- Amgen (San Antonio, TX)
- …the entire reimbursement journey through payer prior authorization to appeals /denials requirements and forms + Review patient-specific information in cases ... years of customer service and/or leadership experience OR + Associate 's degree and 10 years of customer service and/or...in-depth knowledge of issues related to billing, coding, and appeals across physician types + Strong collaboration and ability… more
- Humana (Austin, TX)
- …an overview of coding practices and clinical documentation, dispute/grievance and appeals processes, and outpatient services and equipment, within their scope. ... and care received. May also engage in disputes and grievance and appeals reviews. May participate on project teams or organizational committees. \#physiciancareers… more
- Amaze Health (Dallas, TX)
- …Explain insurance coverage and costs in everyday language. + Denials and appeals : Support patients through denials and appeals , managing paperwork and ... (CPC) preferred. + Education: High school diploma or equivalent required; Associate 's degree preferred. + Language: Bilingual (Spanish/English) strongly preferred. +… more
- Texas A&M University System (Corpus Christi, TX)
- …for appeals . Research student/academic cases as assigned by the Associate Vice President- University Registrar. Communicate with faculty and staff as needed ... in completing payroll, personnel, or other business documents. Assist Associate Registrar in reviewing time sheets, ensuring employee time...as a substitute for the minimum education requirement: + Associate 's and 4 years of related experience . +… more
- SCI Shared Resources, LLC (Houston, TX)
- …programs such as: Service Awards and Employee Discounts. + Responds to associate inquiries received through the Company's internal call center. + Manages annual ... and annual ACA review for benefits eligibility + Reviews 2nd level benefits appeals and provide recommended resolution to Benefits Manager in accordance with company… more
- UTMB Health (Galveston, TX)
- …to manage multiple priorities **Job Summary:** **_Under the direction of the Associate Director, Development Operations, the Database Specialist serves as a database ... communication. + Manages bulk data processing and changes to Raiser's Edge for appeals , events, and gifts. + Provides staff and department training on processes and… more
- Centene Corporation (Austin, TX)
- …medical records to ensure billing is consistent with medical record for appeals , adjustments and miscellaneous/unlisted code review + Review cases with Medical ... as assigned + Complies with all policies and standards **Education/Experience:** Associate 's degree in related field or equivalent experience. Coding certification… more
- Reynolds & Reynolds (College Station, TX)
- …processes. Training You will receive comprehensive on-the-job training that appeals to various learning styles. The training program includes instructor-led ... to participate in after work, along with volunteering initiatives through our Associate Foundation.Reynolds and Reynolds promotes a healthy lifestyle by providing a… more
- Datavant (Austin, TX)
- …Meditech, 3M, Optum, SSI, Availity, and payer portals. + Submit and track appeals with payers, ensuring all documentation and deadlines are met. + Prepare and ... affecting claim adjudication. **What you will bring to the table:** + Associate 's or Bachelor's degree in Health Information Management, Health Administration, or… more
- Humana (Austin, TX)
- …population, or condition type. May also engage in grievance and appeals reviews. May participate on project teams or organizational committees. \#physiciancareers ... (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart… more