- Molina Healthcare (Dallas, TX)
- JOB DESCRIPTION **Job Summary** Provides analyst support for claims research activities including reviewing and researching claims to ensure regulatory ... with appropriate departments, developing and tracking remediation plans, and monitoring claims reprocessing through resolution . **Essential Job Duties** * Serves… more
- Deloitte (Dallas, TX)
- …work in a collaborative environment. As an experienced Epic Resolute Hospital Billing Analyst Project Delivery Specialist, you will have the ability to share new ... Conduct Epic Hospital Billing application build, testing, refinement, and issue resolution , as well as coordination with operational stakeholders to ensure… more
- Molina Healthcare (Dallas, TX)
- …accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes ... claim payment system and other applicable systems. + Participates in defect resolution for assigned component + Assists with development of configuration standards… more
- TEKsystems (Plano, TX)
- …payor fee schedules and update price tables as needed. + Process insurance claims for Medicare, Medicaid, Commercial Insurance, and Private Pay accurately and on ... fast-paced, dynamic environment with attention to detail. + Skilled in conflict resolution and maintaining confidentiality. ONSITE HYBRID 3 days in office in Plano,… more
- Molina Healthcare (Dallas, TX)
- …and validate provider complaints and payment disputes, ensuring accurate and timely resolution in line with policy and contractual guidelines. + Partner with ... care or payer environment. + In-depth knowledge of medical and hospital claims processing, including CPT/HCPCS, ICD, and modifier usage. + Strong understanding of… more
- HUB International (Argyle, TX)
- …+ Provides benchmarking reports to client (annually, quarterly or monthly) + Manages claims and coverage issue resolution for clients' employees when elevated ... and understanding client needs. Serves as day to day contact and provides resolution for client questions and issues. Duties and Responsibilities: + Maintains client… more