- Texas Health Resources (Stephenville, TX)
- …services rendered by appropriately identifying insurance carrier, benefits, etc. Prevents denials by ensuring timely notification of admission to insurance carriers ... * Assists patients in understanding financial obligations; collects co-payments, self-pay deposits, and patient balances to reduce Accounts Receivable. * Stays abreast of and complies with applicable regulations, entity and/or system policies and procedures.… more
- Molina Healthcare (Fort Worth, TX)
- …reported accurately to maintain compliance and to minimize risk and denials . **KNOWLEDGE/SKILLS/ABILITIES** + Performs on-going chart reviews and abstracts diagnosis ... codes + Develop an understanding of current billing practices in provider offices to ensure that diagnosis and CPT codes are submitted accordingly + Documents results/findings from chart reviews and provides feedback to management, providers, and office staff… more
- Adecco US, Inc. (San Antonio, TX)
- …of case files and mailing letters to patients and providers + Reviews denials and determines whether the decisions are retro/claims DOS or prospective DOS, and ... whether they are NCB or medically necessary + Monitors system approval queues and prints member letters, ensuring that all approvals are printed and mailed by end of business day + Prepares envelopes and letters for mailing according to the UM policy +… more
- Ascension Health (Austin, TX)
- …+ Provide appropriate documentation that meets insurance company requirements; appeal all denials in a timely manner. + Participate in inpatient and outpatient ... consultation for specialty, which may include on call schedules. **Requirements** Licensure / Certification / Registration: + Licensed Physician MD/DO credentialed from the Texas Medical Board obtained prior to hire date or job transfer date required.… more
- Houston Methodist (Houston, TX)
- …includes identification of opportunities for appropriate utilization of resources to avoid denials and resource management as it pertains to delivery of care. ... **GROWTH/INNOVATION ESSENTIAL FUNCTIONS** + Identifies and implements innovative solutions for practice or workflow changes to improve department, entity or system operations by leading unit projects and/or other department/ system-directed activities.… more
- US Physical Therapy (Houston, TX)
- …authorizations and verify coverage. + Follow up on unpaid claims and denials . + Maintain accurate and up-to-date patient account information. + Provide excellent ... customer service to patients and healthcare providers. + Collaborate with other departments to improve processes and ensure timely reimbursement. + Maintain knowledge of current insurance regulations and coding requirements. **Qualifications** + High school… more
- Evolent (Austin, TX)
- …obtain additional pertinent clinical history/information; notifies of approvals and denials , giving clinical rationale, while providing optimum customer service ... through professional/accurate communication and maintaining NCQA and health plans required timeframes. + Documents all communication with medical office staff and/or treating provider. + Practices and maintains the principles of utilization management by… more
- Evolent (Austin, TX)
- …obtain additional pertinent clinical history/information; notifies of approvals and denials , giving clinical rationale, while providing optimum customer service ... through professional/accurate communication and maintaining NCQA and health plans required timeframes. + Documents all communication with medical office staff and/or treating provider. + Practices and maintains the principles of utilization management by… more
- Guidehouse (Lewisville, TX)
- …days from home._** **Essential Job Functions** + Account Review + Appeals & Denials + Medicare/Medicaid + Insurance Follow-up + Customer Service + Billing + UB-04 ... & CMS 1500 + Complete all business-related requests and correspondence from patients and insurance companies. + Responsible for working on 40-70 Accounts Per Day + Complete all assigned projects in a timely manner. + Assist client and patients in all requested… more
- KPH Healthcare Services, Inc. (Longview, TX)
- …as assigned. + Identify and report trends in claim denials and payment challenges. + Communicateasneededwithpatients about billing issues,including theresults ... ofapplications for financial hardshipassistanceand other responses tocustomerinquiries about + