- Highmark Health (Austin, TX)
- …errors and/or performing quality control review and final adjudication of paper/electronic claims . Determines whether to return, deny or pay claims following ... claims and inquiries to determine corrective action including adjusting claims as necessary and takes the corrective action steps using enrollment, benefit… more
- Sedgwick (Bedford, TX)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Administrative Case Processor Sr **PRIMARY PURPOSE** **:** Reviews and ... with customers and auto dealership personnel to review and process documentation and cases/ claims on behalf of the client program. + Generates documents for client,… more
- Sedgwick (Bedford, TX)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Administrative Case Processor This is not a Call Center Position. Work ... for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The… more
- Datavant (Austin, TX)
- …the following fields would be beneficial: Data Entry, Medical Records, Health Care, Insurance Claims Processing and Proof Reading/Editing of Documents + Ability ... + Processing medical records along with by taking calls from patients, insurance companies, and attorneys to provide medical records status + Documenting information… more
- Molina Healthcare (Fort Worth, TX)
- …portals to validate state, vendor, and internal COB leads. + Updates the other insurance table on the claims transactional system and COB tracking database. + ... other carriers are responsible for payment. This requires the maintenance of other insurance records and has a direct impact on medical expenses and premium… more
- Allied Solutions (Plano, TX)
- …Associate college degree required except in the following circumstances: + Internal insurance /recovery claim experience as a Claim Processor or Claim Specialist ... is responsible for the initial setup and investigation of claims prior to the assignment of the claim to...review database information found in systems such as Unitrac, insurance company websites, Lexis Nexis, ISO, and other automobile… more
- Kelsey-Seybold Clinic (Pearland, TX)
- …diploma or GED Preferred: Additional training as a medical office assistant, medical claims processor , or medical claims follow up specialist. **Experience** ... years' experience in a healthcare business office setting, preferably in electronic claims billing, or insurance follow up. **License(s)** Required: N/A… more
- Cognizant (Austin, TX)
- …environment and able to multi-task successfully? If so, please apply today! The Claims Processor , you will ensure accurate and timely adjudication of ... professional and hospital claims utilizing payer specific policies and procedures. Provide support...this position, subject to applicable eligibility requirements: + Medical/Dental/Vision/Life Insurance + Paid holidays plus Paid Time Off +… more
- Ally (Austin, TX)
- …Maintenance and Closure) * Collaborate with the Product, Mastercard, and the processor to implement effective client centric controls. * Optimize fraud detection ... and dispute resolution processes. * Proficiency in working with third-party processor tools for card controls, rules, transaction monitoring, and reporting. *… more