- Molina Healthcare (TX)
- …in Medicaid, Medicare, and Marketplace lines of business. + Familiarity with QNXT claims processing platform. + Knowledge of legal procedures related to complex ... across a wide range of subrogation case types-including automobile-related claims (eg, no-fault/PIP), workers' compensation, general liability, medical malpractice,… more
- Molina Healthcare (Fort Worth, TX)
- …of healthcare operations (utilization management, disease management, HEDIS quality measures, claims processing , etc.) + Knowledge of healthcare financial terms ... executive decision-making + Mine and manage information from large data sources. + Analyze claims and other data sources to identify early signs of trends or other… more
- Mass Markets (TX)
- …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... MCI Federal Services (MFS), OnBrand24, The Sydney Call Center, Valor Intelligent Processing (VIP), BYC Aqua, EastWest BPO, TeleTechnology, and Vinculum. The purpose… more
- Mass Markets (TX)
- …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... MCI Federal Services (MFS), OnBrand24, The Sydney Call Center, Valor Intelligent Processing (VIP), BYC Aqua, EastWest BPO, TeleTechnology, and Vinculum. The purpose… more
- The Cigna Group (Austin, TX)
- …+ Receive requests by email or telephone regarding insurance claims /policies while operating on multiple computer applications. Respond to inquiries ... route claim forms and supporting documentation to various units for final processing + Independently respond to inquiries, grievances, complaints or appeals ranging… more
- Molina Healthcare (San Antonio, TX)
- **Job Description** **Job Summary** Responsible for preparation, processing and maintenance of new members and re-enrollment. Processes and maintains health plan's ... rejections. Address a variety of enrollment questions or concerns received via claims , call tracking, or e-mail. Maintain records in the enrollment database.… more
- Molina Healthcare (San Antonio, TX)
- …**Required Experience** + 3-5 Years of experience with healthcare-related data ( claims /encounters, provider, CMS/EDGE response files, etc. + 3-5 Years of experience ... of programming experience in python to support automated data validation / processing at scale (functions and objects) **PHYSICAL DEMANDS** Working environment is… more
- Molina Healthcare (Austin, TX)
- **Job Description** **Job Summary** Responsible for preparation, processing and maintenance of new members and re-enrollment. Processes and maintains health plan's ... rejections. Address a variety of enrollment questions or concerns received via claims , call tracking, or e-mail. Maintain records in the enrollment database.… more
- Ryder System (Austin, TX)
- …to areas such as: I-9 compliance, Pre-employment services, Unemployment Insurance claims , Immigration Services, Leave Administration, Drug and Alcohol program, HR ... etc.) required + Two (2) years or more relevant work experience (ie processing mass data uploads, payroll, organizational changes, etc.) required + Proficient in… more
- WTW (Dallas, TX)
- … administration, as well as of vendors' processes and operating environment + Claims processing knowledge/exposure to one or more administrator claim systems ... As a Field Auditor, you will apply your medical claims audit, project management and claim processing ...work in a "hybrid" style, with a mix of remote , in-person and in-office interactions dependent on the needs… more