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Ensures timely processing of all secondary claims, within 48 hours of primary insurance payment posting. Reviews and analyzes insurance claims being sent electronically on a daily basis.
$17 - $19 an hourFull-timeExpandUpdated 3 days ago - UpvoteDownvoteShare Job
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Included are processes related to prescription fulfillment and billing and claims processing, as well as customer service written and verbal inquiries. Working knowledge of insurance industry and medical terminology and detailed knowledge of relevant systems and proven understanding of processing principles, techniques and guidelines strongly preferred.
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We are seeking a talented individual for a Claims Examiner who is responsible for processing all who is responsible for processing all probate and estate functions involving several state Medicaid beneficiaries or deceased Medicaid beneficiaries.
$37,500 - $53,600 a yearFull-timeRemoteExpandApply NowActive JobUpdated 3 months ago - UpvoteDownvoteShare Job
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ARM will serve as the key contact and lead for access and reimbursement support-related matters and is responsible for being the local market access expert on payer policy coverage, multi-channel acquisition pathways, billing and coding, claims processing, reimbursement, and integration of manufacturer support programs into a range of account workflows.
RemoteExpandApply NowActive JobUpdated 8 days ago - UpvoteDownvoteShare Job
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Knowledge of computer operations and standard software packages required (spreadsheets, word processing, publishing, collaboration, video conferencing, etc.) The Vertex Companies, LLC (VERTEX) is a leading multidisciplinary engineering and consulting firm that provides forensic consulting, engineering design, construction management, claims & dispute resolution, and environmental solutions to insurance carriers, sureties, law firms, real estate owners, property managers, public agencies, and commercial clients.
ExpandApply NowActive JobUpdated 8 days ago - UpvoteDownvoteShare Job
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Oversee day-to-day operations, including claims processing, network, trade, clinical and other. Strong understanding of PBM processes, including claims adjudication, network development, clinical.
Full-timeExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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This position is in the Aviation Finance Division - Accounts Payable (AP) Section and is responsible for supervising the functions of AP, including but not limited to: invoice processing, the Aviation credit card program, petty cash and travel claims.
$37.14 - $47.35 an hourFull-timeExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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Design the APIs and integration models for IBM B2B Integrator with healthcare claims and financial X12 and HL7 processing. Knowledge of financial payroll and accounting systems, electronic healthcare, and financial claims processing.
Full-timeExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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Must be able to effectively monitor steps in claims processing operations. Reporting to the Accounts Receivable Supervisor, this role supports the operations of the CommunityCare Revenue Cycle Management (RCM) team related to the follow up and resolution of outstanding insurance claims.
RemoteExpandApply NowActive JobUpdated 7 days ago - UpvoteDownvoteShare Job
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The Specialist requires an in-depth knowledge of the revenue cycle process to include claims processing, payment posting, and accounts receivable follow-up. Effectively review and research claims denials and contact payers to verify detailed denial reasons when necessary.
ExpandApply NowActive JobUpdated 3 days ago - UpvoteDownvoteShare Job
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Commercial Implementation: Apply your experience in commercial implementation to enhance claims processing on the payer side, optimizing efficiency and accuracy. Commercial implementation experience, particularly in the context of claims processing on the payer side.
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Maintain the Texas Medicaid Core Applications, including Acute Care Claims Processing, Cash Financial, and Eligibility systems, ensuring their smooth operation on a daily basis. Proficiency with financial processes associated with claims payment, ensuring accuracy timeliness.
Full-timeExpandUpdated 6 days ago - UpvoteDownvoteShare Job
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We offer solutions for Medicaid payments, healthcare, pharmacy benefits management (PBM) and claims processing. Provides subject matter expertise for a variety of Medicaid PBM operational services and product functionality to internal pursuit teams in key PBM functions such as federal and state Medicaid regulations; Point of Sale administration, Drug Prior Authorization, Drug Rebate Administration, Preferred Drug List (PDL) Administration, drug coverage plan concepts, and Drug Utilization Review (DUR) parameters as they relate to pharmacy benefits administration.
ExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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Investigation of performance and payment bond claims. Review and preparation of construction contract claims. Proficiency or working knowledge of Primavera P6 will receive special consideration.
Full-timeExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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Understand and act on the timely filing guidelines associated with claims filing, reconsiderations, and appeals for assigned payers. Knowledge of Medicare, Medicaid, Medicaid MCO's, and commercial insurance.
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claims processing jobs in Austin, TX
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