- HCA Healthcare (El Paso, TX)
- …payer websites + Escalates problem accounts/processes/trends and report opportunities to supervisor for denial prevention and coding education opportunities + ... III (CARS-III) duties + Reviews all official data quality standards, coding guidelines, Company policies and procedures, and clinical /medical resources… more
- Houston Methodist (Houston, TX)
- …in resolution. Engages the coding follow up team for any medical necessity or coding related appeals . + Assures accounts are completed and worked at a high ... required to perform collections activities on complex denials and prepare complex appeals on outstanding insurance balances in the professional fee environment. This… more
- Houston Methodist (Houston, TX)
- …appropriate billing functions, including claims resubmission to payors. + Creates and submits appeals when necessary. Engages the coding follow-up team for any ... medical necessity or coding related appeals . **GROWTH/INNOVATION ESSENTIAL FUNCTIONS** + Stays current on collection procedures of various payors and industry… more