- Humana (Austin, TX)
- …Operations encompasses critical functions including care coordination, quality measurement, billing, claims processing , and customer service, each essential to ... claims , and customer service). + Collaborate with each Insurance Operations function to identify, understand, and align Stars-related business strategies,… more
- Mass Markets (TX)
- …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... satisfaction and retention. + Respond to customer inquiries regarding coverage, benefits, claims , and other insurance -related questions. + Maintain accurate and… more
- Mass Markets (Killeen, TX)
- …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... of a globally expanding, industry-leading organization. We are hiring licensed insurance customer service agents to support inbound customer service, help desk,… more
- Elevance Health (Houston, TX)
- …within the enterprise. Included are processes related to enrollment and billing and claims processing , as well as customer service written and verbal inquiries. ... complex audits. + Participates in pre and post implementation audits of providers, claims processing and payment, benefit coding, member and provider inquiries,… more
- Cardinal Health (Austin, TX)
- …necessary, or appropriate. + Acts as a subject matter expert in claims processing . + Processes claims : investigates insurance claims ; properly ... maintain optimal account receivables performance and client satisfaction. + Resolves complex insurance claims , including appeals and denials, to ensure timely… more
- Sedgwick (Fort Worth, TX)
- …college or university preferred. **Experience** Four (4) years of experience in claims processing or related business experience, or equivalent combination of ... to Work(R) Fortune Best Workplaces in Financial Services & Insurance Remote Customer Service Specialist- Remote **SCHEDULE: Sun/Mon/Tues/Wed/Fri 9:30am-6:30pm EST**… more
- Guardian Life (Plano, TX)
- …ethical business practices. **Responsibilities** + Review & ensure that determination and processing of claims , referralsand appeals meet state regulations, time ... + Participate in the development and maintenance of clinical processing policies, for both DHMO and PPO. + Ensure...is preferred + A thorough understanding of the dental insurance industry, claims management experience, and a… more
- Cardinal Health (Austin, TX)
- …to Cardinal Health_** Account Receivable Specialist is responsible for verifying patient insurance and benefits, preparing and submitting claims to payers, ... and transmitting claims using billing software including electronic and paper claim processing + Following up on unpaid claims within standard billing cycle… more
- Molina Healthcare (Dallas, TX)
- …is likely to be made, to ensure medical necessity and appropriate/accurate billing and claims processing . + Reevaluates medical claims and associated records ... Duties** + Facilitates clinical/medical reviews of retrospective medical claim reviews, medical claims and previously denied cases in which an appeal has been made,… more
- PNC (TX)
- …insurance items. Additional analytical responsibilities may be assigned, with regards to claims and lender placed insurance coverage. An ideal candidate will ... Pennsylvania, Birmingham, Alabama, Dallas or Houston, Texas. In PNC Midland's Insurance department, you will be responsible for determining compliance of commercial… more