- Molina Healthcare (Dallas, TX)
- …functionality through project inclusion and documentation review to understand proper claims processing for the applicable solution. Validates data received ... support issues related to EDI transaction editing and custom claims processes to determine root cause of issue. Gains...claims to identify billing issues that will impact claims processing and payment. Monitor new solutions implemented to… more
- Molina Healthcare (Dallas, TX)
- …Maintains critical provider information on all claims and provider databases. Synchronizes data among multiple claims systems and application of business ... rules as they apply to each database. Validate data to be housed on provider databases and ensure...and best practices while suggesting improvement processes to ensure systems are working more efficiently and improve quality. +… more
- Zelis (Plano, TX)
- …queries + A good understanding of public and private healthcare payment systems , medical claims , standard claim coding, claim editing, contracting, ... the personal interests that shape who you are. Position Overview The Sr . Medicaid Reimbursement Regulatory Analyst will collaborate with the Zelis Regulatory Pricer… more
- Robert Half Finance & Accounting (Dallas, TX)
- Description We are offering an exciting opportunity in Dallas, Texas, for a Sr . Accountant to join our team. This role is integral to our accounting operations, with ... development of processes, business growth support, and assisting new practices. The Sr . Accountant will also transition our accounting system from Quickbooks Online… more
- Dal-Tile Corporation (Sunnyvale, TX)
- …first step forward and explore a career with Dal-Tile. **Job Objective:** The Sr HR Coordinator is an entry-level contributor that supports the human resources ... of administrative services and special projects as needed. . Research confidential employee data and run reports as needed. . Codes invoices and processes payment as… more
- Molina Healthcare (Dallas, TX)
- … claims databases. Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of ... business rules as they apply to each database. Validate data to be housed on databases and ensure adherence...information into the claim payment system and other applicable systems . + Participates in defect resolution for assigned component… more
- Amazon (Dallas, TX)
- …of different types of products from custom electronic assemblies to large integrated systems . In this capacity the Business Manager has the responsibility to: * Lead ... * Financial Management: Managing business relationships, contracts, pricing, and claims while maintaining effective negotiation strategies. * Relationship Building:… more
- CVS Health (Richardson, TX)
- …Familiarity with GenAI concepts and usability in test automation. + Experience with data quality assurance for systems integration. + Knowledge of IBM i-Series ... focusing on accuracy, performance, scalability, and cost-effectiveness. + Validate data integrity and consistency across various API endpoints and integrations.… more
- DriveTime (Dallas, TX)
- …which provides quality warranty and ancillary products, and a customer-friendly claims process. SilverRock offers a variety of ancillary products and administrative ... contracts, products, and warranties, and over $300 million in claims . **That's Nice, But What's the Job?** **_This is...eligible for hire at this time._** In long, our Senior Analyst, Strategic Analytics are responsible for: + Innovate… more
- Kemper (Dallas, TX)
- …to achieve growth & profit objectives may include training on products, systems , service, and underwriting, book transfers, development of existing accounts, new ... + Operates as the point of contact for operations, systems and policy training for account products as well...Utilizes agency segmentation, reports and technology to manage account data and performance. + Documents all completed activities with… more
- Methodist Health System (Dallas, TX)
- …Monitor and analyze denial trends, reporting key metrics and root causes to senior leadership. Use data to develop strategies for reducing denials and ... include automation. Ensure accurate and timely follow up on claims and submission of appeals. Strong skills in writing...health and wellness. Named one of the fastest-growing health systems in America by _Modern Healthcare_ , Methodist has… more
- Bank of America (Plano, TX)
- …expand our capabilities, reduce customer friction, and make strategic investment decisions. Data related to customer profiles and online banking login events hold an ... deliver on organizational loss goals. Device and Non Monetary Fraud and Innovation Senior Analyst- This job is responsible for performing complex analyses of online… more
- Wolters Kluwer (Dallas, TX)
- …in some cases, exceeding customer expectations + Creating, tracking, and analyzing data on reviewer performance metrics using customer lens to provide upwards ... recommendation to management, senior leadership, and customers on how to improve customer...prior supervisory experience, preferably in a legal billing or claims environment. + 5+ years' experience in the legal… more
- UIC Government Services and the Bowhead Family of Companies (Plano, TX)
- …and coordinate briefings for the customer, support personnel and Bowhead senior management. The General Manager must be able to interact knowledgeably ... and execution of cost reduction and efficiency improvement projects. + Use data -driven approaches to enhance production performance and reduce waste. + Manage the… more