- Houston Methodist (Houston, TX)
- …the Sr Compliance Coding Analyst position is responsible for supporting accurate billing and coding compliance with Medicare and third-party payments and internal ... position partners with stakeholders to provide feedback regarding documentation and billing practices to identify potential risk and identify and capture potential… more
- Banner Health (TX)
- …and for quality assurance in the alignment of clinical documentation and billing codes. Works with clinical documentation improvement and quality management staff ... documentation to improve the quality of clinical documentation and correctness of billing codes prior to claim submission; to identify possible opportunities for… more
- UTMB Health (Galveston, TX)
- …Receivable management activities related to the revenue cycle including Billing , Collections, Customer services, Denial Management and Budget preparation. The ... Director ensures accurate and timely billing and collection of all Hospital services at UTMB....Accounts Receivable (AR), Discharge Not Final Bill (DNFB), outstanding claims , underpayment, and denials metrics and ensuring these meet… more
- Cardinal Health (Austin, TX)
- …supervises and manages audits to determine organizational integrity of billing for professional (physician) services and/or hospital (technical) services, including: ... detection and correction of documentation, coding, and billing errors and/or medical necessity of services billed. Particular areas of focus include: evaluation of… more
- Baylor Scott & White Health (Temple, TX)
- …validating, and ensuring the accuracy of EDI transactions related to healthcare claims . This role involves working closely with developers, business analysts, and ... EDI teams to ensure that claims data meets internal standards and regulatory compliance (HIPAA,...for data analysis and validation. + Familiarity with healthcare billing processes, coding standards (ICD-10, CPT, HCPCS), and payer… more
- KPH Healthcare Services, Inc. (Longview, TX)
- …balances. **Responsibilities** + Manage the collection process for outstanding claims , including contacting insurance companies, patients, and other responsible ... written correspondence. + Investigate and resolve denied or partially paid claims , identifying root causes and implementing corrective actions. + Collaborate with… more
- Sedgwick (San Antonio, TX)
- …and government entities. The auditor will apply client specified billing guidelines and/or Generally Accepted Principles and Standards ("GAPS"). **ESSENTIAL ... RESPONSIBILITIES** + Ability to understand and apply clients' billing guidelines and standards. + Work with client to develop or enhance billing protocol. +… more
- Otsuka America Pharmaceutical Inc. (Austin, TX)
- …and their staff on matters related to access, coverage, reimbursement processes, claims submissions, and coding requirements + Analyze payer criteria and provide ... benefit verifications, prior-authorization requirements, or equivalent experience in patient access, billing , and coding in rare disease + Strong knowledge of… more
- HCA Healthcare (Georgetown, TX)
- …aspects of Medicare receivable processing, including but not limited to, billing collections, account and system maintenance, process reconciliation and productivity ... addition like you. **What you will do in this role:** + Reviews all claims for completeness, reasonableness of charges and appropriateness of billing codes and… more
- Robert Half Accountemps (Fort Worth, TX)
- …related to billing inquiries and provide thorough resolutions. * Administer claims and track payment statuses using accounting and CRM software. * Collaborate ... for a detail-oriented individual with expertise in accounts receivable and billing functions to contribute to a dynamic manufacturing environment. The ideal… more