- Elevance Health (Houston, TX)
- …assurance environment preferred. + Broad, deep and niche knowledge of medical claims billing /payment systems provider billing guidelines, payer reimbursement ... Coding Auditor Principal** is responsible for auditing inpatient medical records on claims paid based on Diagnostic Relation Group (DRG) methodology, including case… more
- Urology Clinics of North Texas (Mesquite, TX)
- …tasks and utilize tasking tools to manage workflow. + Follow up on all oncology claims from billing through final resolution. + Identify and correct billing ... and infusion services. + Strong knowledge of medical terminology, insurance plans, claims , and billing processes. + Experience with medical collections and… more
- UTMB Health (Galveston, TX)
- …experience. **Job Summary:** The Patient 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 claims /accounts and takes necessary… more
- Molina Healthcare (San Antonio, TX)
- … claims recovery activities including researching claim payment and billing guidelines, audit results, and federal regulations to determine overpayment accuracy ... tools such as Department of Health and Human Services (DSHS) and Medicare billing guidelines, Molina claims processing policies and procedures, and other… more
- 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 (Houston, 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
- DXC Technology (Plano, TX)
- …solutions across: + Policy administration (new business, underwriting, policy servicing) + Claims processing + Billing & payments + Customer experience platforms ... + Familiarity with L&A systems, processes, and ecosystem solutions (policy admin, claims , billing , distribution, digital CX). + Continuous learner with strong… 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
- Highmark Health (Austin, TX)
- …coupled with a general understanding of data flows from various corporate systems (eg, claims , billing , lab, and Rx), to solve complex issues and problems. A ... dental and vision claims , provider data, financial data (ie, revenue, premium, billing , pricing) and a variety of external normative and benchmark data. + Lead… more