Order 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... Show more
As a Customer Success Area Tam, you are passionate about customers and will fuel solutions to ensure every customer request makes the deepest impact possible for our customers and share the best-of... Show more
Schedule: Monday-Friday, : AM - : PM CST.Work Arrangement: Hybrid after successful completion of training ( days in office, days remote).Initial training period will be fully onsite.Those working r... Show more
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... Show more
Join our engaged team at Injury Management Organization, Inc.Plano, TX, as a Full-Time Medical Data Entry Specialist.This hybrid opportunity offers a competitive pay range of $40,000 - $41,600.As a... Show more
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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... Show more
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... Show more
DENTAL - INSURANCE COORDINATOR + 2 years of prior dental insurance experience!.Schedule: Tuesday-Saturday .Clinical, Billing, and Operations.Health (PPO/HSA), Vision, Dental,.Disability i... Show more
Tyler Technologies is looking for a temporary Revenue Specialist to join our Corporate Finance team! The Revenue Specialist is responsible for accurate processing and invoicing of accounts receivab... Show more
Under the direction of the Branch and/or Production Manager, markets and promotes PrimeLending products and services to its client base of realtors, builders, bank officers and potential and past c... Show more
Payments Sales Manager (PSM) Associate.Join the Commercial and Investment Bank (CIB) Payments Sales team! As a key leader on the team, you will drive the end-to-end client experience.As a Payments ... Show more
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... Show more
This role is not eligible for immigration sponsorship.Samsung Electronics America, Inc.Sales and Marketing subsidiary, is a leader in mobile technologies, consumer electronics, home appliances, ent... Show more
Order Picker – Warehouse Operations.Monday–Friday | 7:30 AM – 4:00 PM.Make an Impact Supporting Local Schools.This is more than a warehouse role—your work helps ensure students, teachers, and campu... Show more
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.Col... Show more
Quality Control Specialist - Quality Control Department DebtBlue, LLC is a fast‑growing debt settlement organization committed to helping individuals and families regain financial stability.We serv... Show more
Cancellation Administrative Specialist.Position: Cancellation Administrative Specialist.Job Title: Cancellation Processor - Department: Contract Administration.Pay Grade: Overtime Eligibility: Non-... Show more
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... Show more
About the Role Mercor is building realistic, high-fidelity simulated environments to evaluate and train AI models on real-world procurement workflows for a leading spend-management technology compa... Show more
The average salary range is between $ 30,270 and $ 42,856 year , with the average salary hovering around $ 34,527 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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