- Mass Markets (Killeen, TX)
- …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... systems to support customer needs + Accurately document interactions and process claims in internal systems + Engage customers in solution-focused conversations to… more
- Mass Markets (Killeen, TX)
- …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... to resolve issues when needed + Accurately document and process customer claims in appropriate systems. + Lead fact-finding discussions to determine the best… more
- Humana (Austin, TX)
- …to make an impact** **Required Qualifications** **5+ years of medical claims processing /auditing or encounter data management experience** **Demonstrated deep ... to assignments. The Senior Encounter Data Management professional ensures data integrity for claims errors that result from the data exchange between Humana and its… more
- Alight (TX)
- …unique care/billing situations that require special review + Assisting in reviewing medical, dental , vision, and pharmacy related claims for accuracy to ensure ... more at careers.alight.com **About the Role** The Health Navigation Claims Specialist position exists to work on behalf of...to explain ongoing status updates and educate them on processing details + Offering process improvement ideas to enhance… more
- Otsuka America Pharmaceutical Inc. (Austin, TX)
- …a minimum of 5 business days. **Company benefits:** Comprehensive medical, dental , vision, prescription drug coverage, company provided basic life, accidental death ... & dismemberment, short-term and long-term disability insurance , tuition reimbursement, student loan assistance, a generous 401(k)...offered money for equipment fees or some other application processing fee, even if claimed you will be reimbursed,… more
- Elevance Health (Grand Prairie, TX)
- …associated with fraud and abuse. **How you will make an impact:** + Examines claims for compliance with relevant billing and processing guidelines and identifies ... fraud and abuse prevention and control. + Reviews and conducts analysis of claims and medical records prior to payment and uses required systems/tools to accurately… more
- Otsuka America Pharmaceutical Inc. (Austin, TX)
- …a minimum of 5 business days. **Company benefits:** Comprehensive medical, dental , vision, prescription drug coverage, company provided basic life, accidental death ... & dismemberment, short-term and long-term disability insurance , tuition reimbursement, student loan assistance, a generous 401(k)...offered money for equipment fees or some other application processing fee, even if claimed you will be reimbursed,… more
- Elevance Health (Houston, TX)
- …associated with fraud and abuse. **How you will make an impact:** + Examines claims for compliance with relevant billing and processing guidelines and identifies ... fraud and abuse prevention and control. + Reviews and conducts analysis of claims and medical records prior to payment and uses required systems/tools to accurately… more
- Otsuka America Pharmaceutical Inc. (Austin, TX)
- …a minimum of 5 business days. **Company benefits:** Comprehensive medical, dental , vision, prescription drug coverage, company provided basic life, accidental death ... & dismemberment, short-term and long-term disability insurance , tuition reimbursement, student loan assistance, a generous 401(k)...offered money for equipment fees or some other application processing fee, even if claimed you will be reimbursed,… more
- Otsuka America Pharmaceutical Inc. (Austin, TX)
- …a minimum of 5 business days. **Company benefits:** Comprehensive medical, dental , vision, prescription drug coverage, company provided basic life, accidental death ... & dismemberment, short-term and long-term disability insurance , tuition reimbursement, student loan assistance, a generous 401(k)...offered money for equipment fees or some other application processing fee, even if claimed you will be reimbursed,… more