- Catholic Health Initiatives (Houston, TX)
- …This job is responsible for developing in‐depth and complex financial analyses in support of the Texas Division Physician Enterprise Revenue Cycle function and for ... requirements. Reports are produced for Revenue Cycle functions such claims submission, insurance follow‐up, cash management, credits/refunds, charge/payment posting,… more
- Sedgwick (Irving, TX)
- …OF THE ROLE:** To provide excellent service displaying empathy to callers regarding claims for multiple lines of business, including but not limited to, expediting ... the claims process, and providing detailed claim notes on all...Provide excellent customer service to external customers and internal support to an assigned team. + Act as a… more
- TEKsystems (Dallas, TX)
- Description Primary responsibilities will include submitting claims , posting payments, working payor rejections and denials, and completing follow ups to ensure ... and internal policies and procedures. * Ensure timely and accurate billing of claims via electronic or paper to Medicare, Medicaid, and Commercial Insurances in… more
- Otsuka America Pharmaceutical Inc. (Austin, TX)
- …assets as appropriate. + Consistently keep up with industry data trends. + Support an enterprise wide CDM framework with emphasis on modifications to organizational ... Commercial third-party data assets, including Xponent Plantrak, DDD, HCOS, Claims Data, Specialty pharma, omnichannel data, SalesForce/Veeva (Call/Sample/Detail), etc.… more
- Dallas Behavioral Healthcare Hospital (Desoto, TX)
- …Clerk/Coder to assign procedure, and diagnosis codes for insurance billing, review claims data, research, and correspond with insurance companies to obtain accurate ... reimbursement for healthcare claims . This person will also be responsible for analyzing,...covers the duties of receptionist. + Provides backup clerical support to various departments. + Researches, prioritizes, and follows… more
- Carrington (Plano, TX)
- …completes the Set-up bankruptcy filings process, Motion for Reliefs, Proof of Claims , Transfer of Claims , Reaffirmations, Notice of Final Cures, Post-Petition ... processes for the set-up bankruptcy filings, Motion for Reliefs, Proof of Claims , Transfer of Claims , Reaffirmations, Notice of Final Cures, Post-Petition… more
- Sedgwick (Irving, TX)
- …and solution-focused. **ESSENTIAL RESPONSIBLITIES MAY INCLUDE** + Establishes FMLA claims ; tracks and codes documentation in accordance with internal workflow ... processes. + Analyzes FMLA and other paid leave claims to determine eligibility, certification, payment calculations, payments and/or...curriculum + An assigned mentor and manager that will support and guide you on your career journey +… more
- Molina Healthcare (San Antonio, TX)
- …leadership and direction to MMS Operational Units management staff (eg, Claims Processing, Provider Services, Provider Enrollment, Finance, Managed Care Provider ... in conjunction with the Director, Account Management so that department goals support overall account level objectives. * Responsible for the achievement and… more
- Prime Therapeutics (Austin, TX)
- …advanced communications, client interaction, training, testing, ongoing system support , and developing reports and coordinating audits. **Responsibilities** + ... experience in at least one of the specific areas for position (eg, claims , eligibility, product, benefits, implementations or related area) + Must be eligible to… more
- Sedgwick (Dallas, TX)
- …+ Ensures software scalability and data integrity throughout all claims -related applications. + Ensures software compatibility and alignment with overall ... + Assists in projecting software and hardware requirements for claims -related applications. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES** + Performs other duties… more