- Molina Healthcare (Austin, TX)
- …responses to appeals and grievances. + Elevates appropriate appeals to the Appeals Specialist . + Generates and mails denial letters. + Assists with ... interdepartmental issues to help coordinate problem solving in an efficient and timely manner. + Creates and/or maintains statistics and reporting. + Works with provider & member services to resolve balance bill issues and other member/provider complaints.… more
- Houston Methodist (Sugar Land, TX)
- At Houston Methodist, the Senior Denials Management Specialist position is responsible for performing utilization review activities, and monitoring the clinical ... denial management and appeals process, as applicable, in collaboration...and denials for no authorization. The Senior Denials Management Specialist position communicates clinical information utilizing various resources and… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Coding Charges & Denials Specialist is responsible for coordinating and monitoring the coding-specific clinical charges and denial ... exposure caused by front end claim edits and retrospective denial of payments for services provided. This position will...of the following: + * CCS - Certified Coding Specialist (AHIMA) + * CPC - Certified Professional Coder… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Revenue Cycle Specialist is responsible for providing direct and indirect revenue cycle support to the Revenue Cycle Managers. It is ... identified by the Revenue Cycle Managers. In addition, the Revenue Cycle Specialist is responsible for resolving all outstanding third-party primary and secondary… more
- Datavant (Austin, TX)
- …and life experiences to realize our bold vision for healthcare. The Specialist is responsible for identifying, analyzing, and resolving claim denials across the ... practices, and proficiency in multiple electronic systems and software tools. The specialist serves as a key liaison between coding, billing, utilization review,… more
- Option Care Health (Austin, TX)
- …and brightest talent in healthcare. **Job Description Summary:** The Senior Specialist , Patient Access - Specialty Operations is responsible for facilitating new ... Health makes it easy to transition care. The Senior Specialist , Patient Access - Specialty Operations works in conjunction...activities needed to ensure clean claims on hold and denial management (follow-up on paperwork where missing). + Assist… more
- UTMB Health (Webster, TX)
- Pharmacy Technician Specialist - Webster Pharmacy **Webster, Texas, United States** Allied Health UTMB Health Requisition # 2504665 **Minimum Qualifications:** ... IV (sterile products) certification **JOB DESCRIPTION** The Pharmacy Technician Specialist assists pharmacists in providing drug distribution, technical services,… more
- Community Health Systems (Laredo, TX)
- **Job Summary** The Care Coordination Specialist Clinics is responsible for assisting in the coordination of patient care with referrals and/or authorizations for ... on clinic infrastructure.) Scope: Physician practice clinic Care Coordination Specialist responsibilities include all inpatient/outpatient clinic referrals and functions… more
- Robert Half Accountemps (Fort Worth, TX)
- Description We're seeking an experienced Infusion Billing and Denials Specialist to join a growing healthcare organization. This role will play a key part in ... staff for complex or clinical-related denials. + Track, document, and report denial trends to support process improvement and revenue optimization. + Assist with… more
- Uniti (TX)
- …** ** **About this Role:** The Inside Account Executive - Business Specialist is instrumental in maximizing customer stability and profitability by changing, adding, ... Any misrepresentation during the application or interview process may result in denial of employment, withdrawal of offer, or termination. **Job Details** **Job… more
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