Document processor • allen tx
Summary Of Position: Under the guidance and direction of the Team Leader (Claims Supervisor), the primary role of a Senior Claims Examiner is that of a superior claims processor with a thorough kno... Mostrar más
Own end-to-end roadmap and work for all data visualization needs across the marketing and digital experience organization.Consistent record of working with collaborators, experience leading data vi... Mostrar más
At TJX Companies, every day brings new opportunities for growth, exploration, and achievement.You’ll be part of our vibrant team that embraces diversity, fosters collaboration, and prioritizes your... Mostrar más
Mortgage Post Close Quality Control Specialist.At Bank of America, we are guided by a common purpose to help make financial lives better through the power of every connection.We do this by driving ... Mostrar más
Originate portfolio loans, secondary market conventional, FHA, VA and RD loans which are compliant with investor requirements and all State and Federal laws and regulations; Promote Bank products a... Mostrar más
Come join Payroll Tax Operations (PTO) as a senior payroll tax expert and Subject Matter Expert (SME) on a team responsible for the end-to-end resolution of payroll tax issues across Notices, Corre... Mostrar más
Tyler continues to advance its strategic focus on growing transaction-based revenue, and we are looking for a strategic, detail-oriented analyst to help in accelerating that momentum.Interchange St... Mostrar más
Join Vyora International as a Document Delivery Driver and become an integral part of a dynamic team dedicated to excellence in service.At Vyora International, we pride ourselves on our commitment ... Mostrar más
Green Brick Mortgage is looking for a detail-oriented loan processor to join our team in Plano, TX.As a loan processor, you will be responsible for preparing and organizing loan files, ensuring all... Mostrar más
Please read over before applying.This opportunity is best suited for individuals who can work independently, follow structured processes, and meet performance expectations without constant supervis... Mostrar más
The Mortgage Loan Processor role will be responsible for performing a variety of documentation duties related to both agency and portfolio loans while ensuring compliance with policies and procedur... Mostrar más
Daily communication with outsourced team in Rivervale, NJ to assist and resolve daily issues and escalations.Handle internal/external escalations from Service Partners, Field Ops & AR team.Revi... Mostrar más
You enjoy shaping the future of product innovation as a core leader, driving value for customers, guiding successful launches, and exceeding expectations.Join our dynamic team and make a meaningful... Mostrar más
You enjoy shaping the future of product innovation as a core leader, driving value for customers, guiding successful launches, and exceeding expectations.Join our dynamic team and make a meaningful... Mostrar más
Through our dedicated associates, Conduent delivers mission-critical services and solutions on behalf of Fortune 100 companies and over 500 governments - creating exceptional outcomes for our clien... Mostrar más
Under the direction of the Branch and/or Production Manager, markets and promotes Highland Home Loan's products and services to its client base of realtors, builders, bank officers and potential an... Mostrar más
AI & Automation Engineer</b> <div> <div> <p><b>Location:</b> Hybrid Plano, TX | New Jersey | Boston, MA | Charlotte, NC<br /> <b>Duration:<... Mostrar más
This role is intended for Hindi / Urdu fluent speakers.Are you ready to go uP?  We are named in Top Workplaces NYC for 2024 We are one of the winners of USPAACC’s Fast 100 Asian American... Mostrar más
Come join Payroll Tax Operations (PTO) as a payroll tax professional responsible for the accurate and timely resolution of payroll tax issues across Notices, Corrections, Amendments, and Pay & File... Mostrar más
General Accounting Data Processor (Accounts Receivable & Accounts Payable).Headquartered in Englewood Cliffs, N.Samsung Electronics America, Inc.Sales and Marketing subsidiary, is a leader in mobil... Mostrar más
Summary Of Position: Under the guidance and direction of the Team Leader (Claims Supervisor), the primary role of a Senior Claims Examiner is that of a superior claims processor with a thorough knowledge of all claims processing systems, claim processing rules and medical policy. The successful candidate will also possess analytical skills to aid in research and resolution of Adjustment inquiries and/or correspondences. The incumbent will also possess a cooperative spirit that will lead to information sharing with the goal of enhancing the overall performance of the Department.
Major Duties And Responsibilities: Proficient in the use of all claim related systems, including Claims Processing System, Claims Workflow, Claims Pricing system, Claims processing rules and Desk Level procedures. Interpret and apply applicable processing guidelines while interacting with on-line system edits/pends. Research written and/or verbal queries from providers/members/internal departments to determine appropriate action on claim and process corrections as required. Analyze patient and medical information to identify instances where investigation for determining appropriate Claim Benefits, Pricing, Prior Authorization or Coordination of Benefits is necessary and process claims accordingly. Adjudicate all claim types, including professional and facility for all lines of business. Process voids and adjustments as required. Meet and maintain individual and departmental productivity and quality standards. Review and release high dollar claims or other complex claims adjudicated by less senior examiners as directed by the Team Leader (Claims Supervisor). Review reports and research pended claims to ensure timely adjudication within accepted corporate cycle times. Reports include, but are not limited to, daily hot and pend reports, weekly cumulative pend, and other special reports as received from customer. Identify, based on review and research of pend reports, and inform.
Job Location: USTXPAOC01 Plano - TX USA, CLT Alternate.
