- Mass Markets (TX)
- …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... services. Our contact centers are powered by both on-site and remote agents, leveraging advanced technologies to enhance customer journeys, drive scalability… more
- Molina Healthcare (Dallas, TX)
- …overpayment recoveries in a managed care or payer environment. + In-depth knowledge of medical and hospital claims processing , including CPT/HCPCS, ICD, and ... requirements related to but not limited to coverage, reimbursement, and processing functions to support systems solutions development and maintenance. This role… more
- Public Consulting Group (Austin, TX)
- …+ Third Party Administrator Services + Enhance Health and Public Safety Services + Claims Processing Services and Solutions + Consulting and Advisory Services + ... workers for work authorization, including H-1B sponsorship** . \#LI \#LI-LR1 \#LI- remote **Compensation:** Compensation for roles at Public Consulting Group varies… more
- CenterWell (Austin, TX)
- …promote the organization's core values in all interactions. + Support clean claims processing procedures and recommend improvements as needed. + Provide ... Resource Groups (NRGs) + Career development opportunities Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may… more
- Guardian Life (Austin, TX)
- …AI. + Apply AI/ML to unstructured data sources such as insurance contracts, medical records, sales notes, and customer service logs. + Deliver solutions that enhance ... underwriting risk assessment, claims auto-adjudication, and customer servicing. Operational Excellence + Establish scalable processes, frameworks, and governance… more
- Humana (Austin, TX)
- …Clinical Certifications, CPC, CCS, CFE, AHFI). + Understanding of healthcare industry, claims processing and investigative process development. + Experience in a ... be moving forward to next round of interviews. Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be… more
- Cayuse Holdings (Austin, TX)
- …+ 8 years' experience with Medicaid systems and processes. + 8 years' experience in claims processing . + Must be able to pass a background check. May require ... sector environment. **Our Commitment to you / overview of benefits** + Medical , Dental and Vision Insurance; Wellness Program + Flexible Spending Accounts… more
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