Document processor • richardson 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
At My Funded Futures, we're transforming the world of proprietary trading by giving traders the capital, tools, and community they need to succeed.We blend innovation, transparency, and performance... Mostrar más
As a Remote Records Processor, you will be responsible for inputting and maintaining data accurately from home, including: input data accurately into company systems from home.Duties and responsibi... Mostrar más
Carrier Global Corporation, global leader in intelligent climate and energy solutions, is committed to creating innovations that bring comfort, safety and sustainability to life.Through cutting-edg... 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
Wholesale Credit Risk Policy Document Manager.As a Wholesale Credit Risk Policy Document Manager within Wholesale Credit Risk, you join the team that's writing and providing independent review and ... 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
Wholesale Credit Risk Policy Document Manager.As a Wholesale Credit Risk Policy Document Manager within Wholesale Credit Risk, you join the team that's writing and providing independent review and ... 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
We are seeking an experienced Senior Document Controller to support the delivery of large-scale water projects.The successful candidate will be responsible for managing project documentation, coord... Mostrar más
DENTAL - INSURANCE COORDINATOR + 2 years of prior dental insurance experience!.Schedule: Tuesday-Saturday .Clinical, Billing, and Operations.Health (PPO/HSA), Vision, Dental,.Disability i... 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
This role is intended for Tamil / Telegu 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 Americ... 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
Our mission is to establish long-term, mutually beneficial financial relationships with our clients, team members, and community.Recruit, reward, and retain a team of market leading professionals.C... Mostrar más
Quality Control Specialist - Quality Control Department .DebtBlue, LLC is a fast‑growing debt settlement organization committed to helping individuals and families regain financial stability.W... Mostrar más
Cancellation Administrative Specialist.Position: Cancellation Administrative Specialist.Job Title: Cancellation Processor - Department: Contract Administration.Pay Grade: Overtime Eligibility: Non-... Mostrar más
Applied Concepts has an exciting opportunity at our Richardson R&D facility, where you will be contributing to our.You will help leverage our 49 years of technology expertise in Radar, Lidar, a... 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
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.
