Claims Processing Jobs in Texas
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Search Results - Claims Processing Jobs in Texas
Gainwell Technologies LLC-Austin
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...
2 similar jobs: Dallas, Houston
University Health-San Antonio
experience may be accepted in lieu of degree. 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...
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...
Irving
and responsibilities you would take on in this role:
Claims Processing:
• Review and assess a large volume of warranty claims submitted by service centers and Fleet Warranty Administrators.
• Verify warranty coverage and eligibility criteria for each claim.
• Ensure...
icims.com -
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...
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...
Disability Solutions-Fort Worth
as they pertain to insurance claim processing and third-party reimbursement
• Detailed knowledge of diversified insurance plans including Medicare, Medicaid and commercial payors, and claim processing and reimbursement methodologies
• Prior experience with Epic...
San Angelo
paced environment
• Strong client service and communication skills
• Ability to work independently and solve problems efficiently
Preferred
• Experience in employee benefits TPA organizations COBRA or claims processing
• Familiarity with benefits...
aleragroup.com -
UnitedHealth Group-Whitney (TX)
Certification Board) Certified
• 2+ years of Pharmacy Technician experience
• 6+ months of experience with insurance claims processing, rejection, and resolution
• Experience with various insurances, pre-approval & authorizations process, and rejections...
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...
randstadusa.com -
Trinity Envision Business Services LLC-Plano
out your skillsetyoull be evolving it.
Role Overview
~~~
As a Developer, you will:
• Work on RxCLAIM / Claim Adjudication enhancements, focusing on claim processing logic and system integrations.
• Develop and enhance applications interacting...
jobvertise.com -
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...
tiptopjob.com -
2 similar jobs: San Antonio, Houston
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...
tiptopjob.com -
2 similar jobs: Dallas, San Antonio
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)...
tiptopjob.com -
2 similar jobs: Dallas, San Antonio
San Antonio
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...
tiptopjob.com -
2 similar jobs: Dallas, Houston
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