Jobs near Dallas: 12,398
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Appeals Representative - National Remote
Dallas
Research and resolve written appeals submitted by members and providers Ensure appeal has been categorized correctly Obtain additional documentation required for case review Review case to determine if review by clinician is required Render decision for administrative appeals using sound, fact-based ...
Search Terms: Appeals, Behavioral Health, Representative, Remote, Administrative
0
0mi
Updated: November 12
Senior Claims Representative - National Remote
Dallas
Review and research more complicated claims by navigating multiple computer systems and platforms Capture accurately pricing, prior authorizations, applicable benefits, coding and other information Update claim information based on research and communication from member or provider Complete necessary...
Search Terms: Claims Representative, Claims, Representative, Remote, Senior
0
0mi
Updated: November 12
Primary Care Physician - WellMed Medical Group - Dallas, TX
Dallas
Well. Med, part of the Optum family of businesses, is seeking a Primary Care Physician to join our team in Dallas, TX. Optum is a clinician-led care organization that is changing the way clinicians work and live. As a member of the Optum Care Delivery team, youll be an integral part of our vision to ...
Search Terms: Physician, Medical, Health, Healthcare, Patient
0
0mi
Updated: November 12
Claims Representative - National Remote
Dallas
Provide expertise and support by reviewing, researching, investigating, and auditing UNET claims Responsible for all aspects and accountability for check returns Youll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it tak...
Search Terms: Claims Representative, Claims, Representative, Remote, Health
0
0mi
Updated: November 12
Recovery Resolution Consultant - National Remote
Dallas
Provide assistance, give feedback, and request action in completing daily and monthly reporting, i.e. (Quality, Automation, Platforms) Provide assistance in writing and implementing process improvement ideas, processes, i.e., Process mapping, Visio Create and present ongoing development and education...
Search Terms: Consultant, Recovery, Business Operations, Microsoft, Clinical
0
0mi
Updated: November 12
Associate Enrollment Eligibility Representative - Remote in CST or MST
Dallas
Serve as primary contact as it relates to all enrollment tasks for assigned book of business, which include multiple group customers; maintain satisfied customers by providing superior service and practice attention to detail in various responsibilities Answer member, provider, and group customer pho...
Search Terms: Enrollment, Associate, Representative, Remote, Microsoft
0
0mi
Updated: November 12
Associate Enrollment Eligibility Representative - Remote in CST or MST
Dallas
Serve as primary contact as it relates to all enrollment tasks for assigned book of business, which include multiple group customers; maintain satisfied customers by providing superior service and practice attention to detail in various responsibilities Answer member, provider, and group customer pho...
Search Terms: Enrollment, Associate, Representative, Remote, Microsoft
0
0mi
Updated: November 12
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