• Claims Processing Specialist

    TEKsystems (Richardson, TX)
    …missing information. + Process electronic claims (EMC). Top Skills Details + medical claims + processing + data entry + hospital billing + Epic Additional ... of the following claim types: Life or Waiver of Premium claims . + Experience in processing any of the following two (2) claim types: Critical Illness/Specified… more
    TEKsystems (01/11/25)
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  • REMOTE Loss Mitigation FHA Claims

    Carrington (Plano, TX)
    **Come join our amazing team and work from home!** The Loss Mitigation FHA Claims Specialist will be responsible for preparing, filing, and following up on all ... FHA home retention claims timely and accurately according to investor/insurer guidelines. Perform...Correct error files when identified by cancelling claim and/or processing a refund request to HUD. + Provide posting… more
    Carrington (11/20/24)
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  • Claims Investigator

    Allied Solutions (Plano, TX)
    …Loss, GAP, CPI and others as assigned. This position will involve the initial processing and investigation of 20-40 claims per day. This position ensures that ... is responsible for the initial setup and investigation of claims prior to the assignment of the claim to...insurance/recovery claim experience as a Claim Processor or Claim Specialist with a minimum of 9 months to 2… more
    Allied Solutions (01/13/25)
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  • Logistics Claim Specialist

    Samsung SDS America (Plano, TX)
    …in 2012 and has now grown into a global top-level third-party logistics company. Logistics Claims Specialist (" Claims Operator") will be a part of Operation ... Settlement subpart as well as the company's Management/Finance Group. Claims Specialist will work on a resolution...School Diploma Required) + 2+ years of Logistics Freight Claims Processing experience required. + Excellent verbal… more
    Samsung SDS America (12/10/24)
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  • Specialist , Appeals & Grievances

    Molina Healthcare (Fort Worth, TX)
    …concisely and accurately, in accordance with regulatory requirements. + Research claims processing guidelines, provider contracts, fee schedules and system ... years operational managed care experience (call center, appeals or claims environment). + Health claims processing...center, appeals or claims environment). + Health claims processing background, including coordination of benefits,… more
    Molina Healthcare (01/13/25)
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  • Senior Implementation Specialist

    Elevance Health (Grand Prairie, TX)
    …or related field strongly preferred. + Strong understanding of data analysis, claims processing , and audit processes associated with healthcare payment models ... **Senior Implementation Specialist ** **Location:** This position will work a hybrid...support, configuration, design, testing and implementation for ratings or claims systems. **How you will make an impact:** +… more
    Elevance Health (12/21/24)
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  • Specialist , Provider Network Admin

    Molina Healthcare (Fort Worth, TX)
    …Provider Network Operations, Hospital or Physician Billing, or similar. + Claims processing background including coordination of benefits, subrogation, and/or ... and timely validation and maintenance of critical provider information on all claims and provider databases. Staff ensure adherence to business and system… more
    Molina Healthcare (01/13/25)
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  • Workers Compensation Specialist

    United Musculoskeletal Partners (Arlington, TX)
    **DESCRIPTION** **Job Summary:** We are seeking an experienced Workers' Compensation Specialist to work in AOA's central Business Office in Arlington. The Workers' ... Compensation Specialist is the liaison between the patient, insurance carrier,...assigned. + Ensures proper documentation is attached to billing claims before submission or re- submission of the … more
    United Musculoskeletal Partners (01/09/25)
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  • Contracting Specialist

    Noblis (Dallas, TX)
    …**Role Description:** Noblis isseekinga detail-oriented and experienced **Advanced** **Contracting Specialist ** to join our team at ARPA-H (Advanced Research ... Projects Agency for Health). As an ARPA-H **Intermediate** **Contracting Specialist ** **(PATIO)** , you will be responsible for coordinatingand assisting in the… more
    Noblis (01/04/25)
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  • Revenue Cycle EDI Enrollment Specialist

    Integrative Emergency Services (Dallas, TX)
    …Emergency Services, LLC ("IES") is seeking a Revenue Cycle EDI Enrollment Specialist (ESS) who will be responsible for facilitating and managing provider enrollment ... updating remittance and demographic information for all entities. This specialist will develop, coordinate, implement, and manage all payer/EDI-related processes.… more
    Integrative Emergency Services (01/04/25)
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  • HR Specialist

    Robert Half Office Team (Dallas, TX)
    Description We have a superb opportunity for a Benefits Specialist /Leave of Absence with a client of ours in Dallas, TX. This individual will play a key role in ... handling escalated issues from Shared Services related to billing, eligibility and claims issues. + Systems: Workday HRIS benefits and timekeeping modules. Includes… more
    Robert Half Office Team (12/27/24)
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  • IT Development Specialist Sr

    Sedgwick (Fort Worth, TX)
    …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer IT Development Specialist Sr **PRIMARY PURPOSE** : To develop, maintain, test and debug ... + Develops and modifies software to meet the specifications outlined in data processing requests. + Develops and maintains software to meet requirements of insurance… more
    Sedgwick (12/07/24)
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  • IT Software Development Specialist

    Sedgwick (Fort Worth, TX)
    …Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer IT Software Development Specialist **PRIMARY PURPOSE** **:** To develop, maintain, test and debug ... + Develops and modifies software to meet the specifications outlined in data processing requests. + Develops and maintains software to meet requirements of insurance… more
    Sedgwick (12/07/24)
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  • Sr. Consumer Loan Specialist - Sales…

    Republic Finance, LLC (Cedar Hill, TX)
    …in the financial services industry for you, apply today! As a Sr. Consumer Loan Specialist , you will be a key team member in the branch. Your primary responsibility ... explaining the loan process, answering questions regarding loan products and loan processing . Take ownership of customer concerns and works with management to… more
    Republic Finance, LLC (01/08/25)
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  • Benefits SPECIALIST

    Methodist Health System (Dallas, TX)
    …insurance carriers/vendors. + Ensure proper filing of benefits forms after processing and maintaining organized employee files. + Proactively manage and process ... FMLA/LOA claims across the organization, ensuring compliance with Methodist policies and federal regulations, regularly updating the payroll team, and maintaining… more
    Methodist Health System (01/11/25)
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  • Investigator, Coding SIU (Remote)

    Molina Healthcare (Fort Worth, TX)
    …years of experience working in the group health business preferred, particularly within claims processing or operations. + A demonstrated working knowledge of ... + Experience with UNET, Comet, Macess/CSP, or other similar claims processing systems. + Demonstrated ability to...+ AAPC Certified Medical CPC, CPMA, CPCO or similar specialist preferred + Certified Fraud Examiner and/or AHFI professional… more
    Molina Healthcare (01/13/25)
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