- MD Anderson Cancer Center (TX)
- …of UB-04, including modifier logic, HCPCS/CPT codes, and revenue line code descriptions. * * Claims Processing * * Complete claims in daily billing work queues ... validate claim discrepancies. * Communicate with fiscal intermediary/MAC on claims issues. * Notify management immediately of all rejections or problems causing… more
- Molina Healthcare (San Antonio, TX)
- …payment methodology & processing is essential + Understanding on hospital claims processing and configuration works + Medicare fee schedule knowledge is ... maintain contract, benefit or reference table information into the claim payment system and other applicable systems. + Participates...**Required Experience** 5-7 years in SQL, Medicare, Networx, QNXT, claims processing and hospital claims … more
- UTMB Health (Galveston, TX)
- …Account Specialist will be responsible for billing all third-party payers through a claims processing vendor and/or for appeal of denied professional and/or ... hospital claims . Identifies billing issues affecting hospital and/or physicians ...and takes necessary action to ensure timely and appropriate claim filing. Performs follow-up activities and identifies reimbursement issues… more
- UTMB Health (Galveston, TX)
- …Account Specialist will be responsible for billing all third-party payers through a claims processing vendor and/or for appeal of denied professional and/or ... hospital claims . Identifies billing issues affecting hospital and/or physicians ...and takes necessary action to ensure timely and appropriate claim filing. Performs follow-up activities and identifies reimbursement issues… more
- Molina Healthcare (Houston, TX)
- …and test assumptions through data, and leads with contextual knowledge of claims processing , provider contracts, and operational realities. * Creates succinct ... all payment integrity (PI) solutions. * Independently leads efforts to improve claim payment accuracy, claim referrals, adjustment analysis and financial… more
- Molina Healthcare (Austin, TX)
- …Networx. + Experience with QNXT is preferred. + Advanced experience using a claims processing system. + Advanced experienced verifying documentation related to ... * Applies experience and knowledge to research and resolve claim /encounter issues and pended claims , and updates...updates/changes within a claims processing system. + Advanced experience validating… more
- Cardinal Health (Austin, TX)
- …reviewing, and transmitting claims using billing software including electronic and paper claim processing + Following up on unpaid claims within standard ... for verifying patient insurance and benefits, preparing and submitting claims to payers, correcting rejected claims , following...and submitting claims to payers, correcting rejected claims , following up on unpaid and denied claims… more
- Kemper (Dallas, TX)
- …all activities for Accounts Payable, Billing, Escheatment, Travel & Entertainment Expense Processing , Vendor Processing , Payroll, Check Services, and 1099 ... input and advice as a subject matter expert across several topics including payment processing methods, NACHA Operating rules and Debit Card processing + Help… more
- Cardinal Health (Austin, TX)
- … + Preparing, reviewing and billing claims via electronic software and paper claim processing + Insurance claims follow up regarding discrepancies in ... administration, customer and vendor pricing, rebates, billing (including drop-ships), processing charge backs and vendor invoices, developing and negotiating… more
- Cognizant (Austin, TX)
- …will make an impact by configuring and maintaining QNXT systems to ensure accurate claims processing and compliance with client requirements. You will be a ... + Perform **back-end queries** and validate configuration setups to ensure accurate claim processing . + Advise clients on **configuration decisions** in… more