Claims Processing Jobs in Plano
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Search Results - Claims Processing Jobs in Plano
Orangepeople LLCPlanomindmatch.ai
Knowledge of OmniStudio for complex process orchestration.
• Prior work on dispute resolution, claims processing, or case-intensive workflows.
• Background in financial services, insurance, or other heavily regulated industries.
• Experience evaluating...
NTT DATAPlano
Financial Services, Oracle Financials, or similar systems.
• Strong understanding of financial and insurance business processes including payments, settlements, policy lifecycle management, claims processing, and financial accounting.
• Familiarity with data...
PepsicoPlanopepsicojobs.com
the financial impact of promotional events such as Must Buys, Power of One, Temporary Displays, Store Contests, Coupons, etc.
• Effectively manage trade accruals and claims processing to minimize over- and under-accruals on trade spend (throughout the year...
Texas Retina AssociatesPlanoexponentats.com
federal, and third-party claims processing required.
Demonstrate knowledge of state & federal collections guidelines.
Experience with NextGen preferred.
Must successfully complete required training within 90 days of occupying position.
Skills...
Webilent Technology, Inc.Lewisville, 23 mi from Plano
a QA Automation Test Engineer with strong healthcare domain knowledge, specifically in EDI transactions, X12 file formats, and Claims processing applications. The ideal candidate has solid automation engineering experience, understands end-to-end claims...
Carrollton, 11 mi from Planoicims.com
discrepancies, and ensures appropriate escalation and/or follow-up.
• Maintain accurate provider records in the credentialing platform to serve as the single source of truth, ensuring data integrity, regulatory compliance, and timely claims processing...
Innovative Systems GroupRichardson, 6 mi from Plano
To Correspondence From Providers Or Members Concerning Medical Determinations.
Knowledge of accreditation, i.e. URAC, NCQA standards and health insurance legislation.
Awareness of claims processes and claims processing systems.
PC proficiency to include Microsoft...
Texas Retina AssociatesPlanoexponentats.com
experience required.
Demonstrate knowledge of state, federal, and third-party claims processing required.
Demonstrate knowledge of state & federal collections guidelines.
Experience with NextGen preferred.
Must successfully complete required training...
Gainwell Technologies LLCDallas, 6 mi from Plano
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...
Texas Retina AssociatesPlanoexponentats.com
experience required.
Demonstrate knowledge of state, federal, and third-party claims processing required.
Demonstrate knowledge of state & federal collections guidelines.
Experience with NextGen preferred.
Must successfully complete required training...
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