- Elevance Health (Grand Prairie, TX)
- …associated with fraud and abuse. **How you will make an impact:** + Examines claims for compliance with relevant billing and processing guidelines and identifies ... fraud and abuse prevention and control. + Reviews and conducts analysis of claims and medical records prior to payment and uses required systems/tools to accurately… more
- Otsuka America Pharmaceutical Inc. (Austin, TX)
- …third-party data assets, including Xponent Plantrak, DDD, HCOS, Claims Data, Specialty pharma, omnichannel data, SalesForce/Veeva (Call/Sample/Detail), etc. ... basic life, accidental death & dismemberment, short-term and long-term disability insurance , tuition reimbursement, student loan assistance, a generous 401(k) match,… more
- Elevance Health (Houston, TX)
- …+ Requires a HS diploma or equivalent and a minimum of 4 years of claims processing and/or customer service experience; or any combination of education and ... responsible for the discovery, validation, recovery, and adjustments of claims overpayments. May do all or some of the...level degree preferred. + Knowledge and experience with CIW processing . Please be advised that Elevance Health only accepts… more
- UIC Government Services and the Bowhead Family of Companies (San Antonio, TX)
- …tasked with managing patient's health records and history, patient information, processing discharge paperwork and various administrative duties within BAMC at Fort ... treatment. Manage the appointment line to facilitate patient reception and appointment processing . Bring any issues regarding eligibility to the attention of clinic… more
- Robert Half Accountemps (Dallas, TX)
- …external service providers. + Track incoming payments for accounts receivable, including insurance claims , patient balances, and reimbursements. + Follow up on ... and analysis. + Basic understanding of medical coding practices (eg, CPT, ICD-10) and insurance claims processes is a plus. + Attributes: + Exceptional attention… more
- Humana (Austin, TX)
- …make an impact** **Required Qualifications** + Minimum 1 year of experience in medical claims payment and processing + Minimum 1 year of experience analyzing and ... cross functional teams and support analyzing business processes, error processing , issues and ticket creations with the product management...researching medical claims + Proficient in Microsoft Office (Word, Excel, Access,… more
- Mass Markets (TX)
- …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... one or more of the following: call center, sales, insurance adjusting, or technical customer service (preferably in a...+ Proficiency with computers is essential. + Proficiency in claims management systems, contact center platforms, and MS Office… more
- Mass Markets (El Paso, TX)
- …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... and provide accurate solutions. + Use internal systems to manage accounts, process claims , and update records. + Follow scripts and procedures to ensure compliance… more
- Mass Markets (Killeen, TX)
- …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... to complete account management tasks + Accurately document and process customer claims in appropriate systems + Follow all required scripts, policies, and procedures… more
- Mass Markets (Dallas, TX)
- …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... to resolve issues when needed + Accurately document and process customer claims in appropriate systems + Utilize knowledge base and training to accurately… more