- HCA Healthcare (Pasadena, TX)
- …**Introduction** Do you want to join an organization that invests in you as a Medical Insurance Claims Appeals Representative? At Parallon, you come ... you have the opportunity to make a difference. We are looking for a dedicated Medical Insurance Claims Appeals Representative like you to be a part of… more
- Covenant Health (Lubbock, TX)
- …including a retirement 401(k) Savings Plan with employer matching, health care benefits ( medical , dental, vision), life insurance , disability insurance , time ... valued - they're invaluable. Join our team at Covenant Medical Center and thrive in our culture of patient-focused,...3 or more years of experience in managed care claims /reimbursement setting or experience working in another other healthcare… more
- Elevance Health (Houston, TX)
- **Manager II Grievance/ Appeals ** **- Claims Support** **Office Locations:** _The selected candidate must reside within a reasonable commuting distance of the ... an accommodation is granted as required by law._ The **Manager II Grievance/ Appeals ** responsible for management oversight of grievances and appeals departmental… more
- Elevance Health (Irving, TX)
- …the home setting._ **Referral Specialist II/Patient Access (Pre & Prior Authorizations, Appeals , Insurance ) - Paragon Infusion** **Location:** 3033 W President ... Medicare Local Coverage Determination is strongly preferred. + Knowledge of insurance verification, pre-authorization, and claims submission process is strongly… more
- Humana (Austin, TX)
- … Medical Director (CMD) relies on medical background to review health claims and preservice appeals . The Corporate Medical Director works on problems ... Medical utilization management experience + Working with health insurance organizations, hospitals and other healthcare providers, patient interaction, etc.… more
- Humana (Austin, TX)
- …Corporate Medical Director relies on medical background and reviews health claims and preservice appeals . The Corporate Medical Director works on ... + Medical utilization management experience, + working with health insurance organizations, hospitals and other healthcare providers, patient interaction, etc. +… more
- Guidehouse (Lewisville, TX)
- …home._** **Essential Job Functions** + Hospital Claims + Account Review + Appeals & Denials + Medicare/Medicaid + Insurance Follow-up + Customer Service + ... year's medical provider experience working with UB04, appeals & denials. + Hospital or EOB claims...creating a diverse and supportive workplace. Benefits include: + Medical , Rx, Dental & Vision Insurance +… more
- Houston Methodist (Houston, TX)
- …impacting AR collections. **FINANCE ESSENTIAL FUNCTIONS** + Expedites and maximizes payment of insurance medical claims by contacting third party payers and ... responsible for resolving all outstanding third-party primary and secondary insurance claims for professional services. This Specialist...resolution. Engages the coding follow up team for any medical necessity or coding related appeals . +… more
- Caris Life Sciences (Irving, TX)
- …and Commercial insurance companies. This included following up on claims statuses, researching rejections and denials, handling medical records request ... insurance denials and take appropriate action. + Check claims status via phone or poral. + Submit Medical Records upon request and follow up on submission. +… more
- Humana (Austin, TX)
- …community and help us put health first** The Medical Director relies on medical background and reviews health claims . The Medical Director work ... Medical management organizations, hospitals/ Integrated Delivery Systems, health insurance , other healthcare providers, clinical group practice management. + **A… more
- Centene Corporation (Austin, TX)
- …to optimize outcomes. + Collaborates effectively with clinical teams, network providers, appeals team, medical and pharmacy consultants for reviewing complex ... cases and medical necessity appeals . + Assists in the...would improve utilization and health care quality. + Reviews claims involving complex, controversial, or unusual or new services… more
- Intermountain Health (Austin, TX)
- … follow up, reconsideration and appeals , response to denials, and re-bills of insurance claims , and all aspects of insurance follow-up and collections. + ... responsible for performing a variety of complex duties, including working outstanding insurance claims follow-up for no response, unresolved from payors, and/or… more
- UTMB Health (Galveston, TX)
- Manager, Hospital/Professional Insurance Follow-Up - Revenue Cycle HB Billing & Denials **Galveston, Texas, United States** **New** **Hot** Business, Managerial & ... Patient Accounting System **Job Summary:** The Manager of Hospital/Professional Insurance Follow-Up coordinates and directs all Hospital/Professional accounts receivable… more
- Cardinal Health (Austin, TX)
- …billing queue as assigned in the appropriate system. + Manages and resolves complex insurance claims , including appeals and denials, to ensure timely and ... **The Accounts Receivable Specialist II is responsible for processing insurance claims and billing. They will work...benefits and programs to support health and well-being. + Medical , dental and vision coverage + Paid time off… more
- Intermountain Health (Austin, TX)
- … follow up, reconsideration and appeals , response to denials, and re-bills of insurance claims , and all aspects of insurance follow-up and collections. + ... Submit requested medical information to insurance carrier. Responsible for the analysis and necessary corrections of invoices or accounts and maintaining work… more
- Adecco US, Inc. (Dallas, TX)
- …+ Deliver reimbursement support on case management, billing, coding, prior authorizations, claims appeals , specialty pharmacy, and patient assistance programs. + ... of Buy & Bill, Specialty Pharmacy, Benefit Investigation, Prior Authorizations, and Claims & Appeals processes. + **Experience supporting program-specific drug… more
- Cognizant (Austin, TX)
- …other teams. **In this role, you will:** . Review and resolve denied or rejected medical claims due to coding errors, ensuring accurate coding and billing based ... following benefits for this position, subject to applicable eligibility requirements: . Medical /Dental/Vision/Life Insurance . Paid holidays plus Paid Time Off .… more
- Cognizant (Austin, TX)
- …for discrepancies. + Communicate directly with payers to follow up on outstanding claims , file technical appeals , resolve payment variances, and ensure timely ... following benefits for this position, subject to applicable eligibility requirements: + Medical /Dental/Vision/Life Insurance + Paid holidays plus Paid Time Off +… more
- Cardinal Health (Austin, TX)
- …+ Clear knowledge of Medicare (A, B, C, D) + 1-2 years of Pharmacy and/or Medical Claims billing and Coding work experience is preferred + 1-2 years of ... the patient journey. + Support healthcare providers with Prior Authorization and Appeals submission to Insurance carrier. + Exhibit effective communication and… more
- KPH Healthcare Services, Inc. (Longview, TX)
- …outstanding balances. **Responsibilities** + Manage the collection process for outstanding claims , including contacting insurance companies, patients, and other ... written correspondence. + Investigate and resolve denied or partially paid claims , identifying root causes and implementing corrective actions. + Collaborate with… more