Claims Processing Jobs in Houston
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Search Results - Claims Processing Jobs in Houston
Gainwell Technologies LLC-Houston
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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CFS-Houston
and thrive on improving processes across clinical, operational, and technical teams, this is an opportunity to make a significant impact.
What You’ll Do:
• Audit the performance of the third-party billing vendor, including claims processing, denial...
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Jobot-Houston
responsible for the accurate and efficient data entry of paper claims into our claims processing system. This role is critical in ensuring compliance with all regulatory guidelines, particularly in relation to Claim Acknowledgement Regulatory Turn Around Time...
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Houston
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 -
Ameritas-Houston
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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Houston
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 -
Conduent State Healthcare, LLC-Houston
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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Houston
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 -
Direct Jobs-Shenandoah (TX), 42 mi from Houston
Responsibilities
Charge Entry and Claims Processing
• Review reports, encounter forms, fee tickets, and medical records to accurately capture, enter or accept charges.
• Verify patient and insurance information before claim submission.
• Ensure...
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appcast.io -
Houston
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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