- Mass Markets (Dallas, TX)
- …+ Ensure first call resolution through problems solving and effective call handling + Follow the processes of the Client program and perform all tasks in a courteous ... call details + Accurately document call resolution in appropriate systems + Strictly follow client process for handling financial issues and inquiries + Comply with… more
- Cognizant (Austin, TX)
- …following benefits for this position, subject to applicable eligibility requirements: * Medical /Dental/Vision/Life Insurance * Paid holidays plus Paid Time Off * ... the Health Plan/Payer. The comprehensive process includes analyzing, reviewing, and processing medical necessity denials for resolution. You will be a valued member… more
- US Anesthesia Partners (Austin, TX)
- …requirements of the job with or without a reasonable accommodation) + Contacts insurance companies for status on outstanding claims . + Processes and follows ... up on appeals to insurance companies. + Refiles claims as needed....reimbursement, and percentages for appropriate adjustments. + Understanding of Medical terminology. + Advanced knowledge of insurance … more
- Caris Life Sciences (Irving, TX)
- …patient insurance information needed to complete coverage verification. + Verifies insurance eligibility to ensure claims are billed accurately and in ... Our Verification/ Authorization Associates are responsible for verifying active insurance coverage, obtaining all necessary facility and specimen collection… more
- Mass Markets (TX)
- …+ Ensure first call resolution through problems solving and effective call handling + Follow the processes of the Client program and perform all tasks in a courteous ... call details + Accurately document call resolution in appropriate systems + Strictly follow client process for handling financial issues and inquiries + Comply with… more
- BrightSpring Health Services (Denton, TX)
- …rights of the person(s) served to achieve an enhanced quality of life + Follow agency procedures to promote optimum health care and behavioral supports to maintain ... personnel costs, consultant services, etc + Monitors worker's compensation and unemployment claims for assigned service site(s) + Is proactive in efforts to reduce… more
- UIC Government Services and the Bowhead Family of Companies (Austin, TX)
- …of Defense and many federal agencies. Bowhead offers competitive benefits including medical , dental, vision, life insurance , accidental death and dismemberment, ... punctuality. + Capable of working independently with minimal supervision. + Able to follow verbal and written instructions accurately. + Works effectively as part of… more
- Utilities Service, LLC (Longview, TX)
- …**Pay** :Competitive Hourly **Benefits:** + Company-sponsored Retirement Plan + Health Insurance ( Medical /Dental/Vision) + Employee Assistance Program + Life, ... long-term/short-term disability insurance **Essential Functions & Responsibilities:** + Plans, coordinates, and...be delegated the authority to investigate incident reports, damage claims , etc., and to settle minor damage claims… more
- Elevance Health (Grand Prairie, TX)
- …distance from an office._** The **Business Strategy Plan Director- MedEx ( Medical Expense) Management** is responsible for managing the development and ... implementation of medical expense management initiatives for assigned Carelon Health business...human capital resources, and partners with care management, network, claims & operational teams, IT, and business partners. +… more
- Elevance Health (Grand Prairie, TX)
- …fraud and abuse prevention and control. + Review and conducts analysis of claims and medical records prior to payment. Researches new healthcare-related ... Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The **Clinical Fraud Investigator II** is responsible for… more