- NTT DATA North America (Dallas, TX)
- …applicable methodology/ fee schedule/ Required Skills for this role include: + 2 years of healthcare claims processing (full cycle: Pay, Pend, Deny) + 2 ... new software tools + High school diploma or GED. Preference + Experience processing claims in Amisys or Xcelys is a plus. + Ability to communicate (oral/written)… more
- NTT DATA North America (Plano, TX)
- …using applicable methodology/ fee schedule **Requirements:** + 1-3 year(s) hands-on experience in ** Healthcare Claims Processing ** + 2+ year(s) using a ... for the people who work here. NTT DATA is seeking to hire a **Remote Claims Processing Associate** to work for our end client and their team. **In this Role the… more
- NTT America, Inc. (Plano, TX)
- …methodology/ fee schedule **Job Requirements and Skills:** + 1-3 year(s) hands-on experience in Healthcare Claims Processing + 2+ year(s) using a computer ... apply now. We are currently seeking a Remote Medical Claims Examiner to join our team in Plano, Texas...this Role the candidate will be responsible for:** + Processing of Professional claim forms files by provider +… more
- CVS Health (Austin, TX)
- …by the stop loss carrier. **Required Qualifications** *Minimum of 1 year of experience in healthcare claims processing *Minimum of 2 years of experience with ... This challenging role provides exposure to virtually all aspects of healthcare claims administration, from reinsurance/stop loss, data analytics, provider… more
- Molina Healthcare (Houston, TX)
- …communicate written and verbal + Knowledge of verifying documentation related to updates/changes within claims processing system . + Experience using claims ... equivalent combination of education and experience **PREFERRED EXPERIENCE:** 3+ years Healthcare Claims Adjudication **PHYSICAL DEMANDS:** Working environment is… 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 ... 100% remote (work from home-WFH) contact **Patient Support Medical Claims Processing Representative** to join our team....good for IQVIA, our clients, and the advancement of healthcare everywhere. This role will be a contract role… more
- Zelis (TX)
- …Overview We are seeking a detail-oriented and technically skilled analyst to support healthcare claims repricing and data validation efforts. In this role, you ... teams with data-driven insights. Success in this role requires deep familiarity with healthcare claims data, strong SQL proficiency, and a solid understanding of… more
- Molina Healthcare (San Antonio, TX)
- …Experience. **Required Experience** * 7 years' experience in healthcare claims review and/or Provider appeals and grievance processing /resolution, including ... Contracted Provider disputes and appeals to ensure adherence with Molina claims processing standards and provider contractual agreements. Includes responsibility… more
- Cognizant (Austin, TX)
- …* 1 year of Facets experience. * Experience in the analysis and processing of claims for payments, utilization review/quality assurance procedures. * Must ... Friday 8am - 4:30pm ET **Experience:** A minimum of 2 years of claim processing is required. **Travel:** None required **About the role:** As Claims Adjudication… more