- Mass Markets (TX)
- …partner in the industry. We are seeking a detail-oriented and analytical Quality Assurance Specialist to join our team. This role is critical in ensuring the highest ... 736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing, Collections, Customer Experience Provider (CXP), Customer Service,… more
- Mass Markets (TX)
- …a trusted partner in the industry. We are seeking a dynamic and experienced Training Specialist to join our team. This role is critical in ensuring that new hire ... 736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing, Collections, Customer Experience Provider (CXP), Customer Service,… more
- TEKsystems (San Antonio, TX)
- …Top Skills: + Medical knowledge + Research and healthcare experience + Claims and insurance expertise + Customer service excellence Required Qualifications: + High ... applications, especially Excel Preferred Qualifications: + Experience with health insurance claims , billing, or authorization + 2+ years of experience with Microsoft… more
- TAD PGS, Inc. (Plano, TX)
- …navigating sensitive or complex leave scenarios. + Analyze FMLA, STD and WC claims to determine eligibility and certification in compliance with State and Federal ... FMLA, ADA, personal leave, and company-specific time-off policies. Analyzing FMLA claims to determine eligibility and certification in compliance with state and… more
- UNUM (Addison, TX)
- …+ Support pre-sale, preparation of presentations, customer/broker call prep, benchmarking, claims experience and competitor analysis through Unum's internal tools. + ... Provide Request For Proposal questionnaire support on large cases and create quote package for rep and broker under the direction of the sales rep. + Through reporting, data and analysis, support local marketing initiatives that drive and promote specific… more
- Acosta Group (Lewisville, TX)
- …to perform the essential duties. _Responsibilities With Regard to Workers' Compensation Claims :_ You are responsible for reporting all employment related injury you ... incur to your direct supervisor as soon as possible following an incident resulting in an injury. **QUALIFICATIONS** _Education/Experience:_ High school diploma or general education degree (GED); or one to three months' related experience and/or training; or… more
- Molina Healthcare (Dallas, TX)
- …credentialing database necessary for processing of recredentialing applications. * Reviews claims payment systems to determine provider status, as necessary. * ... Completes follow-up for provider files on 'watch' status, as necessary, following department guidelines and production goals. * Reviews and processes daily alerts for federal/state and license sanctions and exclusions reports to determine if providers have… more
- Acosta Group (Stafford, TX)
- …to perform the essential duties. _Responsibilities With Regard to Workers' Compensation Claims :_ You are responsible for reporting all employment related injury you ... incur to your direct supervisor as soon as possible following an incident resulting in an injury. **QUALIFICATIONS** _Education/Experience:_ High school diploma or general education degree (GED); or one to three months' related experience and/or training; or… more
- Caris Life Sciences (Irving, TX)
- …Working knowledge of federal healthcare regulations, including HIPAA, Anti-Kickback Statute, False Claims Act, and Stark Law. * Strong writing skills, especially in ... drafting investigation reports and summaries. * Ability to manage multiple investigations simultaneously, prioritize tasks, and meet deadlines. **Preferred Qualifications** * 3 years compliance experience in a Healthcare environment. * CHC Certification… more
- MTC (Rosharon, TX)
- …insurance benefits, procedures, etc. Coordinate with insurance company regarding claims , resolution of problem cases, etc. 6. Provide follow-up correspondence ... to applicants and agencies regarding employment status. 7. Complete and maintain accurate weekly and monthly reports. 8. Type reports, maintain records and files. Maintain calendar of events, schedule appointments and take minutes of meetings. **Experience and… more