- Kelsey-Seybold Clinic (Pearland, TX)
- …meet work standards and performance measures for this position **Job Title: Claims Processing Specialist ** **Location: Pearland Administrative Office** ... laws and regulations governing Medicare billing practices, medical billing systems, and claims processing . Preferred: IDX/EPIC, PC skills, and understanding of… more
- Acosta Group (Irving, TX)
- …to provide high quality service to clients and make continuous improvements in claims processing . **RESPONSIBILITIES** + Trains and mentors Claim associates on ... **DESCRIPTION** The Claims Resolution Specialist is responsible for...procedures for assigned clients and adheres to them when processing claims + Makes the final decision… more
- Cognizant (Austin, TX)
- …ensuring all mandated government and state regulations are consistently met + Processing claims for multiple plans with automated and manual differences ... ** Claims Process Specialist (remote)** **JOB PURPOSE**...Minium of two-three years of Medicaid and or Commercial claims payer processing experience. Technical Competencies: +… more
- Sedgwick (Austin, TX)
- …Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Sr. Claims Specialist , Medical Malpractice (LTC) **PRIMARY PURPOSE** : To analyze ... complex or technically difficult medical malpractice claims ; to provide resolution of highly complex nature and/or severe injury claims ; to coordinate case… more
- Kelly Services (Wichita Falls, TX)
- …always easy. That's where Kelly (R) Professional & Industrial comes in. We're seeking ** Claims Specialist ** to work in a temporary to hire opportunity with a ... at home to do this position **Job Duties:** + Processing complex claims requiring investigation and coding...so let's get to work. Apply to be a Claims Specialist today! As part of our… more
- CVS Health (Austin, TX)
- …- Reviews pre-specified claims or claims that exceed specialist adjudication authority or processing expertise. - Applies medical necessity guidelines, ... every day. **Position Summary** Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. Acts as a… more
- Mass Markets (Killeen, TX)
- …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... in the industry. We are seeking a detail-oriented and analyticalOn-SiteClaims Adjudication Specialist to join our team! If you have strong critical thinking skills,… more
- CVS Health (Austin, TX)
- …dollar amount level on customer service platforms by using technical and claims processing expertise. + Applies medical necessity guidelines, determine coverage, ... organizational, and interpersonal skills. **Preferred Qualifications** + DG system claims processing experience. + Associate degree preferred. **Education**… more
- Fresenius Medical Center (Plano, TX)
- …AND RESPONSIBILITIES: + Under general supervision, identify and resolve routine outstanding claims . + Generate and analyze diverse reports and work lists in the ... from past due accounts. + Ensure timely receipt of claim payments; processing payments accordingly and reconciling all necessary data. + Perform all responsibilities… more
- HCA Healthcare (El Paso, TX)
- …As an **Insurance Follow up Representative** , you will be responsible for processing insurance accounts to address claim issues and thereby affect payment and/or ... you will need:** + Minimum 1-2 years' experience in Medical Insurance Claims Follow-up for a facility, medical clinic, or doctor's office and experience… more
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