- Baylor Scott & White Health (Dallas, TX)
- …position type and/or level **Job Summary** + Under the Safe Choice Claims Manager , the Safe Choice Claims Specialist II reviews, studies, and processes assigned ... for the preparation of summaries and files for denials, appeals , medical advice, subrogation, and litigation. + Collection of...coordinate training with HR team. + Work with Claims Manager for improvements in processes to increase proficiency and… more
- Southland Industries (Carrollton, TX)
- …Plumbing and Fire Protection industry. Primary responsibility is to assist a design manager or project manager to successfully coordinate a project using the ... and potential career paths with one of the country's largest MEP building systems firms appeals to you and you're ready for the next big step in your career, then… more
- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- …position. + Other duties and projects as assigned by Supervisor and/or Manager **Grant Funded?:** No **Minimum Hire Rate:** Compensation is commensurate upon the ... provider portals for verification of eligibility, benefits, claims status and appeals . **Campus:** HSC - El Paso **Department:** MPIP Account Quality **Required… more
- Elevance Health (Grand Prairie, TX)
- …a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US military base, vessel or any ... in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance Health location at least… more
- Elevance Health (Grand Prairie, TX)
- …for system edits. + Coordinates research and responds to system inquiries and appeals . + Conducts research of claims systems and system edits to identify ... in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance Health location at least… more
- Houston Methodist (Houston, TX)
- …as needed **FINANCE ESSENTIAL FUNCTIONS** + Informs social worker/case manager of the patients' available benefits through insurance/managed care provider. ... benefits + Supports and assists with concurrent insurance denials and appeals process, transmission of utilization reviews to insurance companies, coordination of… more
- Houston Methodist (Houston, TX)
- …and provides support to other team members as advised by the manager and/or supervisor. **SERVICE ESSENTIAL FUNCTIONS** + Works correspondence received in lockbox ... hospital and PO billing, collections, reimbursement, contractual agreements and the appeals process, and hospital charity programs + Excellent communication and… more
- Intermountain Health (Austin, TX)
- …management, and designated areas in the response process. 5. Assists manager with interviews, onboarding, monitoring and measuring goals, annual reviews and ... updates to charging/coding/NCCI regulations and/or errors, and regarding audits and appeals , to facilitate corrective action planning for improved processes. 7.… 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 ... in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance Health location at least… 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, ... Medicaid reimbursement experience to include four (4) years of reimbursement experience at manager level or above. + Experience with Medicare IME, DGME, DSH and… more