- Molina Healthcare (Dallas, TX)
- …managed care experience (call center, appeals or claims environment). + Health claims processing background, including coordination of benefits, ... concisely and accurately, in accordance with regulatory requirements. + Research claims processing guidelines, provider contracts, fee schedules and system… more
- Kelsey-Seybold Clinic (Pearland, TX)
- …standards and performance measures for this position **Job Title: Claims Processing Specialist** **Location: Pearland Administrative Office** **Department:** ... laws and regulations governing Medicare billing practices, medical billing systems, and claims processing . Preferred: IDX/EPIC, PC skills, and understanding of… more
- IQVIA (Houston, TX)
- **Patient Support Medical Claims Processing Representative** _Contract Remote Role - Location (Open to Remote US)_ As the only global provider of commercial ... are looking for a 100% remote (work from home-WFH) contact **Patient Support Medical Claims Processing Representative** to join our team. In this position, you… more
- Datavant (Austin, TX)
- …+ Experience in the following fields would be beneficial: Data Entry, Medical Records, Health Care, Insurance Claims Processing and Proof Reading/Editing of ... a data platform company and the world's leader in health data exchange. Our vision is that every healthcare...* Comfortable working in a high-volume production environment. * Processing medical record requests by taking calls from patients,… more
- Molina Healthcare (TX)
- …functionality through project inclusion and documentation review to understand proper claims processing for the applicable solution. Validates data received ... claims to identify billing issues that will impact claims processing and payment. Monitor new solutions...in the implementation and conversion of new and existing health plans. + Manage projects from requirements to deployment,… more
- Sedgwick (Austin, TX)
- …growth, and inclusion. **ESSENTIAL RESPONSIBILITIES MAY INCLUDE** + Analyzing and processing claims through well-developed action plans to an appropriate ... Best Workplaces in Financial Services & Insurance Bodily Injury Claims Examiner | Remote | Dedicated Client | Complex... within designated authority. + Communicating claim activity and processing with the claimant and the client. + Reporting… more
- Elevance Health (Grand Prairie, TX)
- … testing, systems, and processes) preferred. + Working knowledge of WGS claims processing , reimbursement policies, and procedures highly preferred. + CI&W ... ** Claims Data Reporting Specialist Senior** **Location:** Middletown, NY;...**Locations: Middletown, NY** **In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package,… more
- Providence (TX)
- … issues. + 7 years of relevant general and professional liability claims processing or management experience **Preferred qualifications for this position ... empower them.** **Providence is calling a Sr. Professional Liability Medical Claims Manager who will:** **Investigate, evaluate, and manage professional, general,… more
- HCA Healthcare (Austin, TX)
- …UB04 and HCFA forms. + Experience in Workman's Compensation and Motor Vehicle Claims processing Parallon provides full-service revenue cycle management, or total ... organization that invests in you as a Workers Compensation Claims Resolution Specialist? At Parallon, you come first. HCA...Parallon, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The… more
- NTT DATA North America (Plano, TX)
- …a Remote Claims Processor to join our team in Plano, TX. **HRP Claims Processing Specialist** **Monday-Friday 9am-5pm CST** **In this Role the candidate will ... + **1-3 year(s) of hands on experience in Healthcare Claims Processing ** + 2+ year(s) using a...include medical, dental, and vision insurance, flexible spending or health savings account, life, and AD&D insurance, short-and long-term… more
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