- TEKsystems (Addison, TX)
- … medical necessity, and reimbursement methodologies to strengthen appeal arguments. Skills: Appeals , Claims , medical collections, Medical insurance, ... appeals and arbitration process for denied or underpaid claims , ensuring timely and accurate submissions. - Prepare compelling...& Qualifications: - 3 + Proven experience as an Appeals Specialist or in a similar role… more
- TEKsystems (Austin, TX)
- … Medical claim, revenue cycle, medicare, insurance verification, accounts payable, denied claims , appeals , revenue cycle management, medical terminology, ... outlook Top Skills Details: Medical billing,Accounts receivable,Claim,Health care,Collection,Insurance, Medical claim,revenue cycle,medicare,insurance verification,accounts payable,denied claims , appeals… more
- Houston Methodist (Houston, TX)
- …Revenue Cycle experience** At Houston Methodist, the Accounts Receivable (AR) Appeals Denials Specialist position is responsible for reviewing accounts ... accordance with the payor's medical policy or the contract. Drafts and submits appeals using a sound argument for denials that have a reasonable chance of being… more
- TEKsystems (Addison, TX)
- …the appeals and arbitration process for denied or underpaid claims , ensuring timely and accurate submissions. - Prepare compelling appeal letters, supporting ... Description: - Review and analyze denied claims , payment discrepancies, and reimbursement issues to identify...Additional Skills & Qualifications: - Proven experience as an Appeals and or denials Specialist or in… more
- Guidehouse (San Antonio, TX)
- …Talent Acquisition) at ###_** **Essential Job Functions** + Account Review + Appeals & Denials + Medicare/Medicaid + Insurance Follow-up + Customer Service + ... To Have** **:** + Has active understanding of healthcare claims appeal process + UB-04 / CMS 1500 background...creating a diverse and supportive workplace. Benefits include: + Medical , Rx, Dental & Vision Insurance + Personal and… 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 ... for resolving all outstanding third-party primary and secondary insurance claims for professional services. This Specialist is...resolution. Engages the coding follow up team for any medical necessity or coding related appeals . +… more
- Baylor Scott & White Health (Dallas, TX)
- …Center Appeal Support Specialist is responsible for ensuring that complete and accurate appeals of denied claims are submitted to the payer in a timely ... to guidelines set forth by the payer. The Appeal Support Specialist processes submissions of reconsiderations, redeterminations, appeals , resubmissions of… 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
- Elevance Health (Grand Prairie, TX)
- …through normal channels. + Works with internal business partners (sales, member experience, claims , medical review, appeals , etc.) and external contacts ... **Title: Plan to Plan Service Specialist I** **Location:** This position will work a...medical review units. + Keys, processes and adjusts claims for all lines of business. + Requires some… more
- Methodist Health System (Dallas, TX)
- …cycle management, specifically in addressing and resolving no response claims , denied claims , and correspondence. As an AR II Specialist , you will play a ... **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… more
- Sutherland Global Services (Austin, TX)
- …understanding of Hospital billing form requirements (UB04) and HCFA 1500 + Medical claims and/or hospital collections experience + Minimum high school ... phone, email, or online + Providing ongoing appropriate collection activity on appeals + Requesting additional information from Patients, Medical Records, and… more
- Houston Methodist (Houston, TX)
- …two business days of posting to the assigned work queues. + Investigates and appeals unpaid, denied and partially paid claims by third party payors. ... At Houston Methodist, the Sr Coding Specialist position is responsible for applying correct coding...with management on coding and diagnosis issues to reduce claims denials by providing verbal and written communication. +… more
- Robert Half Accountemps (Dallas, TX)
- Description We are in search of a Medical Billing Specialist to join our team in DALLAS, Texas. The chosen candidate will play a pivotal role in our healthcare ... using multiple media, ie, EDI transmissions, internet-based transmissions, and hard-copy claims . * Research claim denials and initiate interaction with payors to… more
- Austin Energy (Austin, TX)
- …canceling and/or terminating contracts and negotiating settlement agreements; and resolving appeals and claims . + Provides consulting expertise to internal ... Position Information Posting Title Contract Management Specialist IV Job Requisition Number AE503885 Position Number...number of health and welfare benefits such as low-cost medical , dental, vision, paid leave time, a highly competitive… more
- Methodist Health System (Dallas, TX)
- …:** **Your Job:** The ability to manage the organization's third party payer appeals through the ability to analyze, research and successfully appeal third party ... claims within timely filing timelines, provide excellent customer service,...software and computerized patient accounting applications. * Experience in medical terminology required. * Position requires 5 months of… more