- Mass Markets (Killeen, TX)
- …a trusted partner in the industry. We are looking for call center claims representatives to support inbound customer service, help desk, and back-office processing. ... to complete account management tasks + Accurately document and process customer claims in appropriate systems + Follow all required scripts, policies, and procedures… more
- Harbor Group Management (Dallas, TX)
- …the administration and maintenance of the company's property and casualty insurance claims . ESSENTIAL DUTIES AND RESPONSIBILITIES: Includes the following but are not ... + Free Life Insurance + Short Term Disability + Health Savings Account with Employer Contributions + Wellness Perks...Account with Employer Contributions + Wellness Perks + FinFit Health Finance Program + Employee Apartment Discount + Employee… more
- Capgemini (El Paso, TX)
- …employees, we offer: + Flexible work + Healthcare including dental, vision, mental health , and well-being programs + Financial well-being programs such as 401(k) and ... employees, we offer: + Flexible work + Healthcare including dental, vision, mental health , and well-being programs + Financial well-being programs such as 401(k) and… more
- Capgemini (El Paso, TX)
- …employees, we offer: + Flexible work + Healthcare including dental, vision, mental health , and well-being programs + Financial well-being programs such as 401(k) and ... employees, we offer: + Flexible work + Healthcare including dental, vision, mental health , and well-being programs + Financial well-being programs such as 401(k) and… more
- Guidehouse (Lewisville, TX)
- …denials for trends and issues and reports findings to supervisor + Bills or re-bills claims as necessary + Ensures the client follows all state and federal rules and ... Leave + 401(k) Retirement Plan + Basic Life & Supplemental Life + Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts + Short-Term &… more
- Guidehouse (Lewisville, TX)
- …Leave + 401(k) Retirement Plan + Basic Life & Supplemental Life + Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts + Short-Term & ... Long-Term Disability + Tuition Reimbursement, Personal Development & Learning Opportunities + Skills Development & Certifications + Employee Referral Program + Corporate Sponsored Events & Community Outreach + Emergency Back-Up Childcare Program **About… more
- Kelsey-Seybold Clinic (TX)
- …into practice software applications to respond to administrative issues related to health plan operations including claims resolution, premium billing, medical ... Representatives II-KSPA provide Concierge Service to members of the health plan which include providing a high level of...Strong knowledge of HMOPOS and TPA Plan Design and Claims Processing Member Service Representatives must build and maintain… more
- Methodist Health System (Dallas, TX)
- …few months: Provides education to physicians and office personnel on the health plan contracts, fee schedules, claims processes, and regulatory requirements. ... multifaceted; it requires excellent interpersonal and communication skills, knowledge of managed care/ health plans, and an understanding of the health care… more
- Molina Healthcare (TX)
- …Bachelor's Degree or equivalent experience Prior experience in Payment Integrity and/or COB/ Claims roles at a health plan or vendor. Familiarity with ... Lead Analyst, Configuration Oversight to support our Payment Integrity and Claims Operations teams in ensuring the accuracy and compliance of Coordination… more
- Centene Corporation (Austin, TX)
- …implementation of recommendations to providers that would improve utilization and health care quality. + Reviews claims involving complex, controversial, ... 28 million members as a clinical professional on our Medical Management/ Health Services team. Centene is a diversified, national organization offering competitive… more