- Houston Methodist (Houston, TX)
- At Houston Methodist, the Cash Applications Representative position is responsible for the daily entry, reconciliation, electronic data interchange and analysis of ... hospital and PO billing, collections, reimbursement, contractual agreements and the appeals process, and hospital charity programs + Excellent communication and… more
- Cardinal Health (Austin, TX)
- …the appropriate system. + Manages and resolves complex insurance claims, including appeals and denials, to ensure timely and accurate reimbursement. + Processes ... denials & rejections for re-submission (billing) in accordance with company policy, regulations, or third-party policy. + More challenging claim cases + Investigates and updates the system with all information received from secondary insurance companies. +… more
- CVS Health (Austin, TX)
- …new claim handoffs, nurse reviews, provider complaints, grievance and appeals via target system. + Assists providers with credentialing/re-credentialing and ... contracting questions and issues. + Assist in compiling claim data for audits. Determines medical necessity, applicable coverage provisions and verifies member plan eligibility relating to incoming correspondence and internal referrals. + Work hours will be… more
- Highmark Health (Austin, TX)
- …correspondence inquiries (routine, priority Congressional / Department of Defense), and appeals . Ensures that all processes are compliant with requirements and ... Provides direction for priority Congressional and Department of Defense inquiries and appeals . + Performs administration tasks such as leave approvals and functions… more
- Cardinal Health (Austin, TX)
- …appropriate team member (when applicable) + Resolve patient's questions and any representative for the patient's concerns regarding status of their request for ... + Must follow through on all benefit investigation rejections, including Prior Authorizations, Appeals , etc. All avenues to obtain coverage for the product must be… more
- Intermountain Health (Austin, TX)
- …updates to charging/coding/NCCI regulations and/or errors, and regarding audits and appeals , to facilitate corrective action planning for improved processes. 7. ... experience leading others or leading project or programs. Certified Revenue Cycle Representative (CRCR) Certification completed within 3 months of hire. Plus one of… more
- Texas A&M University System (College Station, TX)
- …records + In collaboration with supervisor and Marketing & Communications representative , helps develop and revise financial aid consumer information material, ... & Student Services + Manages Satisfactory Academic Progress (SAP) reconsideration appeals and coordinates emergency aid distribution to assist students facing… more
- Cardinal Health (Austin, TX)
- …each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations ... industry including Commercial and Government plans, Prior Authorizations, and Appeals + Experience with Microsoft Office products including Word, PowerPoint,… more
- Cardinal Health (Austin, TX)
- …insurance plan coverage, including out-of-pocket costs, and provide guidance on the appeals process if needed + Resolve patient's questions and any representative ... for the patient's concerns regarding status of their request for assistance + Demonstrate expertise in payer landscapes and insurance processes. Remain knowledgeable about long and short-range changes in the reimbursement environment including Medicare,… more
- CBRE (Dallas, TX)
- …financing, insurance replacement cost calculation, estate valuation, tax appeals , equitable distribution, corporate employee relocation, investment, or sale. ... to perform each duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may… more