- Cognizant (Austin, TX)
- …and optimizing benefit, pricing, and configuration solutions that directly enhance claim processing accuracy and auto‑adjudication rates. You will be a valued ... Conduct backend SQL queries to validate configuration accuracy and ensure correct claim processing behavior. + Partner with business teams to provide strategic… more
- AON (Houston, TX)
- …+ Effectively use the Aon FSG claims administration function and engage the claims and legal advocacy group for claim administration and counsel as per ... date. In addition, and as a part of the support of the team: + Provide efficient and effective...FSG claims administration function and engage the claims and legal advocacy group for claim … more
- Robert Half Accountemps (Houston, TX)
- …be a standard 8am - 5pm schedule. + Review, analyze, and interpret medical claim denials from insurance companies. + Investigate root causes of denials and work to ... + Communicate professionally with payers to gather needed information and negotiate claim resolution. + Collaborate with providers, coders, and revenue cycle staff… more
- Chevron Corporation (Houston, TX)
- …potential claims , gather documentation, and maintain accurate records of claim amounts and counterparties. + Calculate or validate laytime basis contractual ... Legal, and Finance teams to ensure alignment and timely resolution of claims . + Support cross-functional initiatives to improve efficiency and compliance… more
- Travelers Insurance Company (Austin, TX)
- …technology and the application for improving business process and increasing productivity. + Claim Practices & Support : + Provide Medical guidance, support ... you do and where you do it. **Job Category** Claim **Compensation Overview** The annual base salary range provided...local and national level. + May provide input and support medical vendor strategies including vendor selection, negotiation and… more
- Cardinal Health (Austin, TX)
- …and transmitting claims using billing software including electronic and paper claim processing + Following up on unpaid claims within standard billing ... II is responsible for verifying patient insurance and benefits, preparing and submitting claims to payers, correcting rejected claims , following up on unpaid and… more
- Marriott (Dallas, TX)
- …**Bonus Eligible:** Y **JOB SUMMARY** As a member of the property Human Resources support staff, he/she works with Human Resources employees to carry out the daily ... * Works with the unemployment services provider to respond to unemployment claims ; reviews provider reports for accuracy and corrects errors. * Prepares, audits… more
- Humana (Austin, TX)
- …government regulation and protocols + Complete appropriate system(s) entry regarding claim /encounter information + Support and participate in process and ... and help us put health first** The Medical Coding Auditor reviews medical claims submitted against medical records provided, to ensure correct coding guidelines are… more
- Molina Healthcare (Austin, TX)
- …in the user interface. * Applies experience and knowledge to research and resolve claim /encounter issues and pended claims , and updates system(s) as necessary. * ... JOB DESCRIPTION Job Summary Provides lead level analyst support for configuration information management activities. Responsible for accurate and timely… more
- Baylor Scott & White Health (Dallas, TX)
- …Completes an appeal letter with details of the denial and information to support overturning the claim . Pulls medical records and any supporting documentation ... **JOB SUMMARY** The Denial Resource Center Appeal Support Specialist is responsible for ensuring that complete...for ensuring that complete and accurate appeals of denied claims are submitted to the payer in a timely… more
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