- Banner Health (TX)
- …Inpatient Facility Coding department. If you have experience with DRG and PCS coding/ denials /audits, we want to hear from you. **Requirements:** + **5 years recent ... proper diagnostic and procedure code assignments. Collaborates on DRG and coding denials , billing edits/rejections to provide coding expertise to resolve issues and… more
- Methodist Health System (Dallas, TX)
- …and review outstanding claims, focusing on those with no response or denials . Identify and rectify errors, discrepancies, and missing information to resubmit claims ... promptly and accurately. - Investigate and address claim denials promptly. Utilize knowledge of payor policies, medical coding guidelines, and billing regulations to… more
- Cardinal Health (Austin, TX)
- …system. + Manages and resolves complex insurance claims, including appeals and denials , to ensure timely and accurate reimbursement. + Processes denials ... judgement in any changes that may need to be made. + Processes denials & rejections for re-submission (billing) in accordance with company policy, regulations, or… more
- Guidehouse (Lewisville, TX)
- …regarding correspondence must be entered into the client's system + Works all denials taking necessary actions to obtain account resolution + Submits appeals, as ... appropriate, for all non-clinical denials + Monitors all denials for trends and issues and reports findings to supervisor + Bills or re-bills claims as necessary… more
- UTMB Health (Galveston, TX)
- …for timely and accurate account resolution, including payer appeals for all denials and underpayments. + Collaborates and communicates with all levels of leadership ... throughout the Enterprise on denials trends and opportunities for maximizing reimbursement. + Responsible...Discharge Not Final Bill (DNFB), outstanding claims, underpayment, and denials metrics and ensuring these meet organizational and industry… more
- Dynatron Software (Dallas, TX)
- …Ensure compliance with manufacturer rules, guidelines, and deadlines to minimize denials . + Respond to dealer and/or manufacturer inquiries, requests for ... accuracy for documentation and record-keeping + Problem-solving when handling manufacturer denials or requests for clarification + Ability to work independently and… more
- Molina Healthcare (Fort Worth, TX)
- …and eligibility criteria. + Familiarity with Medicaid and Medicare claims denials and appeals processing, and knowledge of regulatory guidelines for appeals ... and denials . + Strong verbal and written communication skills To all current Molina employees: If you are interested in applying for this position, please apply… more
- Texas Health Resources (Dallas, TX)
- …by the department. + Responsible for reviewing patient account errors and denials that pertain to the Insurance Verification's Department. Also providing guidance to ... perform necessary action to correct patient account. Distributes corrections and denials as appropriate. + Responsible for maintaining appropriate work schedules.,… more
- Houston Methodist (Houston, TX)
- …and implementation of the plan of care and ensures prompt notification of any denials to the appropriate case manager, denials , and pre-bill team members, as ... well as management. **PEOPLE ESSENTIAL FUNCTIONS** + Establishes and maintains effective professional working relationships with patients, families, interdisciplinary team members, payers, and external case managers; listens and responds to the ideas of… more
- UTMB Health (Galveston, TX)
- …clinical / technical support for the department through investigating denials , responding to inquiries regarding revenue integrity, performing defense audits, ... hospital setting. **Major Duties/Critical Tasks:** + Reviews and investigates denials from third-party payers that have clinical implications. +… more