- Mass Markets (Dallas, TX)
- …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... Representatives to support inbound customer service, help desk, and back-office processing representatives for commercial and public sector support positions. In… more
- Mass Markets (Killeen, TX)
- …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... service agents to support inbound customer service, help desk, and back-office processing representatives . In this role, you will provide full lifecycle customer… more
- 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
- Marathon Petroleum Corporation (San Antonio, TX)
- …and approves complex freight, lightering, time charter hire invoices and post fixture claims for chartered vessels per the charter party contract. * Maintains close ... and spot-chartered vessels.* Reconciles and negotiates complex off hire/underperformance claims for company-chartered vessels.* Completes accurate review and payment… more
- Evolent (Austin, TX)
- …customer accounts + Strong knowledge of health plan operations, care/utilization management, claims processing , value-based care, and the levers to optimize ... Solutions, Strategic Accounts, Analytics, Client Finance, Implementation, Clinical Operations, Medical , Quality, and Call Center Teams) to identify new… more
- Adecco US, Inc. (Irving, TX)
- …commercial insurance, and specialty pharmacy. + Experience with prior authorizations, claims processing , and appeals. + Strong communication, presentation, and ... access and reimbursement barriers. + Manage benefit investigations, prior authorizations, claims escalations, and appeals. + Deliver payer insights and education on… more
- Actalent (Fort Worth, TX)
- …access their medications quickly and accurately. This role involves handling calls, processing insurance claims , and resolving copay issues-all while delivering ... with patients, providers, and insurers. + Process live insurance claims and assist with copay programs. + Update patient...for this temporary role may include the following: * Medical , dental & vision * Critical Illness, Accident, and… more
- 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
- Simplot (College Station, TX)
- …a true farm-to-table company with an integrated portfolio including food processing and food brands, phosphate mining, fertilizer manufacturing, farming, ranching ... the region. Work with Crop Advisors and sales leadership to evaluate crop claims . Provide feedback and suggestions to the Digital Platform Manager for the digital… more
- 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