Claims Processing Jobs in Dallas
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Search Results - Claims Processing Jobs in Dallas
Guidehealth-Dallas
Job Description
WHAT YOU’LL BE DOING
Understand and stay current with client contract criteria and requirements ensuring client services are compliant as well as meet client expectations.
Ensure accuracy of claims processing and contract logic...
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North American Risk Services, Inc. (NARS)-Dallas
with operational business process owners and end users to develop thorough requirements for AI-driven insurance claims processing systems1Create concise and relevant project artifacts and build metrics that relate the business needs.
• Create concise project...
Gallagher-Dallas
including policy renewals, endorsements and claims processing.
• Ensure accuracy and compliance in all client documentation and communications.
• Implement and monitor service standards and procedures to enhance operational efficiency and client satisfaction...
Healthcare Highways, Inc.-Dallas
to generate insights and performance metrics.
• Administer and maintain MS SQL Server 2008/2012/2016 databases related to claims processing.
• Oversee the processing and repricing of claims in alignment with the reference-based pricing (RBP) model, ensuring...
OneMCI-Dallas
Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing, Collections, Customer Experience Provider (CXP), Customer Service, Digital Experience Provider (DXP), Account Receivables Management (ARM), Application Software...
Robotics technology LLC-Dallas
276/277 (Claim Status), and 278 (Prior Authorization) transactions. Amisys system knowledge is a plus Validate HIPAA-compliant EDI transactions (837, 835, 270/271, 276/277, 278 Collaborate with claims processing, enrollment, eligibility, and billing...
jobvertise.com -
MassMarkets-Dallas
contact management, IT Services (IT Schedule 70), and Temporary and Administrative Professional Staffing (TAPS Schedule 736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing, Collections, Customer Experience...
Dallas
or claims processing guidelines to ensure compliance.
• Aid in resolving application, system, and technical issues escalated by vendor agents.
Quality Assurance and Performance Monitoring:
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• Conduct regular QA assessments...
tiptopjob.com -
Dallas
Responsibilities
Operations
Performs research and resolution of claims processing workflow and quality improvement process and provider reimbursement issues.
Uses analytic tools to track both health risks and compliance, as well as supporting the contract...
tiptopjob.com -
Dallas
including GenAI models for applications such as claims processing, documentation automation, and customer support tools.
• Build and manage a high:performing team of AI engineers, data scientists, and product managers, ensuring accountability and alignment...
tiptopjob.com -
Dallas
relationships to lead claims processing and service operations. Establish the strategic direction for the claims business unit, integrating various components of the operation to achieve developmental and organizational goals.
By fostering operational excellence...
tiptopjob.com -
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