- Guidehouse (Lewisville, TX)
- …Works all denials taking necessary actions to obtain account resolution + Submits appeals , as appropriate, for all non-clinical denials + Monitors all denials for ... trends and issues and reports findings to supervisor + Bills or re-bills claims as necessary + Ensures the client follows all state and federal rules and regulations both billing and HIPAA + Completes assigned special projects within the time frames given +… more
- Elevance Health (Corpus Christi, TX)
- …+ Assists and participates in appeal or fair hearings, member grievances, appeals , and state audits. **Minimum Requirements:** + Requires BA/BS degree and a ... minimum of 2 years of experience working with a social work agency; or any combination of education and experience which would provide an equivalent background. + Specific education, years, and type of experience may be required based upon state law and… more
- UIC Government Services and the Bowhead Family of Companies (Irving, TX)
- …Courts, representing DHS in appellate proceedings before the Board of Immigration Appeals , and providing support and direction to the Department of Justice, Office ... of Immigration Litigation, as well as to the US Attorney's Offices nationwide. The Chief Counsel's office handles confidential and high-level documentation. This position is full-time, benefits eligible at an hourly rate of $18.95 plus $4.93 H&W (Health and… more
- Texas Tech University (Lubbock, TX)
- …visas. + Prepare all necessary legal documents, including applications, petitions, appeals , and waivers. + Research and analyze complex immigration law issues. ... + Monitor and keep abreast of all changes in immigration law. + Provide advice when questions arise for legal interpretation for International Affairs and Texas Tech administration. + Develop strategies to resolve immigration-related issues at state and… more
- Robert Half Finance & Accounting (Dallas, TX)
- …billing, and preparing e-bills. Analyze and monitor e-billing platforms to handle appeals for deductions and specialty legal billing issues. Submit invoices via ... mail, email, and e-billing platforms (eg, CounselLink, LegalTracker, TyMetrix 360, etc.). Maintain billing and matter management data in ERP systems and e-billing platforms by setting up clients, matters, timekeepers, and rates, and coordinating with clients… more
- UTMB Health (Galveston, TX)
- …components including, but not limited to, cost report preparation, audits, re-openings, appeals , IME, DGME, DSH, UC, Organ Acquisition, Bad Debt, Wage Index, ... Physician Time Studies, Paramedical Education Time studies and Provider Enrollment, and directs departmental employees in these areas. + Ensures accuracy of Medicare, Medicaid and TDCJ cost report tentative and final settlements, communicates problems to… more
- Deloitte (San Antonio, TX)
- …+ Demonstrated ability to write clearly, succinctly, and in a manner that appeals to a wide audience. + Proficiency in word processing, spreadsheet, and presentation ... creation tools, as well as Internet research tools. Information for applicants with a need for accommodation: https://www2.deloitte.com/us/en/pages/careers/articles/join-deloitte-assistance-for-disabled-applicants.html As used in this posting, "Deloitte" means… more
- Entergy (Beaumont, TX)
- …and preparing cases for mediations/arbitrations, judge and jury trials, and appeals . **_Minimum knowledge, skills, and abilities required of the position_** + ... Proficient in a defined practice area or specialty. + Basic industry knowledge, including awareness of the Company's strategic business values and objectives. + Proficient in a defined practice area or specialty. + Has diverse technical skills and knowledge. +… more
- Houston Methodist (Katy, TX)
- …Extensive knowledge of billing, collections, reimbursement, contractual agreements and the appeals process + Understanding of revenue cycle fundamentals + Ability to ... follow-through and handle multiple tasks simultaneously + Excellent communication and negotiation skills, as well as an ability to work independently and interdependently with other business office staff + Good judgment in handling of accounts and ability to… more
- Evolent (Austin, TX)
- …of best practices. + Provides clinical rationale for standard and expedited appeals . + Discusses determinations (peer to peer phone calls) with requesting physicians ... or ordering providers, when available, within the regulatory timeframe of the request. + Utilizes medical/clinical review guidelines and parameters to assure consistency in the MD review process to reflect appropriate utilization and compliance with SBU`s… more