- Houston Methodist (Houston, TX)
- …is responsible for resolving all outstanding third-party primary and secondary insurance claims for professional services. This Specialist is required to perform ... At Houston Methodist, the Revenue Cycle Specialist is responsible for providing direct and indirect...ESSENTIAL FUNCTIONS** + Collaborates with management to target complex claims and reduce aging of accounts by providing verbal… more
- Sedgwick (Fort Worth, TX)
- …work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Call Center Representative **PRIMARY PURPOSE** **:** To provide excellent ... calls to the appropriate contact at multiple locations or escalates to Service Center Specialist /management as needed. + Attendance during scheduled work hours… more
- Molina Healthcare (TX)
- …**R** **I** **E** **N** **C** **E:** + Min. 2 years operational managed care experience ( call center , appeals or claims environment). + Health claims ... to ensure that internal and/or regulatory timelines are met. + Research claims appeals and grievances using support systems to determine appeal and grievance… more
- DriveTime (Fort Worth, TX)
- …decision making and problem solving abilities + Must be comfortable working in a call center environment + Preferred vendor support and invoicing background + ... operational standards + Maintain 80% service level agreements in call queue and 90% QC monitoring score to ensure...on gray area scenarios + Handle escalated customer complaint claims due to repossession activity through customer calls and… more
- Houston Methodist (Houston, TX)
- …Classification (APC) Coordinator position is responsible for reviewing and correcting all claims edits related to the APC grouper, National Correct Coding Initiative ... key operational staff/stakeholders to ensure proper coding, charging, and compliant claims . **PEOPLE ESSENTIAL FUNCTIONS** + Promotes a positive work environment and… more
- TEKsystems (San Antonio, TX)
- …analytical skills,customer service skills,medical record,medical terminology,customer service, call center ,healthcare,medical billing,benefit verification,prior ... skills, customer service skills, medical record, medical terminology, customer service, call center , healthcare, medical billing, benefit verification, prior… more
- ServiceNow, Inc. (Austin, TX)
- …guidance, business acumen in the financial services industry (Customer Service, Call Center , Information Technology, Banking and Insurance Operations Process, ... & resolution, credit processing, loan operations) and insurance operations (eg. claims processing, policy servicing). + Experience in financial services consulting,… more