Jobs
>
Dallas

    Assistant Provider Claims Specialist - Dallas, United States - Employer Direct Healthcare

    Employer Direct Healthcare
    Employer Direct Healthcare Dallas, United States

    3 weeks ago

    Default job background
    Description
    Job Overview


    The Provider Claims Assistant supports the billing and claims department by managing the data entry process to ensure contracts and records are up to date and accurate.

    This role will play a critical role by collecting and processing claims data, coordinating with providers, and ensuring timely and accurate payment processing.

    The Provider Claims Assistant builds trust and rapport with EDH's providers' administrative counterparts through responsiveness, content, customer service, problem solving and a consultative mindset.

    Successful Provider Claims Assistants are highly organized, personable, resourceful, and self-starting.

    THIS POSITION IS 100% ONSITE. We are located in Dallas, TX.

    Responsibilities and Duties


    • Act as the primary point of contact for provider claims inquiries and follow up on outstanding claims
    • Perform data entry for the claims department related to contracts with clients and provider payments
    • Review and assess provider claims to ensure compliance with company policies and procedures
    • Collect and analyze claims data for accuracy, both in terms of claims submissions and payment processing
    • Coordinate with providers to resolve any issues related to claims submissions, including documentation requirements, billing codes and payment processing
    • Evaluate trends and identify opportunities to streamline claims processing and improve overall efficiency
    • Maintain accurate and detailed records and documentation of claims processing activities
    • Represent Employer Direct healthcare in a professional manner when communicating with providers, members, and other teammates.
    Qualifications


    • Bachelor degree preferred ; high school diploma required
    • 1-3 years' of experience in claims processing in a healthcare setting preferred
    • Experience in a customer service or contact center environment
    • Knowledge of medical billing codes and standards, as well as government healthcare regulations or willingness to learn
    • Excellent communication and interpersonal skills, with a focus on active listening and problem-solving
    • Demonstrated ability to work independently and as part of a team, with a focus on collaboration and open communication
    • Strong attention to detail and ability to manage multiple priorities in a fast-paced work environment
    • Ability to successfully resolve claims issues
    Benefits


    • Medical Insurance
    • Dental Insurance
    • Vision Insurance
    • Short & Long Term Disability
    • Life Insurance
    • 401k with company match
    • Paid Time Off
    • Paid Parental Leave
  • CorVel Enterprise Comp, Inc.

    Claims Specialist

    3 weeks ago

    CorVel Enterprise Comp, Inc. Dallas, United States

    Job Description · Job DescriptionThe Claims Specialist manages within company best practices lower-level, non-complex and non-problematic workers' compensation claims within delegated limited authority to best possible outcome, under the direct supervision of a senior claims prof ...

  • CorVel Enterprise Comp, Inc.

    Claims Specialist

    3 weeks ago

    CorVel Enterprise Comp, Inc. Dallas, United States

    Job Description · Job DescriptionCorVel in Dallas, TX is seeking a Claims Specialist for their Indemnity department. We are looking for experience handling Workers Compensation Indemnity claims in Texas, Oklahoma and Arkansas and a willingness to learn or have experience in addit ...

  • Viola

    Claims Specialist

    3 weeks ago

    Viola N/A, United States Part time

    We are looking for a Claim Specialist 1 here at INSHUR. You'll be working on re-inventing insurance in exciting markets across multiple territories, including the US, UK, and the Netherlands, and new European countries and US states as we expand. · Supported by (and reporting to ...

  • Crawford & Company

    Claims Specialist

    1 week ago

    Crawford & Company Dallas, United States

    Administers and resolves non-complex short term claims of low monetary amounts, including medical only claims. Documents and monitors open case inventory and ensures proper and timely closing of files. Makes decisions on claims within delegated limited authority. · Conducts inve ...

  • UnitedHealth Group

    Senior Claims Specialist

    18 hours ago

    UnitedHealth Group Dallas, United States

    Use your Sharp Analytical Skills to triage and research provider dispute inquires to determine root cause and identify potential trends Owning the issue from inception to resolution by engaging and partnering with appropriate operational partners Ana Claims Specialist, Claims, Sp ...

  • CorVel

    Indemnity Claims Specialist

    1 day ago

    CorVel Dallas, United States

    CorVel is seeking an Indemnity Claims Specialist to manage workers' compensation claims within delegated authority, supporting the goals of the claims department and CorVel. This position requires experience handling Workers Compensation Indemnity claims in multiple states, inclu ...

  • AmTrust Financial

    Claims Specialist II

    3 weeks ago

    AmTrust Financial Dallas, United States

    · Claims Specialist II - Construction Defect · Job Locations · US-United States · Requisition ID · Category · Claims - Specialty Lines · Position Type · Regular Full-Time · Overview · Amtrust Financial Services, a fast growing commercial insurance company, is seeking a Construct ...

