Claims Processing Jobs in Dallas
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Search Results - Claims Processing Jobs in Dallas
Dallasicims.com
processing, and adjudicating suspended healthcare claims to ensure accurate and timely payment. You will apply Medi-Cal policies, regulations, and reimbursement guidelines while evaluating member eligibility, provider information, authorizations, benefits...
Guidant FinancialDallasworkable.com
of the following areas: benefits administration, money movement and wires, insurance claims processing, tax prep processing, loan or mortgage document processing, or compliance or quality-control support
• Proficiency in using Microsoft Excel, Word, and Outlook...
University HealthDallastiptopjob.com
POSITION SUMMARY/RESPONSIBILITIES
Supervises, assists, and directs the activities of the assigned claims processing unit and the assigned staff. Responds to issues escalated through the claim examiners. Provides solutions to problems...
Seamless AssistDallascareers-page.com
billing or claims processing
• In-person patient visits
• Initiating or modifying treatment plans outside of established protocols or without provider input
Qualifications
Required:
• Active RN license in Texas or a compact state
• 2+ years of cardiac...
RandstadDallasrandstadusa.com
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...
University HealthDallastiptopjob.com
required. Amisys claims processing system experience preferred. Knowledgeable of all benefit programs offered by the CFHP, Medicaid, HMO, PPO, ASO.
University HealthDallastiptopjob.com
Three (3) years experience on AMISYS with expertise in two or more subsystems or equivalent experience in a health insurance environment. Three (3) years claims processing experience or equivalent experience in a health insurance environment.
Expertise...
Dallastiptopjob.com
management, pharmacy claims adjudication, and benefit interpretation.
• Strong knowledge of pharmacy claims processing and claim rejection resolution, with experience supporting or coordinating prior authorization decisions.
• Strong verbal and written...
Dallastiptopjob.com
claims and reimbursement issues.
• Support project:based training initiatives and perform other duties as assigned.
What were looking for
• High School Diploma/GED required.
• 1+ years of experience in third:party institutional billing, claims processing...
Dallastiptopjob.com
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...
Dallastiptopjob.com
requirements.
The ideal candidate will possess extensive knowledge of inpatient and outpatient facility billing, UB:04 claim processing, itemized bill analysis, coding guidelines, reimbursement methodologies, and payment integrity strategies.
This role...
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