• Claims Processing

    Humana (Austin, TX)
    **Become a part of our caring community and help us put health first** The Claims Processing Representative 1 reviews and adjudicates complex or ... specialty claims , submitted via paper. The Claims Processing Representative 1 performs basic administrative/clerical/operational/customer… more
    Humana (11/24/25)
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  • TVC - Claims Benefit Advisor (Veterans…

    Texas Veterans Commission (Borger, TX)
    …of Veteran Affairs. . Knowledge of laws, rules, and regulations applicable to the processing of veterans' claims ; and of assessment techniques. . Fluent in ... solving. . Ability to interpret laws, rules, and regulations applicable to the processing of veterans' claims . . Ability to communicate effectively both orally… more
    Texas Veterans Commission (09/17/25)
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  • Remote Medical Claims Representative

    NTT DATA North America (TX)
    …**Required Skills/Experience** + 1 + year(s) hands-on experience in **Healthcare Claims Processing ** + **Previously performing - in P&Q work environment; ... sourcing strategy. NTT DATA currently seeks a Remote **Medical Claims Representative ** to join our team in...DATA only. **Role Responsibilities** **- Pay rate is $18.00** - Processing of Professional claim forms files by provider -Reviewing… more
    NTT DATA North America (10/30/25)
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  • Call Center Claims Representative

    Mass Markets (Killeen, TX)
    …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... globally expanding, industry-leading organization. We are looking forCall Center Claims Representativesto support inbound customer service, help desk, and… more
    Mass Markets (10/13/25)
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  • BILINGUAL Claims Research & Resolution Rep…

    Humana (Austin, TX)
    …based on business needs. **Preferred Qualifications** + Bachelor's Degree + Prior claims processing experience + Overpayment experience + Financial recovery ... community and help us put health first** The Bilingual Claims Research & Resolution Representative 2 manages...(Spanish / English) (see Language Proficiency Testing below)** + ** 1 or more years of Call Center or Telephonic… more
    Humana (11/21/25)
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  • Dallas Technical Support Representative

    Mass Markets (Dallas, TX)
    …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... POSITION OVERVIEW TECHNICAL SUPPORT REPRESENTATIVE (FULL-TIME) As a technical support representative...issues when needed + Accurately document and process customer claims in appropriate systems + Utilize knowledge base and… more
    Mass Markets (10/19/25)
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  • Grievances & Appeals Representative

    Humana (Austin, TX)
    …Previous inbound call center or related customer service experience o Previous experience processing medical claims o Bilingual (English and Spanish); with the ... help us put health first** The Grievances & Appeals Representative 3 manages client denials and concerns by conducting...and speak English and Spanish o Experience with the Claims Administration System (CAS) o Experience working with MHK… more
    Humana (11/21/25)
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  • Call Center Representative (Full-Time)

    Mass Markets (Dallas, TX)
    …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... POSITION OVERVIEW CUSTOMER SERVICE REPRESENTATIVE SUPPORTING COMMERCIAL AND PUBLIC SECTOR CLIENTS We...to support inbound customer service, help desk, and back-office processing representatives for commercial and public sector support positions.… more
    Mass Markets (10/14/25)
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  • Inbound Helpdesk Representative ($15/hr.)

    Mass Markets (Dallas, TX)
    …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... representativesto support inbound customer service, technical support, and back-office processing representatives for commercial and public sector support positions.… more
    Mass Markets (10/03/25)
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  • Accounts Receivable Representative III -…

    US Anesthesia Partners (Austin, TX)
    …non-merit based factors. (https://careers-usap.icims.com/jobs/16758/accounts-receivable- representative -iii rcm/job?mode=apply&apply=yes&in\_iframe= 1 ... Overview The Accounts Receivable Representative III is responsible for collecting outstanding accounts...accommodation) + Contacts insurance companies for status on outstanding claims . + Processes and follows up on appeals to… more
    US Anesthesia Partners (10/14/25)
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