- OptumCare (San Antonio, TX)
- Do you have compassion and a passion to help others? Transforming healthcare and millions of lives as a result starts with the values you embrace and the passion you ... Reviews denials and determines whether the decisions are retro/ claims DOS or prospective DOS, and whether they are...logs requests, researches and provides requested information. Works with claims department to redirect claims related appeal… more
- Collabera (Austin, TX)
- Position Details: Client: Healthcare Services Job Title: Customer Service Representative - (Bilingual Spanish) Location: Austin, TX 78727 (100% Onsite - Local ... to Medicaid providers and clients with questions regarding eligibility, medical claims status, and other program questions. * Assists with problem resolution,… more
- Defense Health Agency (Fort Sam Houston, TX)
- …Medical malpractice liability insurance is not required for federal civilian healthcare providers as they are covered by the Federal Tort ... Claims Act (28 USC | 1346(b)) while acting within the scope of their employment. This is a Direct Hire Solicitation. Who May Apply: US Citizens Responsibilities… more
- NTT DATA North America (Plano, TX)
- …methodology/ fee schedule **Requirements:** + 3 year(s) hands-on experience in ** Healthcare Claims Processing** + **In-depth, hands-on, practiced experience ... here. NTT DATA is seeking to hire a **Remote Claims Processing Associate** to work for our end client....Work independently to research, review and act on the claims + Prioritize work and adjudicate claims … more
- NTT America, Inc. (Plano, TX)
- …using applicable methodology/ fee schedule Requirements: * 3 year(s) hands-on experience in Healthcare Claims Processing * High school diploma or GED. * ... NTT DATA is seeking to hire a Remote Claims Processing Associate to work for our end...be responsible for: * Processing of Professional and institutional claims * Reviewing the policies and benefits * Comply… more
- NTT DATA North America (Plano, TX)
- …methodology/ fee schedule/ Required Skills for this role include: + 2 years of healthcare claims processing (full cycle: Pay, Pend, Deny) + 2 years using ... NTT DATA is currently seeking 20 Remote Claims Examiners to join our team. (Amisys or...Work independently to research, review and act on the claims + Prioritize work and adjudicate claims … more
- NTT DATA North America (Plano, TX)
- …office setting** **Required Skills/Experience** + 1+ year(s) hands-on experience in ** Healthcare Claims Processing** + **Previously performing - in P&Q ... overall sourcing strategy. NTT DATA currently seeks a **Medical Claims Processor** to join our team in **Plano, TX...-Work independently to research, review and act on the claims -Prioritize work and adjudicate claims as… more
- NTT DATA North America (Plano, TX)
- …methodology/ fee schedule **Required Skills/Experience** + 1-3 year(s) hands-on experience in Healthcare Claims Processing + 2+ year(s) using a computer with ... strategy. NTT DATA is seeking to hire a **Remote Claims Processing Associate** to work for our end client...Work independently to research, review and act on the claims + Prioritize work and adjudicate claims … more
- Molina Healthcare (Austin, TX)
- …and work PST hours. **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization ... and cost containment information. Evaluates, writes, and presents healthcare utilization and cost containment reports and makes recommendations based on relevant… more
- Dallas Behavioral Healthcare Hospital (Desoto, TX)
- …and corresponds with insurance companies in an effort to obtain accurate reimbursement for healthcare claims . . Duties include but are not limited to: + Utilize ... companies and healthcare professionals to resolve issues resulting from denied claims + Adhere to coding policies and procedures consistent with the industry… more
