- Scottish Rite for Children (Dallas, TX)
- …We're committed to giving children back their childhood! Job Posting Title: Denials Specialist Location: Dallas - Hospital Additional Posting Details: Monday ... - Friday 8:00 am - 4:30 pm Job Description: Duties/Responsibilities + Perform research to make determination of corrective actions and take appropriate steps route account appropriately. + Generate an appeal based on the dispute reason and contract terms… more
- Methodist Health System (Dallas, TX)
- …Description :** We are seeking an experienced Accounts Receivable II (AR II) Specialist specializing in Professional Billing to join our team at our Central Business ... 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
- Baylor Scott & White Health (Dallas, TX)
- …vary based on position type and/or level **Job Summary** Utilization Review Specialist conducts reviews and shares knowledge with healthcare staff. Works closely ... Consult with providers for clarity. + Inspect all likely denials and refer any medical necessity denials ...likely denials and refer any medical necessity denials and out-of-network requests to the Medical Director for… more
- Baylor Scott & White Health (Dallas, TX)
- …type and/or level **Job Summary** The Utilization Review (UR) Support Specialist performs administrative duties to support clinical operations. Timely processing of ... all hospitals. + Reviews and triages payor correspondence for approval, denials , clinical requests, and peer-to-peers. Escalates other payor requests for clinical… more
- Molina Healthcare (Dallas, TX)
- …and eligibility criteria. + Familiarity with Medicaid and Medicare claims denials and appeals processing, and knowledge of regulatory guidelines for appeals ... and denials . + Strong verbal and written communication skills To all current Molina employees: If you are interested in applying for this position, please apply… more
- Elevance Health (Mesquite, TX)
- …specialty pharmacies, our infusion centers, and the home setting._ **Referral Specialist II/Patient Access (Pre & Prior Authorizations, Appeals, Insurance) - Paragon ... weeks/30 days at the Plano, TX office. The **Referral Specialist II** is responsible for providing support to a...Ability to initiate pre-determination, prior authorizations, and appeals for denials based on payer policy. + Ability to read… more
- Kestra Medical Technologies, Inc (Dallas, TX)
- …manage, and protect life. The Durable Medical Equipment (DME) Customer Order Specialist is responsible for performing all tasks and communication related to intake ... costs, deductibles, and payment methods with patients. The DME Customer Order Specialist is knowledgeable in Kestra DME offerings, its features and benefits, and… more
- Citizens (Irving, TX)
- …challenges? Citizens Bank is seeking a Single Point of Contact (SPOC) Relationship Specialist to serve as the primary liaison for borrowers throughout the default, ... Clearly communicate decisions and next steps, including modification approvals or denials , and guide borrowers through alternative solutions when needed. + Financial… more
- Robert Half Accountemps (Dallas, TX)
- Description We are looking for a skilled Medical Billing Specialist to join our team in Dallas, Texas. This Contract-to-Permanent position offers an excellent ... capture. * Coordinate with third-party vendors to manage claims submissions, address denials , and process payments. * Monitor patient billing statements and resolve… more
- Kestra Medical Technologies, Inc (Dallas, TX)
- …manage, and protect life. The Durable Medical Equipment (DME) Customer Order Specialist Supervisor is responsible for supervising the day-to-day operations for the ... parties of the determination. Assist with appeals for Prior Authorization denials + Upon authorization, place orders for Durable Medical Equipment, notify,… more
- The University Of Texas At Dallas (Dallas, TX)
- …with great benefits? Look no further-join our team! The Patient Account Specialist - Revenue Cycle Coordination role requires knowledge of medical insurance billing, ... closely with our third-party revenue cycle management team to process claims, manage denials , and handle appeals. It also involves working directly with payors on… 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 (Dallas, TX)
- …+ Accounts Receivable (A/R) Management: Monitor unpaid claims, follow up on denials , and manage appeals to maximize collections. + Patient Billing: Prepare, review, ... and send out patient statements for balances owed. Resolve patient account inquiries in a friendly and professional manner. + Charge Entry: Accurately enter and review charges and ensure proper assignment of procedure and diagnosis codes. + Compliance: Stay… more
- Robert Half Office Team (Dallas, TX)
- …A client of ours in the medical industry is seeking an Insurance Verification Specialist . In this role, you will verify insurance coverage for new patients and ... experience. Bilingual communication skills are a major plus. Insurance Verification Specialist Duties and Responsibilities + Verify insurance information for new… more
- TEKsystems (Dallas, TX)
- …coverages. + Independently draft and issue timely reservation of rights letters and denials as needed. + Analyze and evaluate insurance coverage issues and make ... understanding of Line of Business products and portfolio with technical specialist knowledge. + Specialized understanding of regional/local Line of Business markets… more