- IQVIA (Dallas, TX)
- **Patient Support Medical Claims Processing Representative** _Contract Remote Role - Location (Open to Remote US)_ As the only global provider of commercial ... are looking for a 100% remote (work from home-WFH) contact **Patient Support Medical Claims Processing Representative** to join our team. In this position, you… more
- NTT DATA North America (Plano, TX)
- …inclusive, adaptable, and forward-thinking organization, apply now. We are currently seeking a Claims processing to join our team in Plano, Texas (US-TX), United ... these roles you will** **be responsible for:** + Review and process insurance claims . + Validate Member, Provider and other Claim's information. + Determine accurate… more
- NTT DATA North America (Plano, TX)
- …inclusive, adaptable, and forward-thinking organization, apply now. We are currently seeking a Claims processing to join our team in Plano, Texas (US-TX), United ... these roles you will be responsible for: Review and process insurance claims . Validate Member, Provider and other Claim's information. Determine accurate payment… more
- NTT America, Inc. (Plano, TX)
- …situations following pre-established guidelines Requirements: 1-3 years of experience in processing claims adjudication and adjustment process Experience of ... these roles you will be responsible for: Review and process insurance claims . Validate Member, Provider and other Claim's information. Determine accurate payment… more
- Molina Healthcare (Dallas, TX)
- …or legal requests. * Assists with reducing rework by identifying and remediating claims processing issues. * Locates and interprets claims -related regulatory ... claims using standard principles and applicable state-specific regulations to identify claims processing errors. * Applies claims processing … more
- Elevance Health (Grand Prairie, TX)
- …I :** Requires a HS diploma or GED and a minimum of 3 years of claims processing experience; or any combination of education and experience which would provide ... ** Claims Auditor I, II and Senior** **Location :**...or GED and a minimum of 5 years of claims processing experience including a minimum of...a minimum of 5 years of claims processing experience including a minimum of 1 year related… more
- Molina Healthcare (Dallas, TX)
- …Department of Health and Human Services (DSHS) and Medicare billing guidelines, Molina claims processing policies and procedures, and other resources to validate ... application. * Follows department processing policies and procedures including, claims processing (claim reversals and adjustments), claim recovery (refund… more
- NTT DATA North America (Plano, TX)
- …DATA and for the people who work here. NTT DATA is seeking to hire a **Remote Claims Processing Associate** to work for our end client. **NOTE** : This is a US ... fee schedule **Requirements:** + 3 year(s) hands-on experience in **Healthcare Claims Processing ** + **In-depth, hands-on, practiced experience processing… more
- NTT DATA North America (Plano, TX)
- …methodology/ fee schedule/ Required Skills for this role include: + 2 years of healthcare claims processing (full cycle: Pay, Pend, Deny) + 2 years using a ... new software tools + High school diploma or GED. Preference + Experience processing claims in Amisys or Xcelys is a plus. + Ability to communicate (oral/written)… more
- Marriott (Plano, TX)
- …years claims adjusting or equivalent/relevant experience. _Preferred_ Knowledge of claims processing . Applicable industry licensing. Associate in Claims ... - $64,300 annually **Bonus Eligible:** Y **JOB SUMMARY** A Claims Adjuster I is responsible for the timely, good...the timely, good faith adjustment and disposition of self-administered claims . Responsibility extends to all aspects and phases of… more
- Molina Healthcare (Dallas, TX)
- …is involved in member enrollment, provider information management, benefits configuration and/or claims processing . + Responds to incoming calls from providers ... **Job Description** **Job Summary** The Provider Claims Adjudicator is responsible for responding to providers regarding issues with claims , coordinating,… more
- Molina Healthcare (Dallas, TX)
- …with the member enrollment, provider information management, benefits configuration and claims processing teams to appropriately address provider claim issues. ... JOB DESCRIPTION **Job Summary** Provides support for provider claims adjudication activities including responding to providers to address claim issues, and… more
- NTT DATA North America (Plano, TX)
- …+ 2+ year (s) hands-on experience in **Medicare, Medicaid or Commercial Insurance Claims Processing . Will consider medical billers.** + 2+ year(s) using a ... NTT DATA currently seeks a long term **Temporary Medical Claims Processor** to join our team **for a remote...will be paid through NTT DATA only. **Role Responsibilities:** - Processing of Professional claim form files by provider -Reviewing… more
- NTT DATA North America (Plano, TX)
- …as part of an overall sourcing strategy. NTT DATA is seeking to hire a **Remote Claims Processing Associate** to work for our end client and their team. **Note** ... schedule **Required Skills/Experience** + 1-3 year(s) hands-on experience in Healthcare Claims Processing + 2+ year(s) using a computer with Windows applications… more
- NTT DATA North America (Plano, TX)
- …office setting** **Required Skills/Experience** + 1+ year(s) hands-on experience in **Healthcare Claims Processing ** + **Previously performing - in P&Q work ... overall sourcing strategy. NTT DATA currently seeks a **Medical Claims Processor** to join our team in **Plano, TX...will be paid through NTT DATA only. **Role Responsibilities** - Processing of Professional claim forms files by provider -Reviewing… more
- Sedgwick (Dallas, TX)
- …distance to office** **ESSENTIAL RESPONSIBILITIES MAY INCLUDE** + Analyzing and processing claims through well-developed action plans to an appropriate ... Fortune Best Workplaces in Financial Services & Insurance Liability Claims Examiner | General Liability & Auto with BI... within designated authority. + Communicating claim activity and processing with the claimant and the client. + Reporting… more
- OneMain Financial (Fort Worth, TX)
- … Examiner** The Claims Examiner is responsible for evaluating and processing claims on primarily one business/product line by performing all functions ... correspondence to internal/external customers. **In the Role** + Evaluate claims against eligibility requirements, provisions and applicable processes. + Enter… more
- NTT America, Inc. (Plano, TX)
- …following pre-established guidelines **Requirements:** + 1-3 years of experience in processing claims adjudication and adjustment process + Experience of ... these roles you will** **be responsible for:** + Review and process insurance claims . + Validate Member, Provider and other Claim's information. + Determine accurate… more
- Molina Healthcare (Dallas, TX)
- …communicate written and verbal + Knowledge of verifying documentation related to updates/changes within claims processing system . + Experience using claims ... incorrect coding, abuse and fraudulent billing practices, waste, overpayments, and processing errors of claims . ( _Use for claims specific positions only_ )… more
- Molina Healthcare (Dallas, TX)
- …concisely, accurately and in accordance with regulatory requirements. * Researches claims processing guidelines, provider contracts, fee schedules and systems ... or equivalent combination of relevant education and experience. * Health claims processing experience, including coordination of benefits (COB), subrogation… more