- Cognizant (Austin, TX)
- …and coverage guidelines and regulations + Experience in the analysis and processing of claims , utilization review/ quality assurance procedures + Must be able ... business operations. We are seeking **Fully Remote US Based** Claims Processors to join our growing team. The **Medical**... Processors to join our growing team. The **Medical** ** Claims Processor** is responsible for the timely and accurate… more
- Cognizant (Austin, TX)
- …1 year of Facets experience. + Experience in the analysis and processing of claims for payments, utilization review/ quality assurance procedures. + Excellent ... and able to multi-task successfully? If so, please apply today! The Claims Processor, you will ensure accurate and timely adjudication of professional and… more
- Cognizant (Austin, TX)
- …* 1 year of Facets experience. * Experience in the analysis and processing of claims for payments, utilization review/ quality assurance procedures. * Must be ... claim processing is required. **Travel:** None required **About the role:** As Claims Adjudication Specialist, you will be responsible for timely and accurate… more
- Elevance Health (Houston, TX)
- …at least one of the following: AA/AS or minimum of 5 years of experience in claims auditing, quality assurance , or recovery auditing. + Requires at least one ... responsible for auditing inpatient medical records and generating high quality recoverable claims for the benefit of.../ Clinical Validation Audit setting or hospital coding or quality assurance environment preferred. + Broad knowledge… more
- Elevance Health (Grand Prairie, TX)
- …in applicable state(s). + Requires a minimum of 10 years of experience in claims auditing, quality assurance , or clinical documentation improvement, and a ... and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group (DRG) paid claims . **How you will make an impact:** + Analyzes and audits claims … more
- UIC Government Services and the Bowhead Family of Companies (Plano, TX)
- **Overview** QUALITY ASSURANCE MANAGER (PLTX) Bowhead seeks a Quality Assurance Manager to lead Bowhead Manufacturing & Product's Quality Management ... is located at our facility in Plano, TX. The Quality Assurance Manager will be responsible for...characteristics EOE/D/V. In furtherance, pursuant to The Alaska Native Claims Settlement Act 43 USC Sec. 1601 et seq.,… more
- Defense Contract Management Agency (San Antonio, TX)
- …vacancies may be filled from this announcement. Responsibilities Administers the quality assurance provisions of contracts by designing, implementing, and ... Requirements Conditions of Employment Qualifications To qualify for a Quality Assurance Specialist (Aerospace) position your resume...at the time of application) to support your educational claims . Or, if you are using education to qualify… more
- Mass Markets (TX)
- …as a trusted partner in the industry. We are seeking a detail-oriented and analytical Quality Assurance Specialist to join our team. This role is critical in ... requires a keen eye for detail, strong communication skills, and a passion for quality assurance within a BPO environment. To be considered for this role,… more
- Mass Markets (Killeen, TX)
- …as a trusted partner in the industry. We are seeking a detail-oriented and strategic Quality Assurance Manager to lead the QA function in our BPO contact center. ... You will be responsible for ensuring service quality , compliance, and continuous improvement across multiple client accounts. This is a key leadership role that… more
- Mass Markets (Killeen, TX)
- …in the industry. We are hiring an Experienced QA Supervisor to lead our quality assurance efforts across multiple BPO campaigns. You'll oversee QA analysts, ... ensure compliance with client standards, and drive continuous improvement in service quality . To be considered for this role, you must complete a full application on… more