experience + State or Federal work experience COMPENSATION DETAILS ... WANT AN EMPLOYER THAT VALUES YOUR CONTRIBUTION? At MCI, we believe that your hard work deserves...736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP),… more
- CenterWell (Austin, TX)
- …scheduling, pre-appointment preparation, follow up tasks for medication reconciliation/education. + Processing of select medication claim updates (lists) as ... + Assist clinical pharmacists in troubleshooting prescription third party claim rejections by accessing and understanding formulary restrictions, plan...pay for full time (40 hours per week) employment at the time of posting. The pay range may… more
- Mass Markets (TX)
- …Wireless connections, including encrypted ones, are not allowed for accessing the client's Work at Home systems. + You must provide your own headset. Specific ... 736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer… more