- Molina Healthcare (San Antonio, TX)
- …appeal has been submitted, to ensure medical necessity and appropriate/accurate billing and claims processing . + Identifies and reports quality of care issues. + ... denial and modification of payment decisions + Independently re-evaluates medical claims and associated records by applying advanced clinical knowledge, knowledge of… more
- Sedgwick (Austin, TX)
- …to apply critical thinking under pressure + Knowledge of the insurance industry and claims processing + Knowledge of field case management + Excellent oral and ... the claim. + Maintains communication with the customer, Client Service Director, and Claims Examiner providing timely updates on changes in injured worker status and… more
- Waste Connections (The Woodlands, TX)
- …across the Fleet. **Required Competencies** + **Experience in warranty management, claims processing , or related is preferred** + **Exceptional Communication ... vendors, and internal departments to ensure accurate and timely warranty claims , cost recovery, and process improvement. **Key Responsibilities** + Manage and… more
- Molina Healthcare (San Antonio, TX)
- …Ensure that provider information is loaded accurately to allow for proper claims processing , outbound reporting and directory processes. **JOB QUALIFICATIONS** ... for accurate and timely maintenance of critical provider information on all claims and provider databases. Maintains critical provider information on all claims… more
- Acosta Group (Lewisville, TX)
- **DESCRIPTION** This position will be responsible for processing and handling any claims that are incomplete or escalated for validation. This person will also ... be responsible for analyzing claims and making decisions about their validity. The position...change to provide continuous improvements. **RESPONSIBILITIES** + Process escalated claims , assesses the reason for the escalation, and provides… more
- Mass Markets (Killeen, TX)
- …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... service representatives to support inbound customer service, help desk, and back-office processing for commercial and public sector support positions. In this role,… more
- Mass Markets (Killeen, TX)
- …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... to support a variety of inbound customer service, help desk, and back-office processing roles for commercial and public sector clients. In this position, you will… more
- Mass Markets (Dallas, TX)
- …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... support inbound customer service, help desk, technical support, and back-office processing representatives for commercial and public sector positions. In this role,… more
- Mass Markets (Dallas, TX)
- …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... representatives to support inbound customer service, help desk, and back-office processing representatives for commercial and public sector support positions. In… more
- Mass Markets (Killeen, TX)
- …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... service representatives to support inbound customer service, help desk, and back-office processing for commercial and public sector support positions. In this role,… more