- Cognizant (Austin, TX)
- …claims processing is required. **Travel:** None required **About the role:** As Claims Processor , you will be responsible for timely and accurate adjudication ... of professional and hospital claims utilizing payer specific policies and procedures. Provide support to claims and client for issues related to claims … more
- Prime Therapeutics (Austin, TX)
- …our passion and drives every decision we make. **Job Posting Title** Lead Claims Processor , Government Programs **Job Description** Adjudicate or submit ... cause analysis and provide additional training as needed. Resolve claims edits and suspended claims . **Responsibilities** + Adjudicate or submit claims and… more
- Cognizant (Austin, TX)
- …environment and able to multi-task successfully? If so, please apply today! The Claims Processor , you will ensure accurate and timely adjudication of ... professional and hospital claims utilizing payer specific policies and procedures. Provide support to claims and client issues related to claims adjudication… more
- NTT DATA North America (Plano, TX)
- …and for the people who work here. NTT DATA is seeking to hire a **Remote Claims Processing Associate** to work for our end client and their team. **In this Role the ... + Work independently to research, review and act on the claims + Prioritize work and adjudicate claims as per turnaround time/SLAs + Ensure claims are… more
- Kelsey-Seybold Clinic (Pearland, TX)
- …diploma or GED Preferred: Additional training as a medical office assistant, medical claims processor , or medical claims follow up specialist. **Experience** ... Edit Follow-Up Representative is responsible for processing the electronic claims edits, "front end "edits, as well as ...claims edits, "front end "edits, as well as claims edits from secondary claims . In the… more
- Datavant (Austin, TX)
- …educational and life experiences to realize our bold vision for healthcare. CPC Processor I Customer Support to ensure the accurate and timely handling of release ... fields would be beneficial: Data Entry, Medical Records, Health Care, Insurance Claims Processing and Proof Reading/Editing of Documents + Ability to stay organized… more
- Insight Global (Houston, TX)
- …Medical Assistant, Patient Services, Utilization Review, Authorization, Eligibility, Claims , Member Services, Patient, Provider, Enrollment, Benefits, Billing - ... Experience reviewing denial and approval letter to ensure all necessary information is accurate. - Experience monitoring and processing denial and approval letters through the internal system/application. - Experience entering member data into the appropriate… more
- Molina Healthcare (Fort Worth, TX)
- …and internal COB leads. + Updates the other insurance table on the claims transactional system and COB tracking database. + Contacts CMS directly or coordinates ... with the Company's assigned contact to log tickets for premium restoration such as Medicare Secondary Payer and ESRD. **JOB QUALIFICATIONS** **Required Education** HS Diploma or GED **Required Experience** 1-3 years' experience in an administrative support.… more
- Allied Solutions (Plano, TX)
- Position Summary; This position is responsible for the initial setup and investigation of claims prior to the assignment of the claim to a licensed adjuster. This ... will involve the initial processing and investigation of 20-40 claims per day. This position ensures that all claim...circumstances: + Internal insurance/recovery claim experience as a Claim Processor or Claim Specialist with a minimum of 9… more
- Ally (Austin, TX)
- …Maintenance and Closure) * Collaborate with the Product, Mastercard, and the processor to implement effective client centric controls. * Optimize fraud detection ... and dispute resolution processes. * Proficiency in working with third-party processor tools for card controls, rules, transaction monitoring, and reporting. *… more