- Evolent (Austin, TX)
- …RVUs, bundled payments, etc. is preferred + Working knowledge of healthcare claims ; specifically, differences between institutional vs professional billing and ... into succinct presentations. + Perform research and analysis of complex healthcare claims , eligibility, and pharmacy data to make recommendations based on relevant… more
- TEKsystems (West Lake Hills, TX)
- …data scientists, and legal consultants to shape the future of medical claims review and healthcare resource optimization. Job Responsibilities: * Analyze healthcare ... * Conduct cost-benefit and cost-effectiveness analyses of treatment protocols and billing practices. * Support litigation and expert witness services with economic… more
- Dallas Behavioral Healthcare Hospital (Desoto, TX)
- …and accreditation standards. + Monitor and update policies to align with evolving regulations. Claims & Revenue Cycle Support + Review claims data to ensure ... coding and documentation meet payer requirements. + Resolve denied claims through research and collaboration with providers and payers. + Utilize specialized… more
- HCA Healthcare (Houston, TX)
- …research/resolution + Escalates alert/edit resolution issues as appropriate to minimize final billing delays + Monitors the aging of accounts held by an alert/edit, ... 2 Job Description + Works with team members in billing , revenue integrity and/or the Medicare Service Center to...abstracts as necessary (eg, combining the codes for outpatient claims subject to the payment window) + Assists the… more
- CenterWell (Vernon, TX)
- …and coordinating with the administrative team at the branch to ensure other billing requirements are satisfied to release claims timely. + Adhere to ... is to provide clerical support for the branch medical records and billing department. Also, responsible for day-to-day coordination of telephone / personnel… more
- HCA Healthcare (Corpus Christi, TX)
- …research/resolution + Escalate alert/edit resolution issues as appropriate to minimize final billing delays + Monitorthe aging of accounts held by an alert/edit, ... reports to leadership + Work with team members in billing , revenue integrity and/or the Medicare Service Center to...necessary (eg, combining the codes for outpatient and inpatient claims subject to the payment window) + Assist the… more
- Bowman (Austin, TX)
- …service to our clients. **Purpose** Responsible for the project billing process, including responding to client inquiries, verifying employee's chargeable ... time; in accordance with the established accounting standards and billing policy. **Responsibilities** **Leadership and Direction** + Perform work...that may arise as it relates to disputes, or claims + Act as liaison between operations and many… more
- CenterWell (Athens, TX)
- …and coordinating with the administrative team at the branch to ensure other billing requirements are satisfied to release claims timely. . Adhere to ... is to provide clerical support for the branch medical records and billing department. Also, responsible for day-to-day coordination of telephone / personnel… more
- Omnicell (Fort Worth, TX)
- …forms and documentation. . Communicate any issues that may arise, including claims disputes. . Oversee development and communication of customer reports. . Partner ... of necessary accounting protocols for submission of payment and claims posting activities. . Quickly and accurately answer customer...direct or in-direct reports a plus . Experience in billing or reconciliation a plus . Ten key by… more
- Catholic Health Initiatives (Houston, TX)
- …requirements. Reports are produced for Revenue Cycle functions such claims submission, insurance follow‐up, cash management, credits/refunds, charge/payment posting, ... financial standing. 10. Maintain department standard of productivity metrics related to claims processed, claims rejected, claims denied, collection volume… more
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