- TEKsystems (Addison, TX)
- …terminology,medical biller,anesthesia Additional Skills & Qualifications - Proven experience as an Appeals Specialist or in a similar role within a healthcare ... reimbursement issues to identify the root causes. - Initiate and manage the appeals and arbitration process for denied or underpaid claims, ensuring timely and… more
- Molina Healthcare (San Antonio, TX)
- …**Essential Job Duties** * Facilitates comprehensive research and resolution of appeals , disputes, grievances, and/or complaints from Molina members, providers, and ... to ensure that internal and/or regulatory timelines are met. * Researches claims appeals and grievances using support systems to determine appropriate appeals … more
- Houston Methodist (Sugar Land, TX)
- At Houston Methodist, the Senior Denials Management Specialist position is responsible for performing utilization review activities, and monitoring the clinical ... denial management and appeals process, as applicable, in collaboration with clinical team...and denials for no authorization. The Senior Denials Management Specialist position communicates clinical information utilizing various resources and… more
- Baylor Scott & White Health (Dallas, TX)
- …to guidelines set forth by the payer. The Appeal Support Specialist processes submissions of reconsiderations, redeterminations, appeals , resubmissions of ... **JOB SUMMARY** The Denial Resource Center Appeal Support Specialist is responsible for ensuring that complete and... is responsible for ensuring that complete and accurate appeals of denied claims are submitted to the payer… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Revenue Cycle Specialist is responsible for providing direct and indirect revenue cycle support to the Revenue Cycle Managers. It is ... identified by the Revenue Cycle Managers. In addition, the Revenue Cycle Specialist is responsible for resolving all outstanding third-party primary and secondary… more
- MD Anderson Cancer Center (TX)
- …and employees throughout the revenue cycle. *SUMMARY* The PBS Billing Specialist provides professional expertise in daily governmental billing and follow-up ... technical charges. The primary purpose of the PBS Billing Specialist position is to bill and follow-up on Medicare...patients on CMS Qualified Clinical Trials. * *Denials & Appeals * * Work governmental denials and process appeals… more
- Texas A&M University System (Corpus Christi, TX)
- Job Title Admissions Specialist IV Agency Texas A&M University - Corpus Christi Department Office Of Enrollment Processing Proposed Minimum Salary Commensurate Job ... entry errors in admissions and registration records. + Prepare prospective student appeals and conduct review files for review by the Undergraduate Admissions… more
- HCA Healthcare (Plano, TX)
- …Do you have the career opportunities as a Clinical Denial Coding Review Specialist you want with your current employer? We have an exciting opportunity for ... of colleagues. Do you want to work as a Clinical Denial Coding Review Specialist where your passion for creating positive patient interactions is valued? If you are… more
- Cardinal Health (Austin, TX)
- …performance and client satisfaction. + Resolves complex insurance claims, including appeals and denials, to ensure timely and accurate reimbursement. + Verifies ... insurances including all Medicaid states on paper and online. + Oversees appeals and denials management to maximize revenue recovery and minimize financial leakage,… more
- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- **43114BR** **Extended Job Title:** Coding Specialist **Org Level 1:** Texas Tech Unv Hlth Sci Ctr El Paso **Position Description:** Review medical record provider ... and coding guidelines. + Reviewing medical coding claim denials for correction and appeals within the AthenaIDX and Enterprise Task Manager (ETM) systems as assigned… more