- Elevance Health (Grand Prairie, TX)
- …rates of reimbursement, as applicable. Assists in problem solving with providers, claims or service issues. + Assists with development of utilization/care management ... + Experience with (Microsoft Office) and/or ability to learn new computer programs/ systems /software quickly preferred. + Ability to manage, review and respond to… more
- Integrative Emergency Services (Dallas, TX)
- …Additionally, the EES serves as the primary link between IES and any claims /payer data-trading partners and vendors and manages those relationships. The EES' job is ... collections, and/or coding in revenue cycle + Working knowledge with various payer systems and basic enrollment processes (ERA vs. ACH/EFT) + Working knowledge of… more
- Acosta Group (Dallas, TX)
- …to perform the essential duties. _Responsibilities With Regard to Workers' Compensation Claims :_ You are responsible for reporting all employment related injury you ... computer and personal mobile device using applications and internal systems . _Certificates, Licenses, Registrations:_ Food Safety Professional Certification, Local… more
- TEKsystems (Houston, TX)
- …timely, and warm support. -Navigate complex issues related to benefits, claims , enrollment, and clinical services, advocating for members' needs while collaborating ... de-escalating concerns, and providing personalized, compassionate support. -Use our internal systems and tools confidently to access member information while keeping… more
- Burns & McDonnell (Houston, TX)
- …Request for Information (RFI's), submittals, meeting minutes, change management, and claims mitigation. + Support project cost reporting, scheduling, work breakdown ... + Establish, review and implement the project documentation and filing systems and processes. + Verify the project, client contractor, and/or subcontractor's… more
- Oracle (Austin, TX)
- …terminologies (specifically RxNorm, NDC, CPT) + Familiarity with clinical EHR systems and data. + Collaboration with healthcare professionals, providers, IT ... with diverse healthcare data sources-including electronic health records (EHRs), claims data, and clinical registries-with demonstrated expertise in data… more
- Mass Markets (Killeen, TX)
- …workflow. This role also includes maintaining accurate records in our HR systems and contributing to process improvements. Key Responsibilities: + Represent the ... 736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing, Collections, Customer Experience Provider (CXP), Customer Service,… more
- TEKsystems (Houston, TX)
- …strong customer service and de-escalation skills to properly manage complex claims issues and support our members through difficult situations. Skills Bilingual, ... (eg, chronic conditions, end-of-life care). + Ability to use multiple monitors and systems simultaneously. + MUST be bilingual in SPANISH or Korean** + Must have… more
- Robert Half Legal (Dallas, TX)
- …support during trial preparations, including briefing attorneys and administering claims . * Utilize case management software to monitor deadlines, appointments, ... effectively with clients, attorneys, and other stakeholders. * Familiarity with e-filing systems for state and federal courts. One person can make a difference.… more
- Acosta Group (Denton, TX)
- …to perform the essential duties. _Responsibilities With Regard to Workers' Compensation Claims :_ You are responsible for reporting any employment related injury to ... a company provided computer and mobile device applications and internal systems . Proficient skills with MS Office Suite programs. _Certificates, Licenses,… more