- IQVIA (Houston, TX)
- **Patient Support Medical Claims Processing Representative** _Contract Remote Role - Location (Open to Remote US)_ As the only global provider of commercial ... are looking for a 100% remote (work from home-WFH) contact **Patient Support Medical Claims Processing Representative** to join our team. In this position, you… more
- TEKsystems (Dallas, TX)
- …Must score 94% or above Preferred Experience + Experience in charge entry or claims processing + Familiarity with healthcare data and HIPAA compliance Work ... analytical and detail-oriented Data Operations Analyst to support our Charge Entry & Claims Submission processes. This role is ideal for someone who thrives in… more
- Molina Healthcare (Fort Worth, TX)
- …of these updates/changes as applied to the appropriate modules within the core claims processing system (QNXT). * Clearly documents the audit results and ... of education and experience **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES:** + Comprehensive claims processing experience (QNXT) as Examiner or Adjuster +… more
- Cognizant (Austin, TX)
- …ensuring all mandated government and state regulations are consistently met + Processing claims for multiple plans with automated and manual differences ... one (1) year QA Experience + Minimum of two (2) year Healthcare claims processing experience + Good Spoken & Written English Good Communication Skills + Excel… more
- NTT DATA North America (Plano, TX)
- …methodology/ fee schedule/ Required Skills for this role include: + 2 years of healthcare claims processing (full cycle: Pay, Pend, Deny) + 2 years using a ... new software tools + High school diploma or GED. Preference + Experience processing claims in Amisys or Xcelys is a plus. + Ability to communicate (oral/written)… more
- Marriott (Plano, TX)
- …years claims adjusting or equivalent/relevant experience. _Preferred_ Knowledge of claims processing . Applicable industry licensing. Associate in Claims ... - $64,300 annually **Bonus Eligible:** Y **JOB SUMMARY** A Claims Adjuster I is responsible for the timely, good...the timely, good faith adjustment and disposition of self-administered claims . Responsibility extends to all aspects and phases of… more
- Sedgwick (Austin, TX)
- …expertise preferred. **Skills & Knowledge** + Subject matter expertise in worker's compensation claims and/or liability claims processing + Ability to obtain ... a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Complex Claims Advisor | Commercial GL and Auto | Remote Are you looking for an… more
- Apex Health Solutions (Houston, TX)
- …key requirements Shall perform user acceptance testing for any impacted changes to claims processing as directed Meets or exceeds production and quality ... Job Title: Claims Processor Department: Operations Supervisor: Manager, Claims Operations Summary: Position is responsible for the timely and accurate claims … more
- Providence (TX)
- … issues. + 7 years of relevant general and professional liability claims processing or management experience **Preferred qualifications for this position ... **Description** **Senior Professional Liability Medical Claims Manager This position works R** **_emote._** **Many states eligible.** **Providence caregivers are not… more
- Molina Healthcare (Fort Worth, TX)
- …is involved in member enrollment, provider information management, benefits configuration and/or claims processing . + Responds to incoming calls from providers ... **Job Description** **Job Summary** The Provider Claims Adjudicator is responsible for responding to providers regarding issues with claims , coordinating,… more
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