- ReSource Pro (Austin, TX)
- …+ Deep understanding of property & casualty insurance lines and operations (policy, billing , claims ). + Demonstrated indepth understanding of Agile, Scrum, and ... traditional SDLC delivery methodologies. Your Compensation Our salary ranges are based on paying competitively for our size and industry, and are one part of the total compensation package that also includes annual bonus eligibility, benefits, and other… more
- ManpowerGroup (Houston, TX)
- …organized and clean . Maintaining accurate patient records . Processing insurance claims and performing billing tasks . Handling pharmacy-related administrative ... tasks, such as filing, updating patient profiles, and maintaining records . Interacting with patients to obtain and verify their prescriptions . Providing information and answering questions regarding medications and their use . Assisting patients with… more
- Covenant Health (Lubbock, TX)
- …the direct supervision of the Manager and/or Supervisor, the Associate Billing and Collections Representative is responsible for ensuring correct coding initiatives ... of Covenant. This individual addresses claim edits, files all claims on either a UB-04 (RHC) or 1500 (835/837...issues and reports them to the appropriate leader. Associate Billing and Collection Representatives are responsible for all … 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 ... broad range of knowledge in medical terminology. 1. Responsible for timely, accurate billing of all appropriate patient charges through adherence to the Patient … more
- TEKsystems (Plano, TX)
- …and denials, ensuring timely resolution and follow-up. + Process approximately 15-40 claims per day, depending on volume. + Support collections efforts by ... identifying and addressing outstanding claims . + Ensure compliance with all applicable regulatory guidelines,...+ Collaborate with internal teams to clarify documentation and billing requirements. + Prioritize behavioral health billing … more
- Caris Life Sciences (Irving, TX)
- …Summary** Caris Life Sciences is seeking an experienced and strategic Director of Billing Operations - Appeals to lead the appeals management function for an ... ideal candidate will possess a deep understanding of molecular pathology billing , medical necessity requirements, and payor-specific policies related to laboratory… more
- IQVIA (Houston, TX)
- …cards or vouchers. The **Care Navigator** is primarily responsible for receiving medical claims from HCPs or patients and vetting the claim against program specific ... employee. **Job Responsibilities:** + Primary responsibilities involve receiving medical claims from HCPs or patients, ensuring the adequate supporting documentation… more
- HCA Healthcare (Houston, TX)
- …you want to join an organization that invests in you as a Medical Insurance Claims Specialist? At Parallon, you come first. HCA Healthcare has committed up to $300 ... the opportunity to make a difference. We are looking for a dedicated Medical Insurance Claims Specialist like you to be a part of our team. **Job Summary and… more
- Molina Healthcare (Fort Worth, TX)
- …abuse and fraudulent billing practices, waste, overpayments, and processing errors of claims . + Manages a caseload of claims . Procures all medical records ... **JOB DESCRIPTION** **Job Summary** Responsible for administering claims payments, maintaining claim records. Monitors and controls...claim records. Monitors and controls backlog and workflow of claims . Ensures that claims are settled in… more
- Molina Healthcare (Houston, TX)
- …abuse and fraudulent billing practices, waste, overpayments, and processing errors of claims . ( _Use for claims specific positions only_ ) * Prepares, tracks ... to ensure accuracy in auditing of critical information on claims ensuring adherence to business and system requirements of...days of error issuance. * Evaluates the adjudication of claims using standard principles and state specific policies and… more