- USAA (Plano, TX)
- …systems to collect and analyze data. **What sets you apart:** + P&C Property Claims Operations and/or Optimization experience + Over 2 years MCO experience + Deep ... operational knowledge of end-to-end Property Claims processes + Demonstrated knowledge of new and emerging industry technology solutions + Proven ability to use… more
- USAA (San Antonio, TX)
- …Opportunity** As a dedicated **Strategic Account Relationship Manager Senior for Claims Optimization** , you will be responsible for developing, managing, growing, ... + Travel may be required. **What sets you apart:** + P&C Claims Operational experience, industry knowledge of contract requirements and experience with oversight… more
- Guidehouse (Lewisville, TX)
- …denials for trends and issues and reports findings to supervisor + Bills or re-bills claims as necessary + Ensures the client follows all state and federal rules and ... and / or plan changes as appropriate to ensure the integrity of the insurance master is maintained + Updates patient accounts with corrected demographic or … more
- Guidehouse (San Antonio, TX)
- …review/update Patient Accounting builds within Oracle Health (Cerner) EHR for insurance verification, claims submission, payment processing, account follow-up, ... a diverse and supportive workplace. Benefits include: + Medical, Rx, Dental & Vision Insurance + Personal and Family Sick Time & Company Paid Holidays + Position may… more
- Mass Markets (TX)
- …satisfaction and retention. + Respond to customer inquiries regarding coverage, benefits, claims , and other insurance -related questions. + Maintain accurate and ... a trusted partner in the industry. We are seeking a Licensed Life and Health Insurance Specialist who will play a vital role in educating and guiding customers to… more
- Command Investigations (Laredo, TX)
- …hire. Visit our website and find out why at www.GoCommand.com . The Claims Investigator should demonstrate proficiency in the following areas: + AOE/COE, Auto, or ... and Microsoft Outlook (email) Full-Time benefits Include: + Medical, dental and vision insurance + 401K + Extensive performance bonus program + Dynamic and fast… more
- Catholic Health Initiatives (Houston, TX)
- …requirements. Reports are produced for Revenue Cycle functions such claims submission, insurance follow‐up, cash management, credits/refunds, charge/payment ... standing. 10. Maintain department standard of productivity metrics related to claims processed, claims rejected, claims denied, collection volume and rates… more
- GAP Solutions Inc (Austin, TX)
- …systems. + Assisting with drafting SOP's. + Processing personal liability insurance reimbursement claims . + Initiating tentative selection notifications, notice ... of results or disposition letter. + Researching and compiling information on the full range of federal HR topics. + Responding to and providing general HR guidance to applicants and staff, maintain employee files. + Provide wide ranging administrative support… more
- Guidehouse (Lewisville, TX)
- …None **Clearance Required** **:** None **What You Will Do** **:** The ** Insurance Patient Account Representative** is an extension of a client's business office ... taking in-coming and making out-going calls to patients and insurance companies to resolve account balances. All client policies...Account Review + Appeals & Denials + Medicare/Medicaid + Insurance Follow-up + Customer Service + Billing + UB-04… more
- TEKsystems (Dallas, TX)
- …billing platforms. Required Skills + Revenue cycle appeal and denial resolution + Insurance follow-up and claims audit + Appeals letter writing and submission ... for someone with strong experience in appeals, denials, and insurance follow-up within the healthcare revenue cycle. You'll work...steps. 2. Rebilling & Appeals Submission + Focus on claims ready for appeal-already vetted and prioritized. + Write… more