- 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
- Justice, Bureau of Prisons/Federal Prison System (Grand Prairie, TX)
- …and other benefits issues, assisting survivors of deceased employees with death claims and processing. Provides advice to the Central Processing Unit and individual ... agency staff about benefits issues related to life events, creditable service, law enforcement coverage and eligibility, and other complex benefit issues. Requirements Conditions of Employment US Citizenship is Required. See Special Conditions of Employment… more
- Mass Markets (TX)
- …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing, Collections, Customer Experience Provider (CXP), Customer Service, ... Digital Experience Provider (DXP), Account Receivables Management (ARM), Application Software Development, Managed Services, and Technology Services, to mid-market, Federal & enterprise partners. MCI now employs 10,000+ talented individuals with 150+ diverse… more
- AIG (Houston, TX)
- …close co-ordination with AIG subject matter experts and robust reviews of claims history and general company information. + Your relationships with brokers will ... be key to your success. You will need to provide excellent service to brokers through a consistent, timely, and proactive approach to underwriting. You will also aim to generate new business by expanding your broker network, attending broker events, and… more
- Methodist Health System (Dallas, TX)
- …maintaining organized employee files. + Proactively manage and process FMLA/LOA claims across the organization, ensuring compliance with Methodist policies and ... federal regulations, regularly updating the payroll team, and maintaining accurate records in Workday HCM. + Perform post/pre-tax and dependent audits (ages 19-26) for all benefit plans each month to ensure accuracy and compliance. + Prepare and transmit COBRA… more
- Catholic Health Initiatives (Pasadena, TX)
- …coordinating with Patient Financial Services to expedite resolutions to facilitate claims reimbursement. In addition plays an important role in patient satisfaction ... for 25,000 cases annually since the impact is directly on the patient's bill. The position Requires a broad range of knowledge in medical terminology. 1. Responsible for timely, accurate billing of all appropriate patient charges through adherence to the… more
- Valero (Houston, TX)
- …Hourly Employees Monthly Reports. * Responds in writing to unemployment claims , provides employment verifications, and completes mortgage application forms. * Issues ... employee/contractor badges, hanging parking passes, and parking stickers as needed. * Opens and distributes files and handles all mail/bills/check requests for department bi-monthly. * Assists with revising organization charts, and drafting and proofreading… more