- 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 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
- 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
- Dallas Behavioral Healthcare Hospital (Desoto, TX)
- …research, and correspond with insurance companies to obtain accurate reimbursement for healthcare claims . This person will also be responsible for analyzing, ... and healthcare professionals to resolve issues resulting from denied claims + Adhere to coding policies and procedures consistent with the industry-standard… more
- CVS Health (Austin, TX)
- …Experience in healthcare fraud, waste and abuse + Knowledge of Medicaid healthcare claims adjudication (QNXT) & regulatory reporting + Experience with data ... skills in SQL and Python who can transform complex healthcare data into actionable insights to support fraud, waste,...investigations of potential fraud, waste, and abuse in Medicaid claims and provider activity. + Prepare timely and accurate… more
- Molina Healthcare (San Antonio, TX)
- …health, more affordably. Performs research, financial modeling, and analysis of complex healthcare claims data (medical, pharmacy and ancillary) to deliver ... through contract valuation and analysis to ensure access to quality healthcare services for people receiving government assistance. Strengthens access to quality… more
- Molina Healthcare (Austin, TX)
- …health, more affordably. Performs research, financial modeling, and analysis of complex healthcare claims data (medical, pharmacy and ancillary) to deliver ... through contract valuation and analysis to ensure access to quality healthcare services for people receiving government assistance. Strengthens access to quality… more
- Molina Healthcare (Austin, TX)
- …Experience working on SQL, PowerBI, databricks. + Experience on ETL , healthcare specifically claims is highly preferred. **JOB QUALIFICATIONS** **Required ... for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare … more