Service desk analyst • 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
We are a visionary leader in the IT Business Intelligence industry seeking an experienced .The ideal candidate will have a solid technical background across multiple disciplines, including TIE... Show more
Front Desk Associate- Allen Club ​   HERE WE GROW AGAIN!.Are you ready to leave average behind and join a high-performance team on the rise?.CR Fitness is seeking Front Desk Associates w... Show more
Front Desk Closer & Floater.Spend the majority of the day working in the classroom and supporting teachers.Create a safe, nurturing, and engaging environment for children.Build positive relatio... Show more
MAIN JOB TASKS AND RESPONSIBILITIES Answer telephone, screen and direct calls Take and relay messages Provide information to callers Greet persons entering organization Direct persons to correct d... Show more
Stratton Amenities is a hospitality company specializing in luxury, hotel-style front desk concierge services for upscale apartment and condominium communities.We are committed to delivering a poli... Show more
An environment where diversity is celebrated.A positive, empathetic, and supportive team and company.Aesthetically inspiring work environment.Competitive compensation + generous commissions.Schedul... Show more
We're looking for a Front Desk Agent who genuinely enjoys taking care of people.You'll be the first face guests see and the person they remember when they leave.This role is perfect for someone who... Show more
Welcome to the Member Services Team at Cowboys Fit.You have been selected to play an integral role in providing an exceptional experience for our members and guests, and in doing so, contribute to ... Show more
Location: Plano, TX - Working onsite from office and In Person Interview required.We are seeking a detail oriented and proactive Service Desk Manager with a strong background in Windows Administrat... Show more
About GuideIT  GuideIT is a US based technology services company Headquartered in Plano, Texas, focused on providing value to its customers by aligning technology with business outcomes, maxim... Show more
Position: Front Desk SupervisorEssential Duties and ResponsibilitiesAs a Front Desk Supervisor, hours of operation mid-shift and evening-shift.Assistance of Guests and Guest services to contribute ... Show more
At The Outlook at Windhaven, hospitality is more than a service—it is the foundation of how we care for one another.Our luxury senior living community in Plano, TX, is dedicated to creating an envi... Show more
We are now accepting motivated individuals to join our Front Desk team here at the Tru by Hilton in McKinney,TX!!.Responsible for greeting guests, taking reservations, providing guest service and s... Show more
MSP Help Desk/Service Desk Support - L2 to join our team.You will be part of a group that prides itself on delivering the best IT services and solutions to our clients.As a member of our team, you ... Show more
This role supports internal users with common technology issues, including account access, EMR/EHR systems, healthcare applications, email, VPN, connectivity, and basic hardware/software troublesho... Show more
NETS International, a leading provider of telecommunications and IT solutions, is seeking a motivated and customer-focused.With over four decades of expertise, our company delivers customized solut... Show more
Pet Paradise is looking for "pet people" with leadership and strong customer service experience to fill our open Front Desk Supervisor position.Opportunity for ADVANCEMENT! You will be eligible to ... Show more
Front Desk Sales Coordinator – Full Time (35–40 hrs/week).The Lash Lounge McKinney – 380 & Hardin.The Lash Lounge Prosper – Gates of Prosper.The Lash Lounge is the nation’s premier lash extensi... Show more
Business Analyst Job Duties: Elicits, analyzes, specifies, and validates the business needs of ... Show more
The average salary range is between $ 41,132 and $ 70,883 year , with the average salary hovering around $ 51,681 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.
