- CVS Health (Austin, TX)
- …analytical, critical-thinking, and problem-solving skills. **Preferred Qualifications** + Claims processing experience. + Customer service experience. ... and responding to provider participation and pricing inquiries. + Analyze post-paid healthcare claims as it relates to pricing needs. + Apply in-depth research to… more
- Prime Therapeutics (Austin, TX)
- …Part D eligibility requirements, Part D plan designs, drug formularies, drug pricing, claims processing and reimbursements, True Out of Pocket expenditures, that ... are not limited to premium amounts, late enrollment penalties, and reimbursement of drug claims . + Ensures the accuracy of payments to Part D sponsors. + Resolves… more
- Robert Half Finance & Accounting (Dallas, TX)
- …* Lead and manage the revenue cycle processes, including patient registration, claims processing , coding, billing, and collections. * Develop and implement ... recommendations to leadership. * Ensure timely and accurate submission of claims and effective follow-up on outstanding receivables. * Maintain compliance with… more
- Moore County Hospital District (Dumas, TX)
- …payment transfers to ensure deadlines are met. Contact office manager for assistance in claims processing in a timely manner. Answers phone calls and greets ... from multiple payers, ensure discounts and adjustment are correct. Works denied claims daily gathering requested information for resubmittal of a corrected claim.… more
- University of Texas Rio Grande Valley (Edinburg, TX)
- …information not captured during scheduling process, that is necessary for claims processing . + Displays effective communication skills, active listening ... Responsible for reviewing patient accounts for accuracy with regard to billing, claims details and collections to resolve patient concerns and/or provide education.… more
- Banner Health (TX)
- …data base and indices, and must be familiar with coding and abstracting software, claims processing tools, as well as common office software and electronic ... coding expertise to resolve issues and support appropriate reimbursement. Proficiency in claims software to address coding edits and claim denials utilizing multiple… more
- Mass Markets (TX)
- …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... MCI Federal Services (MFS), OnBrand24, The Sydney Call Center, Valor Intelligent Processing (VIP), BYC Aqua, EastWest BPO, TeleTechnology, and Vinculum. The purpose… more
- Datavant (Austin, TX)
- …following fields would be beneficial: Data Entry, Medical Records, Health Care, Insurance Claims Processing and Proof Reading/Editing of Documents + Ability to ... pm EST * Comfortable working in a high-volume production environment. * Processing medical record requests by taking calls from patients, insurance companies and… more
- Actalent (Dallas, TX)
- …retail pharmacy setting. + Prior authorization experience. + Familiarity with third-party claims processing . + Certified Pharmacy Technician (PTCB or NHA). Work ... requests for specialty drugs to delegated vendors or clients for processing . + Contacting providers for additional information to facilitate coverage determination… more
- Mass Markets (Killeen, TX)
- …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... MCI Federal Services (MFS), OnBrand24, The Sydney Call Center, Valor Intelligent Processing (VIP), BYC Aqua, EastWest BPO, TeleTechnology, and Vinculum. The purpose… more