- Elevance Health (Houston, TX)
- …coding or quality assurance environment preferred. + Broad knowledge of medical claims billing /payment systems provider billing guidelines, payer ... auditing inpatient medical records and generating high quality recoverable claims for the benefit of the company, for all...you will make an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines… more
- Elevance Health (Grand Prairie, TX)
- …experience preferred. + Broad knowledge of clinical documentation improvement guidelines, medical claims billing and payment systems, provider billing ... and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group (DRG) paid claims . **How you will make an impact:** + Analyzes and audits claims … more
- Urology Clinics of North Texas (Mesquite, TX)
- …Prioritize tasking and utilize tasking for daily work + Follow up on all oncology claims from billing through final resolution + Correct and identify billing ... both insurance and patient + Urology/Oncology and medical terminology + Knowledge of insurance plans, claims , and billing processes Job Type: Full-time more
- Cardinal Health (Austin, TX)
- …appealing denied and rejected claims + Preparing, reviewing, and transmitting claims using billing software including electronic and paper claim processing + ... Following up on unpaid claims within standard billing cycle time frame + Calling insurance companies regarding any discrepancy in payment if necessary +… more
- Sedgwick (Fort Worth, TX)
- …properties for completed and partial stays + Audit hotel folios and related claims for billing accuracy, compliance, and documentation + Verifies and maintains ... responsible for handling inbound calls, processing hotel extensions, supporting billing -related questions, and performing administrative tasks to ensure accuracy,… more
- HUB International (Irving, TX)
- …judgment to resolve. May also negotiate with underwriters and carriers. Troubleshoots claims and billing issues + Responsible for overall retention of ... agency standards. You may also be called on to resolve issues related to billing , make policy changes, respond to policy coverage related questions in a timely and… more
- Kelly Services (Dallas, TX)
- …claims experience** (2+ years preferred) + Experience handling **Texas non-subscription** claims (required) + Strong knowledge of medical billing , coding, and ... **Job Title:** Claims Adjuster - Texas **Job Type:** Full-Time **Location:**... with accuracy and timeliness + Review medical records, billing codes, and supporting documentation to assess claim validity… more
- ZOLL Medical Corporation (San Antonio, TX)
- …requirements and workflows to achieve operational efficiencies. + Responsible for improved claims billing yield within a defined geography consisting of assigned ... education and experience in sales. + Healthcare/Medical Device (Clinical or Billing ) experience preferred + Experienced ability to navigate Hospital and… more
- R1 RCM (Austin, TX)
- …knowledge in the health insurance industry (Commercial Insurances, Medicare, Medicaid); health claims billing and/or Third-Party contracts, minimum of two years ... and obtain appropriate information in pursuit of resolving unpaid claims . Responsibilities: Reads and interprets expected reimbursement information from EOB's… more
- Methodist Health System (Dallas, TX)
- …with physicians and office staffs. * Must demonstrate understanding of medical claims billing and coding practices. * Ability to analyze ... physicians and office personnel on the health plan contracts, fee schedules, claims processes, and regulatory requirements. * Serves as liaison between MHS… more