- 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 ... to make appropriate decisions and is accountable for reviewing denials for level of care, medical necessity, and as...care, medical necessity, and as appropriate, DRG recoupments/downgrades, and denials for no authorization. The Senior Denials … 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 ... and payers to successfully clear front end claim edits, appeal clinical denials , and address customer service inquiries. Additionally, this position will collaborate… more
- HCA Healthcare (El Paso, TX)
- …you want to join an organization that invests in you as an Inpatient Coding Denials Specialist? At Parallon, you come first. HCA Healthcare has committed up to $300 ... difference. We are looking for a dedicated Inpatient Coding Denials Specialist like you to be a part of...our team. **Job Summary and Qualifications** The Inpatient Coding Denials Specialist is a high-level coding expert responsible for… more
- UTMB Health (Galveston, TX)
- Patient Account Specialist - Revenue Cycle PB Billing & Denials **Galveston, Texas, United States** **New** Clerical & Administrative Support UTMB Health Requisition ... procedures * Responds to daily correspondence according to procedures * Identifies denials and underpayments for appeal * Review, research, and processes denied… more
- R1 RCM (Plano, TX)
- **This is a HYBRID role: address for when in office is** **5700 Granite Pkwy, Ste 910, Plano, TX 75024.** R1 is the leading provider of technology-driven solutions ... that transform the patient experience and financial performance of hospitals, health systems and medical groups. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry's most advanced… more
- Caris Life Sciences (Irving, TX)
- …highlight potential opportunities + In this role, the analyst will analyze third-party denials and prepare reports regarding trends in payments, denials , and ... and third-party payor representatives is essential to identify the sources of denials and develop processes to minimize untimely payments and underpayments + The… more
- Houston Methodist (Houston, TX)
- …services. This Specialist is required to perform collections activities on complex denials and prepare complex appeals on outstanding insurance balances in the ... Identifies denial trends and notifies Supervisor and/or Manager to prevent future denials and further delay in payments. Collaborates with internal CBO departments… more
- Houston Methodist (Houston, TX)
- …services. This position performs collections activities on simple and complex denials and on outstanding insurance balances in the professional fee environment. ... Identifies denial trends and notifies supervisor and/or manager to prevent future denials and further delay in payments. Collaborates with internal CBO departments… more
- Houston Methodist (Katy, TX)
- …to: medical coding, insurance billing, collections, patient account resolution, appeals/ denials , customer service, cash applications, revenue integrity, etc. This ... but not limited to the following: accounts receivable days, cash collections, denials , avoidable write-offs, staff productivity and work quality and credit balances.… more
- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- …and questions related to assigned multi-specialty coding inventories. + Review ETM coding denials for coding error. ETM denials assigned to the coding role ... email or telephone MPlP office to further address non-coding denials . This will be done timely for MPIP to...will be done timely for MPIP to work the denials prior to filing deadlines. + Prepare and distribute… more