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Quality Health Strategies-DALLAS, TX, 75244
Claims Analyst II / Nurse Investigator Health Integrity, LLC is seeking to hire a Claims Analyst II / Nurse Investigator in Dallas, TX. Successful candidates must possess a minimum of five years experience in health care claims that demonstrates expertise in utilization review, ICD-9 coding, CPT coding, and Medicare claims data. An RN license and a Bachelor's Degree OR certification in an applicable program are required. Home Health experience preferred. Additional Skills: - Strong communication skills and basic computer knowledge, including familiarity with Microsoft programs - Ability to ...
Insurance Analyst Jobs in Dallas, Texas Jobs
Ad A Staff | Dallas, TX, 75240 | 3-5
Job Summary: Job functions will include but are not limited to analyzing Acord or equivalent certificates of insurance documents for compliance with certain requirements, analyzing workers’ compensation accident logs; coordinating and implementing various compliance monitoring process improvements, providing subject matter support to clients, processing and analyzing various reports and trends, and participating in various research activities Skills and Competencies: The position requires that one possess strong organizational and administrative skills; strong interpersonal and relationship...
UT Southwestern Medical Center at Dallas | Dallas, TX, 75201 | 6
1. Reviews and processes insurance claims for complex accounts, high dollar amounts, intricate carrier contracts and specialized clinical departments. 2. Receives, researches, and resolves correspondence from all organizations and patients. 3. Identifies problems and inconsistencies utilizing management reports, researches problems, summarizes findings, and makes recommendations. 4. Functions as liaison between departments, third party carriers, and private patients. Submits written recommendation for 'alerts' to departments. 5. Functions as resource person for designated department to answ...
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