  • Foster CM Group

    Claims Avoidance Specialist

    1 week ago

    Foster CM Group Dallas, United States

    Job Description · Job Description · Claims Avoidance Specialist · A critical aspect of projects managed by Foster CM Group is managing risk. We are seeking a Claims Avoidance Specialist to use appropriate claims analysis techniques to analyze critical paths and predict possible ...

  • Viola

    Claims Specialist

    3 weeks ago

    Viola N/A, United States Part time

    We are looking for a Claim Specialist 1 here at INSHUR. You'll be working on re-inventing insurance in exciting markets across multiple territories, including the US, UK, and the Netherlands, and new European countries and US states as we expand. · Supported by (and reporting to ...

  • Crawford & Company

    Claims Specialist

    1 week ago

    Crawford & Company Dallas, United States

    Excellence In Everything We Touch · Position Summary · Administers and resolves non-complex short term claims of low monetary amounts, including medical only claims. Documents and monitors open case inventory and ensures proper and timely closing of files. Makes decisions on cl ...

  • Chubb

    ESIS Claims Specialist, AGL

    3 days ago

    Chubb Dallas, United States

    Job Description · ESIS, Inc. (ESIS) provides sophisticated risk management services designed to reduce claims frequency and loss costs. ESIS, the Risk Management Services Company of Chubb, provides claims, risk control & loss information systems to Fortune 1000 accounts. ESIS emp ...

  • Foster CM Group

    Construction Claims Avoidance Specialist

    1 week ago

    Foster CM Group Dallas, United States

    Job Description · Job DescriptionClaims Avoidance Specialist · A critical aspect of projects managed by Foster CM Group is managing risk. We are seeking a Construction Claims Avoidance Specialist to use appropriate claims analysis techniques to analyze critical paths and predict ...

  • Zurich Insurance Company Ltd

    RCIS Crop Claims Specialist

    2 days ago

    Zurich Insurance Company Ltd Dallas, United States

    Zurich North America is hiring an RCIS Crop Claims Specialist to join our team · We are open to hiring talent in one of the following locations within Texas Georgetown, Uvalde, Hondo, Austin, Round Rock, Taylor, or Temple area - TX virtual position. · If you are ready for a car ...

  • Foster CM Group

    Claims Avoidance Specialist

    1 week ago

    Foster CM Group Dallas, United States

    Job Description · Job DescriptionClaims Avoidance Specialist · A critical aspect of projects managed by Foster CM Group is managing risk. We are seeking a Claims Avoidance Specialist to use appropriate claims analysis techniques to analyze critical paths and predict possible dela ...

  • UnitedHealth Group

    Family Medical Leave Claims Specialist

    1 week ago

    UnitedHealth Group Dallas, United States

    Process a variety of leave types with standard turnaround times to assist members Adhere to Federal, State, and company regulations guidelines Use critical thinking and analytical skills to identify trends and ensure accuracy Assist with resolution o Claims Specialist, Medical, C ...

  • Zurich Insurance Company Ltd

    General Liability Litigation Claims Specialist

    2 days ago

    Zurich Insurance Company Ltd Dallas, United States

    At Zurich North America Claims we acknowledge that work life-balance and flexibility are a priority when it comes to choosing your next career move. Designed with our employees' needs in mind, the ZNA Claims hybrid work model emphasizes flexibility, allowing claims employees to c ...

  • CorVel Corporation

    Claims Specialist

    4 days ago

    CorVel Corporation Fort Worth, United States Full time

    The Auto/PD Liability Claims Specialist manages within company best practices complex and non-complex Auto and General Liability claims. Additionally, the Specialist will work within delegated authority to best possible outcomes for CorVel and our clients. · This is a remote posi ...

  • Berkley

    Complex Claims Specialist

    1 week ago

    Berkley Irving, United States

    Company Details · Carolina Casualty is a member company of , an insurance holding company that is among the largest commercial lines insurance writers in the United States. We specialize in liability, physical damage, cargo and other insurance solutions for the commercial auto ...

  • SCP Health

    Provider Enrollment Claims Specialist

    3 weeks ago

    SCP Health Dallas, United States

    · At SCP Health, what you do matters.As part of the SCP Health team, you have an opportunity to make a difference. At our core, we work to bring hospitals and healers together in the pursuit of clinical effectiveness. With a portfolio of over 8 million patients, 7500 providers, ...

  • AmTrust Financial

    Complex Cyber Claims Specialist

    3 weeks ago

    AmTrust Financial Dallas, United States

    Complex Cyber Claims Specialist · Job Locations · US-United States · Requisition ID · Category · Claims - Specialty Lines · Position Type · Regular Full-Time · Overview · AmTrust Cyber Claims Adjuster · Come and join the AmTrust Cyber Team · We are a growing and flouris ...