- Elevance Health (Plano, TX)
- …pharmacies, our infusion centers, and the home setting. **Title** : Referral Specialist III - Paragon Healthcare **Location:** TX-PLANO, 3033 W PRESIDENT GEORGE BUSH ... unless an accommodation is granted as required by law._ The **Referral Specialist III** is responsible for issues involving the precertification and prior… more
- UTMB Health (Galveston, TX)
- Database Specialist (Administrative/Fund Raising) - Development Services **Galveston, Texas, United States** Clerical & Administrative Support UTMB Health ... direction of the Associate Director, Development Operations, the Database Specialist serves as a database expert and is r_**...bulk data processing and changes to Raiser's Edge for appeals , events, and gifts. + Provides staff and department… more
- Datavant (Austin, TX)
- …and life experiences to realize our bold vision for healthcare. The Specialist is responsible for identifying, analyzing, and resolving claim denials across the ... proficiency in multiple electronic systems and software tools. The specialist serves as a key liaison between coding, billing,...SSI, Availity, and payer portals. + Submit and track appeals with payers, ensuring all documentation and deadlines are… more
- Marathon Petroleum Corporation (Houston, TX)
- …fosters a collaborative team environment. Position Overview: The Property Tax Senior Tax Specialist is recognized as an expert in job discipline and technical tax ... analytical skills are required. The Property Tax Senior Tax Specialist must be a self-starter, a proven leader and...adverse state and local property tax regulations. + Initiate appeals and legal challenges on valuations and regulatory issues… more
- Air Education and Training Command (Randolph AFB, TX)
- …policies. Frequently involved in liaison with state federal program coordinators, and unemployment specialist at DoD and DoL to ensure the Air Force UC program is ... all parties. Regularly coordinates with Air Staff, MAJCOM and installation level personnel specialist to ensure all parties are kept abreast of any change in… more
- Robert Half Accountemps (Dallas, TX)
- …and processing of claim within 45 days from the date of service. Perform appeals for underpaid claims or claim denials as assigned by the Billing Manager. Procure ... pay EOB's when needed. * Utilizes approved appeal form letters to submit appeals in accordance with billing office policies and procedures. * Forwards medical or… more
- Capgemini (El Paso, TX)
- …software systems to create Prescription cases and determine coverage, determination and appeals process *Good written and verbal communication skills *The ability to ... display soft skills while moving the call forward *Meeting or exceeding government mandated timelines *Complying with turnaround time, productivity, and quality standards *Conveying resolution to beneficiary or provider via direct communication and… more
- Justice, Bureau of Prisons/Federal Prison System (Grand Prairie, TX)
- …our communities. Responsibilities Serves as an Inmate Classification & Computation Specialist (CCS) located within the Designations and Sentence Computation Center ... Experience in reviewing court issued orders relating to sentence modifications, appeals , and production orders. Experience in assisting institution staff with… more
- CVS Health (Austin, TX)
- …**Additional Responsibilities:** Reviews pre-specified claims or claims that exceed specialist adjudication authority or processing expertise. - Applies medical ... written inquiries related to requests for pre-approval/pre-authorization, reconsiderations, or appeals . - Ensures all compliance requirements are satisfied and all… more
- KPH Healthcare Services, Inc. (Longview, TX)
- **Overview** The Revenue Cycle Management Specialist - Collections responsibility is to ensure timely collection of outstanding balances. **Responsibilities** + ... complex or uncollectible accounts to management for further action. + Submit appeals /claim corrections as needed within timely filing limits. + Utilize billing… more