- TEKsystems (Addison, TX)
- …arguments. Additional Skills & Qualifications: - Proven experience as an Appeals and or denials Specialist or in a similar role within a healthcare setting. - ... claim adjudication, and reimbursement methodologies. - Familiarity with insurance denials , appeals, and arbitration processes, including knowledge of payer-specific… more
- Methodist Health System (Dallas, TX)
- …**Your Job:** We are seeking an experienced Accounts Receivable II (AR II) Specialist specializing in Professional Billing for Family Practice to join our team in ... claims, denied claims, and correspondence. As an AR II Specialist , you will play a crucial role in optimizing...outstanding claims, focusing on those with no response or denials . Identify and rectify errors, discrepancies, and missing information… more
- Elevance Health (Plano, TX)
- **Anticipated End Date:** 2024-11-25 **Position Title:** Referral Specialist II, Patient Access - Paragon Healthcare **Job Description:** **Be Part of an ... our infusion centers, and the home setting. Title: **Referral Specialist II - Patient Access** Location: **3033 W President...acute therapy services. + Initiate appeal for front end denials based on payer policy. + Enters referrals, documents… more
- Texas Health Resources (Dallas, TX)
- **Admissions Specialist - Admitting - PRN - Rotating Schedule** _We're looking for qualified_ **_Admissions Specialist_** _to join our Texas Health family. Is that ... services rendered by appropriately identifying insurance carrier, benefits, etc. Prevents denials by ensuring timely notification of admission to insurance carriers.… more
- Select Medical (Frisco, TX)
- …with Select Medical & Baylor Scott & White Health **Prior Authorization Specialist -** **onsite only** **This position must work** **onsite** **at** **Baylor Scott ... Responsibilities** Using discretion and independent judgment, the Payor Relations Specialist manages the pre-certification and prior authorization of referrals… more
- Methodist Health System (Dallas, TX)
- …provide feedback to the clinical and non-clinical areas regarding claim errors and/or denials , and for providing cross coverage for areas not primarily assigned as ... identify EOBs, EOPs, payments, and other received data to index and distribute to AR Specialist II for follow up. * Manage incoming and out going CMS 1500 Claim… more
- Methodist Health System (Dallas, TX)
- …provide feedback to the clinical and non-clinical areas regarding claim errors and/or denials , and for providing cross coverage for areas not primarily assigned as ... required to ensure efficient and professional operations and maximum patient satisfaction. Your Job Requirements: * Associate Degree or High School Diploma with (4) four years as an Account Receivable analyst in a Hospital setting. * Professional Certification… more
- Methodist Health System (Dallas, TX)
- …provide feedback to the clinical and non-clinical areas regarding claim errors and/or denials , and for providing cross coverage for areas not primarily assigned as ... required to ensure efficient and professional operations and maximum patient satisfaction. Your Job Requirements: * Associate Degree or High School Diploma with (4) four years as an Account Receivable analyst in a Hospital setting. * Professional Certification… more
- Robert Half Accountemps (Frisco, TX)
- Description Client is seeking a Revenue Cycle Payment Posting Specialist in the Plano/Frisco area. The Payment Posting Specialist is responsible for accurately ... posting and reconciling payments, adjustments, and denials in the EMR. This role ensures that all payments are applied correctly and in a timely manner, contributing… more
- Houston Methodist (Dallas, TX)
- …payor medical policies, etc.), determines the causes for coding related edits or denials and partners with management to ensure timely billing and denial prevention. ... + Analyzes APC/claim edits/coding denials to identify new trends, opportunities, and educational feedback...Coder Associate (AAPC) **OR** + CCS - Certified Coding Specialist (AHIMA) **OR** + An approved Specialty Society Coding… more
- Caris Life Sciences (Irving, TX)
- **Position Summary** Lead- Billing Operations Specialist are responsible for resolving un-billable claims or claim denial and underpayment issues. This position ... a computer-based billing software program and requires the ability to review denials for inconsistencies and ability to understand group plan documents and benefits… more
- Complete Specialty Solutions (Dallas, TX)
- …education and feedback to providers, departments and offices in relation to denials that impact revenue + Demonstrate exceptional integrity and composure with ... with presenting dental information to patients + Access to virtual working environment without background noise as role requires patient and specialist interaction more