• Encounter Data Management Professional

    Humana (Austin, TX)
    …to make an impact** **Required Qualifications** + 1 - 5 years or more of claims processing experience + Minimum of 1 year experience in conducting thorough root ... first** The Encounter Data Management Professional ensures data integrity for claims errors. The Encounter Data Management Professional work assignments are varied… more
    Humana (08/22/25)
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  • Managed Care Representative II

    Kelsey-Seybold Clinic (TX)
    …Preferred: N/A **Special Skills** Required: Strong knowledge of HMOPlan Design and Claims Processing Managed Care Representatives must build and maintain ... to health plan operations including benefit interpretation for providers, claims resolution, referral inquiries, general plan benefits, Kelsey-Seybold Clinic… more
    Kelsey-Seybold Clinic (08/08/25)
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  • Member Services Representative II -Kspa

    Kelsey-Seybold Clinic (TX)
    …Skills** Required: Strong knowledge of HMOPOS and TPA Plan Design and Claims Processing Member Service Representatives must build and maintain productive ... to administrative issues related to health plan operations including claims resolution, premium billing, medical benefit interpretation, organization and coverage… more
    Kelsey-Seybold Clinic (08/08/25)
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  • Patient Service Specialist - Medical Front Office

    Select Medical (Midlothian, TX)
    …documents. + Reconciles and posts charges daily and other reporting to ensure clean claim processing . + Responds to all request for information from patients, ... and fulfilling lives beyond our doors. + Health, Dental, and Vision insurance ; Life insurance ; Prescription coverage + Paid Time Off (PTO) and Extended Illness… more
    Select Medical (08/23/25)
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  • Patient Service Specialist - Medical Front Office

    Select Medical (Argyle, TX)
    …documents. + Reconciles and posts charges daily and other reporting to ensure clean claim processing . + Responds to all request for information from patients, ... and fulfilling lives beyond our doors. + Health, Dental, and Vision insurance ; Life insurance ; Prescription coverage + Paid Time Off (PTO) and Extended Illness… more
    Select Medical (08/21/25)
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  • Patient Service Specialist - Medical Front Office

    Select Medical (Frisco, TX)
    …documents. + Reconciles and posts charges daily and other reporting to ensure clean claim processing . + Responds to all request for information from patients, ... and fulfilling lives beyond our doors. + Health, Dental, and Vision insurance ; Life insurance ; Prescription coverage + Paid Time Off (PTO) and Extended Illness… more
    Select Medical (08/08/25)
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  • Patient Service Specialist - Medical Front Office

    Select Medical (Frisco, TX)
    …documents. + Reconciles and posts charges daily and other reporting to ensure clean claim processing . + Responds to all request for information from patients, ... and fulfilling lives beyond our doors. + Health, Dental, and Vision insurance ; Life insurance ; Prescription coverage + Paid Time Off (PTO) and Extended Illness… more
    Select Medical (07/27/25)
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  • Medicaid Provider Hospital Reimbursement…

    Humana (Austin, TX)
    …of experience researching MS-DRG, APR-DRG and/or EAPG grouper logic + Experience processing or reviewing facility claims + Prior professional experience ... closely with IT, the pricing software vendor, CIS BSS, Medicaid operations, claims operations, and other business teams involved in the administration of Medicaid… more
    Humana (08/14/25)
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  • Site Auto Appraiser (CAT Repair Solution)

    Sedgwick (Austin, TX)
    …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Site Auto Appraiser (CAT Repair Solution) **PRIMARY PURPOSE** **:** To inspect, ... directly with auto repair facilities to determinate supplemental repair processing and provides a supplemental estimate. **ADDITIONAL FUNCTIONS and… more
    Sedgwick (07/30/25)
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  • Patient Service Specialist - Medical Front Office

    Select Medical (Carrollton, TX)
    …documents. + Reconciles and posts charges daily and other reporting to ensure clean claim processing . + Responds to all request for information from patients, ... completed efficiently and accurately. Tasks include check in, check out, insurance verifications, scheduling, reports, faxing and scanning and other office duties.… more
    Select Medical (08/08/25)
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