- Seventh Dimension (Fort Worth, TX)
- …operational point of contact for COR/VA Police/Safety/AOD, manages incidents/ claims , oversees equipment/signage/cleanliness, and enforces contractor policies (eg, no ... response, including immediate reporting/testing and coordination with VA Police/Safety; manage claim resolution timelines. + Professional conduct; photo ID badge and… more
- Highmark Health (Austin, TX)
- …participate in and support project meetings related to underwriting system enhancements, financial modeling tool development, and overall operational efficiency ... rates utilizing Company rating algorithms, adjusting accordingly to cover questionable claim patterns or unusual situations not otherwise contemplated within the… more
- Dallas Behavioral Healthcare Hospital (Desoto, TX)
- …Clerk/Coder to assign procedure, and diagnosis codes for insurance billing, review claims data, research, and correspond with insurance companies to obtain accurate ... reimbursement for healthcare claims . This person will also be responsible for analyzing,...coding resources + Knowledge of Healthcare Common Procedure Coding Systems (HCPCS), Current Procedural Terminology (CPT) coding and healthcare… more
- NTT America, Inc. (Plano, TX)
- …security, audit readiness, and business continuity while transitioning mission-critical systems supporting core banking, payments, trading, underwriting, claims , ... applications into Managed Services, including core banking, policy administration, claims , underwriting, billing, payments, trading, risk, and financial reporting … more
- Baylor Scott & White Health (Dallas, TX)
- …department and has direct oversight and management responsibility for the patient accounting system charge review, charge DNB, and charge claim edit. Oversees ... utilization of edit outputs from patient accounting system and other revenue cycle systems to provide information and training to charge capture teams and… more
- CVS Health (TX)
- …including co-morbid and multiple diagnoses that impact functionality. - Reviews prior claims to address potential impact on current case management and eligibility. ... cases at case conferences for multidisciplinary focus to benefit overall claim management. - Utilizes case management processes in compliance with regulatory… more
- CVS Health (TX)
- …including co-morbid and multiple diagnosis the impact functionality.** **-Reviews prior claims to address potential impact on current case management and ... cases at case conferences for multidisciplinary focus to benefit overall claim management.** **-Utilizes case management processes in compliance with regulatory and… more
- ManpowerGroup (Houston, TX)
- …**Location:** Katy, TX **What's the Job?** + Prepare, review, and file drawback claims with US Customs and Border Protection (CBP) in compliance with applicable ... and other trade partners to obtain required documentation. + Monitor claim status, respond to CBP inquiries, and resolve discrepancies efficiently. **What's… more
- Elevance Health (Grand Prairie, TX)
- …working with ICD-9/10CM, MS-DRG and APR-DRG. .Broad knowledge of medical claims billing/payment systems provider billing guidelines, payer reimbursement ... role plays a critical part in identifying coding discrepancies and recoverable claim opportunities, and supporting regulatory integrity on behalf of the company and… more
- CSC ServiceWorks (Dallas, TX)
- …reviews with Operations leaders to prevent repeat issues. + Support Workers' Compensation claim management in partnership with HR and claims teams. **Training, ... and documentation skills. + Proficient in Microsoft Office and safety management systems . + Clear, confident communicator who partners well with leaders and field… more
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