- Molina Healthcare (Austin, TX)
- …Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply to ... data to be housed on databases and ensure adherence to business and system requirements of customers as it pertains to contracting, benefits, prior authorizations,… more
- Kemper (Dallas, TX)
- …coverage, liability, injury, and damage claims . + Experience with commercial auto claims required + Guidewire Claims System experience is a plus. ... constraints and improve desired behaviors, outcomes and training results. **POSTION QUALIFICATIONS:** + 5+ years of auto claims adjusting experience handling… more
- Providence (TX)
- **Description** **Senior Claims Manager - Employment Practice Liability \*Remote * Candidates residing in Alaska, Washington, Montana, Oregon, California, Texas or ... New Mexico are encouraged to apply.** The Senior Claims Manager- Employment Practice Liability ("EPL") is responsible for...within Providence that provides a variety of functional and system support services for our family of organizations across… more
- USAA (Plano, TX)
- …Process Management, or similar methodology. + Demonstrated experience with utilizing various systems to collect and analyze data. **What sets you apart:** + P&C ... Property Claims Operations and/or Optimization experience + Over 2 years...MCO experience + Deep operational knowledge of end-to-end Property Claims processes + Demonstrated knowledge of new and emerging… more
- Guidehouse (Lewisville, TX)
- …or receipt. Detail notes regarding correspondence must be entered into the client's system + Works all denials taking necessary actions to obtain account resolution ... denials for trends and issues and reports findings to supervisor + Bills or re-bills claims as necessary + Ensures the client follows all state and federal rules and… more
- Capgemini (El Paso, TX)
- …and monitors automatic and manual reminders to customers. + Documents customer interactions into system . + Maintain a ledger as part of the credit team. + Performs ... and monitors automatic and manual reminders to customers. + Documents customer interactions into system . + Maintain a ledger as part of the credit team. + Performs… more
- Capgemini (El Paso, TX)
- …and monitors automatic and manual reminders to customers + Documents customer interactions into system + Maintain a ledger as part of the credit team + Performs ... and monitors automatic and manual reminders to customers + Documents customer interactions into system + Maintain a ledger as part of the credit team + Performs… more
- Prime Therapeutics (Austin, TX)
- …decision we make. **Job Posting Title** Senior Solution Product Owner - Pharmacy Claims Data **Job Description** The Senior Solution Product Owner is responsible for ... or GED is required + 5 years of work experience leading business processes, system changes and/or similar relevant business experience + Must be eligible to work in… more
- Capgemini (El Paso, TX)
- …and monitors automatic and manual reminders to customers * Documents customer interactions into system * Maintain a ledger as part of the credit team * Performs ... basic reconciliations * Follows control and compliance regulations * Maintain accurate and up to date customer details and account records * Proactively collects overdue accounts and ensures customer payment to terms * Builds and maintains strong relationships… more
- Methodist Health System (Dallas, TX)
- …to resubmit claims promptly and accurately. - Investigate and address claim denials promptly. Utilize knowledge of payor policies, medical coding guidelines, and ... background in A/R follow up for family and specialty claims , able to identify, address, and resolve no response...medical billing software EPIC and electronic health record (EHR) systems . - Strong knowledge of healthcare billing processes, medical… more