- Houston Methodist (Houston, TX)
- …ESSENTIAL FUNCTIONS** + Analyzes data from various sources (medical records, claims data, payer medical policies, etc.), determines the causes for denials ... Integrates the payer medical policies, case specific medical documentation, and claims information into a concise appeal letter, including appropriate medical… more
- Meta (Temple, TX)
- …and CW Schedulers for Delay Tracking, Extension of Time (EOT) requests and claims . Coordinate the change evaluation in collaboration with the cost team as part ... performance 21. Experience negotiating schedule changes or complex construction claims 22. Successful development and implementation of scheduling or project… more
- Mass Markets (Killeen, TX)
- …using internal systems and team collaboration + Document customer interactions and claims accurately + Follow scripts, policies, and compliance procedures + Handle ... 736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing, Collections, Customer Experience Provider (CXP), Customer Service,… more
- Moore County Hospital District (Dumas, TX)
- …from multiple payers, ensure discounts and adjustment are correct. Works denied claims daily gathering requested information for resubmittal of a corrected claim. ... transfers to ensure deadlines are met. Contact office manager for assistance in claims processing in a timely manner. Answers phone calls and greets patients upon… more
- University of Texas Rio Grande Valley (Edinburg, TX)
- …Responsible for reviewing patient accounts for accuracy with regard to billing, claims details and collections to resolve patient concerns and/or provide education. ... information not captured during scheduling process, that is necessary for claims processing. + Displays effective communication skills, active listening skills,… more
- Burns & McDonnell (Houston, TX)
- …in accordance with safety training procedures. + Investigates accident reports, damage claims , and may be a designated representative to settle minor damage or ... injury claims . + Complete and submit daily to Superintendent the Foreman Daily Report. + All other duties assigned by Management. **Qualifications**… more
- Mass Markets (Dallas, TX)
- …to complete account management tasks + Accurately document and process customer claims in appropriate systems + Follow all required scripts, policies, and procedures ... 736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing, Collections, Customer Experience Provider (CXP), Customer Service,… more
- Evolent (Austin, TX)
- …+ Lead in-depth analyses of healthcare data - including authorizations, claims , membership, and clinical outcomes to identify cost drivers, utilization patterns, ... Codes, RVUs, bundled payments, etc. + Working knowledge of healthcare claims ; specifically, differences between institutional vs professional billing and various… more
- Mass Markets (Killeen, TX)
- …collaborate with other teams as needed + Accuratelydocument and process claims , inquiries, and updatesin company systems + Followscripts, policies, and ... 736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing, Collections, Customer Experience Provider (CXP), Customer Service,… more
- Mass Markets (Killeen, TX)
- …other departments to resolve complex inquiries. + Accurately document customer interactions and claims . + Use our knowledge base and training to answer questions and ... 736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing, Collections, Customer Experience Provider (CXP), Customer Service,… more