Mail processing • 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... Show more
Sterile Processing Technician 1.Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities.Baylor Scott and White is the largest not-for-profit heal... Show more
If you have a passion for helping others and enjoy interacting with the general public, FYZICAL, the leading physical therapy company in the country, has a Customer Service Representative opening i... Show more
Trident Consulting is seeking an Implementation Analyst for one of our clients.A global leader in business and technology services.Job Title: Implementation Analyst.Client is looking for resources ... Show more
SurgCenter of Plano is hiring a Sterile Processing Technician! .Position requires weekdays only -- no holidays, weekends, nights or calls*.Sterile Processing Technician at Surgcenter of Plano:... Show more
Sterile Processing Technician Certified.SurgCenter of Plano is hiring a Sterile Processing Technician!.Position requires weekdays only -- no holidays, weekends, nights or calls*.Sterile Processing ... Show more
POSITION SUMMARY: <br>The Manager, Client Mail Services is a strategic leadership role responsible for the overall direction, profitability, resilience, and management of the Enterprise Team... Show more
This role is intended for Spanish fluent speakers, including reading and writing proficiency.Are you ready to go uP?  We were named in Top Workplaces NYC for 2021, 2024, and 2026!.We are one o... Show more
Experience in central processing functions preferred.Demonstrated understanding of sterilization principles required.Constant and frequent judgment and response required.English language skills and... Show more
WHO ARE WE?* B&B Trucking is committed to offering our drivers the best working environment with more home time, dedicated runs and a consistent schedule.We are a family run business and know ... Show more
Mon–Fri with flexible start times between 7:30 AM and 9:00 AM).Enjoy autonomy over your role supporting a small leadership team (reporting to VP level).Outstanding work-life balance with a flexible... Show more
Sterile Processing Technician 2.The Sterile Processing Technician 2 performs a variety of duties associated with cleaning, sterilization, processing, organizing and distributing patient equipment, ... Show more
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... Show more
Conduent is seeking an experienced Print Operations Manager to lead high-volume transactional print, mail, and insert operations supporting critical customer communications.This position is respons... Show more
This position is responsible for providing exceptional service to bank customers by assisting with commercial loans as well as utilizing knowledge of the various accounts and products offered by th... Show more
Senior Associate, Travel & Expense - Contract-to-Hire A/P Analyst.Our client, located in Irving, is seeking a Senior Associate of Travel & Expense to join their team on a contract-to-hire basis.Rol... Show more
Highland Homes Purchasing Production Assistant.For over 40 years, one company has represented quality and leadership - Highland Homes, where building careers goes hand in hand with excellence in ne... Show more
Noelle Ibrahim, PE, VRX is a woman-owned professional services firm certified as a WBE and HUB.We provide turnkey services to the public and private sectors.Our specialties include client-focused p... Show more
The average salary range is between $ 29,129 and $ 42,203 year , with the average salary hovering around $ 33,150 year .
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.
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