- UT Health (Houston, TX)
- Project Specialist - Texas All-Payor Claims Database - Hybrid **Location:** Texas Medical Center-Houston, Texas **Hot** **Category:** Engineering UTHealth ... come in. **We are looking for a Full-Time Project Specialist to join the UTHealth School of Public Health... Database (TX-APCD) project, which collects administrative data for medical , pharmacy, and dental claims along with… more
- Houston Methodist (Houston, TX)
- …AR collections. **FINANCE ESSENTIAL FUNCTIONS** + Expedites and maximizes payment of insurance medical claims by contacting third party payers and patients. This ... is responsible for resolving all outstanding third-party primary and secondary insurance claims for professional services. This Specialist is required to perform… more
- HCA Healthcare (Houston, TX)
- …purpose and integrity. We care like family! Jump-start your career as a Medical Collections Specialist today with HCA Healthcare. **Benefits** HCA Healthcare, ... vary by location._** Come join our team as a Medical Collections Specialist . We care for our...work to correct them + You will monitor insurance claims and contact insurance companies to resolve claims… more
- Terumo Medical Corporation (Houston, TX)
- …Interventional Radiology environment or equivalent. + Prior experience as a Field Clinical Specialist with a medical device company is preferred. + Prior ... Field Clinical Specialist - EMBO, Houston Date: Oct 5, 2024...Req ID: 3664 Location: Houston, TX, US Company: Terumo Medical Corporation Department: TIS Sales - South Texas Terumo… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Sr Coding Specialist position is responsible for applying correct coding conventions to patient charge encounters in a clinical ... errors in the electronic health record. In addition, the Sr Coding Specialist position is responsible for reviewing, correcting and appealing coding related claim… more
- Houston Methodist (Houston, TX)
- …changes are needed. **QUALITY/SAFETY ESSENTIAL FUNCTIONS** + Analyzes data from various sources ( medical records, claims data, payer medical policies, etc.), ... At Houston Methodist, the Coding Charges & Denials Specialist is responsible for coordinating and monitoring the...Integrates the payer medical policies, case specific medical documentation, and claims information into a… more
- UT Health (Houston, TX)
- …and elder care + Plus many more! **Position Summary:** The Certified Coding Specialist I is responsible for reviewing medical documentation provided by ... Certified Coding Specialist I/II/III - Ob/Gyn **Location:** Houston, Texas **Category:** Professional/Managerial McGovern Medical School at UTHealth Houston… more
- Houston Methodist (Houston, TX)
- …experience** At Houston Methodist, the Accounts Receivable (AR) Appeals Denials Specialist position is responsible for reviewing accounts which have been denied ... is a legitimate case for overturning the denial, in accordance with the payor's medical policy or the contract. Drafts and submits appeals using a sound argument for… more
- Sedgwick (Houston, TX)
- …Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Senior Estimate Review Specialist **PRIMARY PURPOSE** **:** To review all estimates and supporting ... services. + Monitors, assists, tracks, and provides approval for all claims that are re-inspected by the Carrier. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES**… more
- Kelsey-Seybold Clinic (Houston, TX)
- …Under the general direction of the Clinic Administrator, the Department Support Specialist I perform a variety clerical and typing duties for physicians and ... utilizes various system applications for reporting purposes, interprets multiple medical plan benefits to maximize accurate collections, commits to collaborative… more
- Sodexo (Houston, TX)
- …a difference?** **Sodexo Energy & Resources** is seeking a qualified **Business Analytics Specialist ** to drive a safety compliance culture for an **Oil & Gas** ... + Emergency events, injuries, leave of absence. + Sodexo casualty claims + Training, competency, training calendar, monthly safety focus, on-request training… more
- Houston Methodist (Houston, TX)
- …revenue cycle partners as necessary. **SERVICE ESSENTIAL FUNCTIONS** + Reviews charges and medical records to ensure that claims are billed compliantly and are ... rules and guidelines based on accurate documentation in the medical record when reviewing claims . + Incorporates...Coder Associate (AAPC) **OR** + CCS - Certified Coding Specialist (AHIMA) **OR** + An approved Specialty Society Coding… more
- Sedgwick (Houston, TX)
- …Inbound call center experience preferred. **Skills & Knowledge** + Knowledge of medical terminology + Understanding of claims management + Excellent oral ... Center Representative **PRIMARY PURPOSE** **:** To provide excellent service to callers regarding claims for multiple lines of business; to expedite the claims … more
- The City of Houston (Houston, TX)
- …in line with up-to-date work-related laws, including the ADA, the Family and Medical Leave Act, and any other relevant state laws and company benefit plans. ... employment liability, environmental liability, self-insurance programs and Worker's Compensation claims administration (Texas), and other applicable insurance statutes and… more