Claims Processing Jobs in Dallas
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Search Results - Claims Processing Jobs in Dallas
Sonic Healthcare USA, Inc-Dallas
you'll do:
• Research and properly correct claim rejections/edits submitted to the clearinghouse for claims processing and payment.
• Identify trends related to EDI transactional edits to potentially create rule in billing system to eliminate or reduce...
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Randstad-Dallas
party payers to resolve outstanding insurance balances and underpaid claims.
• Payer Navigation: Review Explanations of Benefits (EOBs) to determine claim processing logic and contact carriers for status updates on claims, appeals, and insurance...
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randstadusa.com -
Gainwell Technologies LLC-Dallas
of Benefits (COB), Medicaid Reclamation, commercial medical claims processing, appeals, auditing procedures, reimbursement methodologies, and related operational requirements. This position supports claims operations by ensuring employees understand complex...
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Dallas
in claims business analysis, configuration, or healthcare operations, with strong experience in end:to:end claims workflows
• Advanced knowledge of healthcare claims processing, including coding (ICD:10, CPT, modifiers), billing, and adjudication rules...
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tiptopjob.com -
Conduent State Healthcare, LLC-Dallas
skills.
• Medicaid Drug Rebate Program (MDRP) experience.
• Experience with (Medical Rebate Systems, MMIS, and Rabate Administration Platforms).
• Knowledge of (Pharmacy Claim Processing, National Drug Codes (NDCs), Unit Rebate Amounts (URAs...
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Dallas
and document discrepancies such as duplicate claims, unbundled services, upcoding, and other billing errors.
• Communicate audit findings and recommend corrective actions to the claims processing team or management.
• Apply auditing methodologies and regulatory...
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tiptopjob.com -
Ameritas-Dallas
services.
• This position is remote (within Nebraska) and does not require regular in-office presence.
The Claims Examiner processes dental claims by using claims knowledge in accordance with the specific policy and/or processing guidelines...
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Dallas
on this position.
Your role in our mission
Take ownership of business analysis leadership on a large, cross:functional modernization effort supporting pharmacy claims processing standards.
• Serve as the lead Business Analyst and Project Business Lead (BL)...
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tiptopjob.com -
Software Guidance & Assistance-Irving, 15 mi from Dallas
PHI data
• Experience with SSAS (MDX or DAX)
• Experience in developing Web services
Preferred Skills :
• Medical claims processing background
SGA is a technology and resource solutions provider driven to stand out. We are a women-owned business...
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Dallas
Strong problem:solving, collaboration, and technical documentation skills.
• Healthcare IT or claims processing experience is strongly preferred.
• Expertise with multiple claims bundling/editing software platforms is desired
What you should expect...
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tiptopjob.com -
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