Claims Processing Jobs in Texas
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Search Results - Claims Processing Jobs in Texas
MindriftSan Antonioworkable.com
is project-based, not permanent employment.
What this opportunity involves
While each project involves unique tasks, contributors may:
• Evaluate AI-generated auto insurance claims decisions for accuracy, coverage correctness, and regulatory compliance...
Peyton Resource GroupSan Antonio
Job Purpose
The Claims Examiner & Support Specialist Level I is responsible for accurately processing health plan delegated claims, addressing provider inquiries via phone calls, and handling various administrative tasks within the department...
Glint Tech Solutions LLCPlanocareers-page.com
position requiring a true SME in Prior Authorizations, FACETS, 278 transactions, and Claims Processing. The ideal candidate brings 15+ years in healthcare and payer operations, with the last 8+ years in a Clinical Product Manager capacity.
Day-to-day...
Hornet Staffing, Inc, a GEE Group companyIrving
service inquiries
• Ensure HIPAA compliance and protection of PHI
Requirements:
✔ High School Diploma or GED
✔ Claims processing experience preferred
✔ Knowledge of UB-04 and CMS-1500 claims
✔ Strong attention to detail and accuracy...
EYECARE SERVICES PARTNERS MANAGEMENT, LLCDallasoasisrecruit.com
heard and respected as well as clear, attainable career ladder opportunities.
You must bring at least one to two years of experience in ophthalmology billing and one to two plus years of RCM, Medical Collections, Claims Processing, or AR experience...
Addison GroupSan Antonio
Experience:
• 2+ years of medical billing experience required.
• Experience with outpatient billing strongly preferred, including physical therapy, occupational therapy, speech therapy, wound care, or hyperbaric services.
• Knowledge of claims processing...
Irvingicims.com
and timely submission of enrollment forms, claims, and other necessary documentation to insurance carriers.
• Verify and maintain accurate provider information in the EDI system to ensure smooth claims and payment processing.
• Troubleshoot and resolve EDI...
LAZ ParkingHouston
prevention initiatives, and claims processing including claims investigation, client and guest follow-up, and compliant reporting.
• Responsible for overall financial success including audit compliance and ensuring the operation follows audit protocol...
RandstadHoustonrandstadusa.com
to industry regulatory requirements, ensuring HR practices champion a safe and compliant work environment.
Skills
• Talent Acquisition (10 years of experience is required)
• onboarding (8 years of experience is required)
• Claims Processing
• Human Resources...
Gainwell Technologies LLCHouston
tasks as directed
What were looking for
• 5+ years' experience with Medicaid Drug Rebates, Medical/Pharmacy claims processing, Pharmacy and/or medical billing is highly preferred
• Drug Rebate system experience such as PRIMS, SSRS Reports, Process...
OSI VISION LLCSan Antoniognahiring.com
Advocate for reduced treatment costs and prepare validated claims for submission to AFSAT/FMF for processing.
• Explain IMS medical insurance processes and Invitational Travel Order (ITO) coverage to treatment facilities and coordinate with the base TRICARE...
2 similar jobs: Houston, Dallas
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...
AdeccoSan Antonioadecco.com
Claims Examiner – San Antonio, TX ($21/hr, Mon–Fri 8am–5pm)
Adecco is hiring a Claims Examiner responsible for processing health plan claims and supporting provider inquiries.
Key Requirements
Recent medical claims experience REQUIRED
Experience...
Huntsville Memorial HospitalHuntsville (TX)workable.com
Under general supervision of the Director, the Coder II provides consistency and efficiency in outpatient claims processing and data collection to optimize APC reimbursement and facilitate data quality in outpatient services.
Reviews, audits...
Curative HR LLCAustintrinethire.com
and delegated oversight requirements.
• Ensure compliance with prompt-pay regulations, provider dispute timeliness standards, and claims processing requirements.
• Assist with corrective action plans (CAPs), remediation tracking, and audit response documentation...
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