- Molina Healthcare (Dallas, TX)
- …post pay claims with corresponding medical records to determine accuracy of claims payments. + Review of applicable policies, CPT guidelines, and provider ... and medical records to document relevant findings of a post pay clinical review . This position manages documents and prioritizes case load to ensure timely turn… more
- Elevance Health (Grand Prairie, TX)
- …is responsible for auditing inpatient medical records and generating high quality recoverable claims for the benefit of the company, for all lines of business, and ... issues of coding and DRG assignment accuracy. Specializes in review of DRG coding via medical record and attending...you will make an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines… more
- Prime Healthcare (Mesquite, TX)
- …seeking a Medical Biller , sometimes referred to as a Hospital Billing Specialist , Patient Accounts Representative or Insurance Billing Specialist . As our ... Medical Biller, you will manage patient billing and insurance claims in our Physician Group or Hospital . The...Duties and Responsibilities (includes, but not limited to): + Review patient charts and code insurance information for accurate… more
- Houston Methodist (Houston, TX)
- …and capture potential revenue opportunities. This position performs quality assurance, detailed claims analysis, and medical record reviews of complex claims and ... **PEOPLE ESSENTIAL FUNCTIONS** + Collaborates with revenue integrity teams to review provider services and provide effective education and feedback. Coordinates… more
- USAA (Dallas, TX)
- …and appraise low complexity (drivable, material loss, auto physical damage) auto claims in accordance with the terms and conditions of the contract, corporate ... when appropriate. + Maintains accurate and current claim file documentation throughout the claims process for low complexity claims . + Explains coverage, assists… more
- Molina Healthcare (Austin, TX)
- …care experience in the specific programs supported by the plan such as utilization review , medical claims review , long-term services and supports (LTSS), or ... likelihood of a formal appeal being submitted. * Reevaluates medical claims and associated records independently by applying advanced clinical knowledge, knowledge… more
- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- …direct oversight of daily coding operations while also performing coding specialist functions. **Requisition ID:** 42720BR **Travel Required:** Up to 25% ... Provide direct oversight, training and guidance to assigned multi-specialty coding specialist teams. Coach, develop and make recommendations to the director… more
- Houston Methodist (Houston, TX)
- …departments. + Responds to or clarifies internal requests for coding review by coders or department representatives. **QUALITY/SAFETY ESSENTIAL FUNCTIONS** + Ensures ... Practice and performs associated actions upon non-compliance (ie, focal point review requirements, disaster plan, in services, influenza immunization, wage and hour,… more
- Cardinal Health (Austin, TX)
- **Remote Hours: Monday - Friday** **_What Accounts Receivable Specialist Lead contributes to Cardinal Health_** The Accounts Receivable Team Lead performs day-to-day ... + 3+ years' experience with insurance billing and processing claims preferred + Full knowledge of all areas of...other status protected by federal, state or local law._ _To read and review this privacy notice click_ here… more