- Option Care Health (Austin, TX)
- …with Billing and Collection Training and completes "second level" appeals to payers.Job Description: Job Responsibilities:Submits timely, accurate invoices to ... payer for products and services provided. Understands the terms and fee schedule for all contracts for which invoices are submitted. Correctly determines quantities and prices for drugs billed. Verifies that the services and products are correctly authorized… more
- Abbott (Plano, TX)
- …Our 114,000 colleagues serve people in more than 160 countries. **Sr. Appeals Specialist , Patient Therapy Access Team** **Position Location: 6600 Pinecrest ... location in **Plano, TX** currently has an opportunity for a **Sr. Appeals Specialist ** . This role is responsible for facilitating and assisting Abbott patients… more
- Universal Health Services (Bonham, TX)
- …day. TMC Bonham is managed by Texoma Medical Center, subsidiary of UHS. The Appeals Specialist is responsible for appealing all insurance denials and prepare ... in compliance with Managed Care contracts and government fee schedules. The Appeals Specialist will obtain, manipulate, and analyze data from a variety of… more
- Alight (TX)
- …of Be Alight. Learn more at careers.alight.com. **About the Role** The Appeals Specialist reviews adverse determination outcomes for Short Term Disability ... **Do you want to be part of a collaborative Appeals team?** **Our Story** At Alight, we believe a...are in dispute. Handling assigned case load of claim appeals . . Evaluating essential information and consulting with stakeholders… more
- Lincoln Financial Group (Austin, TX)
- …#:** 73054 **The Role at a Glance** We are excited to bring on an Appeals Specialist to join our Appeal Review Department in a fully remote environment. ... management and appeal procedures to each claim. _Background Details_ As an Appeals Specialist you will be responsible for being a product subject matter expert… more
- TEKsystems (Plano, TX)
- Required: + 2+ years of Insurance follow-up, denials/ appeals experience (Medical A/R) + Hospital/facility collections experience Description: Responsible for A/R, ... Responsible for managing CBO Aging Report properly to insure appeals are followed up timely to prevent past filing...Responsible for timely medical records requests and submission of appeals * Maintain adequately trained staff to achieve daily… more
- Kelsey-Seybold Clinic (Pearland, TX)
- …a liaison to the Grievance and Appeals Department for Medicare Advantage appeals . The Utilization Review Specialist (LVN) is responsible for completion and ... **Responsibilities** The Utilization Review Specialist (LVN) is responsible for conducting medical reviews,...to services being rendered for members. The Utilization Review Specialist (LVN) serves as a liaison in reviewing requests… more
- Molina Healthcare (TX)
- …discussed during our interview process._** **JOB DESCRIPTION** **Job Summary** Clinical Appeals is responsible for making appropriate and correct clinical decisions ... for appeals outcomes...and unrestricted Certified Clinical Coder + Certified Medical Audit Specialist + Certified Case Manager + Certified Professional Healthcare… more
- Houston Methodist (Katy, TX)
- …701 S Fry Rd 77450 (Katy)** At Houston Methodist, the Accounts Receivable Specialist position is responsible for billing and follow up of insurance or institutional ... and all payments received are timely and correct. The Accounts Receivable Specialist interacts with all Central Business Office (CBO) sub-units and other hospital… more
- MD Anderson Cancer Center (Houston, TX)
- …employees and the public. **Summary** The primary purpose of the PBS Specialist position is to follow-up on claims within regulatory guidelines. The PBS ... Specialist must ensure that all claims have a follow-up...delay in payments. Makes recommendations for resolution 7. Pursues appeals when available. Initiates communication with coding team and… more
- TEKsystems (Houston, TX)
- …payment activities in order to increase cash flow Day to Day Duties: - Each specialist will be assigned an inventory to work. New accounts assigned every day. - Work ... insurance coverage, patient registration, insurance billing, insurance follow up, appeals , medical record, open enrollment, claims resolution, denied claims,… more
- AECOM (Dallas, TX)
- …perform the tasks listed above in the Project Overview. EHP Specialist positions may include Archaeologist, Architectural Historian, Biologist, Certified Floodplain ... Manager, Ecologist, Environmental Planner, Historic Architect, Horticulturalist, Water Quality Specialist , and Wetlands Specialist . The EHP Specialist will… more
- J&J Family of Companies (San Antonio, TX)
- Executive Area Business Specialist , Immunology -San Antonio TX -Johnson & Johnson Innovative Medicine - 2406191815W **Description** Johnson & Johnson is recruiting ... for Executive Area Business Specialist for Immunology located in San Antonio TX. Territory includes: San Antonio, Austin, Waco, El Paso, Corpus Christi, Laredo and… more
- TEKsystems (Waco, TX)
- …a growing healthcare company in the Waco area! As a claims follow up specialist on our team you will be verifying insurance information, following up with payors, ... working within medical insurance roles handling claims, payer portals, appeals , AR follow up, denials or anything within revenue...increase cash flow Day to Day Duties: - Each specialist will be assigned an inventory to work. New… more
- Austin Energy (Austin, TX)
- Position Information Posting Title Contract Management Specialist IV Job Requisition Number AE503667 Position Number 100421 Job Type Full-Time Division Name Finance ... Licenses or Certifications: + None. Notes to Applicants The Contract Management Specialist IV reports through the Finance Division of Austin Energy. Through this… more
- American Red Cross (Lubbock, TX)
- …and Disaster Mental Health. We are currently seeking a Sr. Volunteer Recruitment Specialist . The ideal candidate must reside or be willing to relocate to the ... A FORCE GOOD (Key Responsibilities): + The Sr. Recruitment Specialist is responsible for developing and implementing broad based...make a difference by volunteering in a position that appeals to you and allows you to use your… more
- TEKsystems (Plano, TX)
- …software SKILLS: + Must have inurance and benefits experience + Must have appeals and denials experience + claims, insurance, data entry, Medical billing, Health ... insurance, insurance billing, insurance follow up, appeals , medical collections, Prior authorization, Coordination of benefits, accounts receivable and benefit… more
- Splunk (Plano, TX)
- …that make you, you. Splunk IT is looking for an onsite Global IT Support Specialist who is accustomed to providing the highest level of in-person, and remote support ... to our Employees. You will thrive in an environment that appeals to your self-sufficient and resourceful nature, while working closely with your counterparts to… more
- Closet Factory (Houston, TX)
- Outside Sales Consultant - Design Specialist For over 30 years, The Closet Factory has been the leading Organization and Space Management company in Houston. We are ... industry to support the sales team, as a result the sky is the limit. If this appeals to you and you meet the above requirements, please send your resume over for us… more
- Universal Health Services (Denison, TX)
- …focused care to the Texoma region for over 50 years. The Accounts Receivable Specialist is responsible for the accurate and timely follow-up of unpaid claims, by ... and quality) established by the A/R Supervisor. Initiates and follows-up on appeals recognizing the payer defined aging criteria. Exercises good judgement in… more
