- Molina Healthcare (Dallas, TX)
- …enforcement or for payment recovery. **KNOWLEDGE/SKILLS/ABILITIES** + Reviews post pay claims with corresponding medical records to determine accuracy of claims ... of experience working in the group health business preferred, particularly within claims processing or operations. + A demonstrated working knowledge of Local, State… more
- Houston Methodist (Houston, TX)
- …and capture potential revenue opportunities. This position performs quality assurance, detailed claims analysis, and medical record reviews of complex claims and ... FUNCTIONS** + Conducts risk-based and baseline reviews of complex and escalated claims or records in a timely manner, evaluates corrective actions and processes… more
- Aramco Services Company (Houston, TX)
- …audit program. + Consults with the Audit Manager or Accounting Staff Specialist concerning the subject of an assigned audit, scheduled completion date, assistants ... and researches evidence/documents to analyze the overall fact pattern of claim and synthesize data into a professional report with recommendations. Interviews… more
- Molina Healthcare (Austin, TX)
- …likelihood of a formal appeal being submitted. * Reevaluates medical claims and associated records independently by applying advanced clinical knowledge, knowledge ... specific programs supported by the plan such as utilization review, medical claims review, long-term services and supports (LTSS), or other specific program… more
- Allied Universal (Fort Worth, TX)
- …the communities and customers we serve. As a **Security Officer - Unarmed Patrol Specialist ** in **Fort Worth, TX** , you will serve and safeguard clients in a ... Join Us:** + **Smart Tools:** Access to our exclusive technology to view and claim additional shifts to earn more. + **Career Growth:** Get paid training and access… more
- Ascension Health (Austin, TX)
- …health records for purposes of document retrieval, analysis and claim processing. **Responsibilities:** + Abstract pertinent information from patient records. ... + One or more of the following required: + Certified Coding Specialist (CCS) credentialed from the American Health Information Management Association (AHIMA)… more
- Texas Health Resources (Arlington, TX)
- …coding denials resolution preferred Licenses and Certifications CCS - Certified Coding Specialist 12 Months REQUIRED or CCA - Certified Coding Associate 12 Months ... payer rules and regulations. Able to analyze and resolve complex coding related claim denials in a manner that ensures accurate and optimal reimbursement. Proficient… more
- Veterans Affairs, Veterans Health Administration (Corpus Christi, TX)
- …VA. Obtains consent and documents procedures performed for which the pulmonary specialist is responsible. Provides education and counseling of patients and families ... ECFMG certificate, if claimed by the applicant. [If the applicant does not claim an ECFMG certificate, facility officials must still confirm that the medical school… more
- Travelers Insurance Company (Richardson, TX)
- …commercial or construction field consultants, or staff within our specialist disciplines (property, casualty services, forensics / industrial hygiene lab). ... staff to learn and develop consulting skills + Collaborating with Underwriting, Claim , Clients, BI Business Partners and other Risk Control staff + Completing… more
- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- …specific 3rd Party Payors) + Collaborate with appropriate teams to ensure claims data is transferred through the clearinghouse appropriately + Maintain professional ... compliance roles + Current CPC (Certified Profressional Coder), CCS (Certified Coding Specialist ), or CBCS (Certified Billing and Coding Specialist ) **Does this… more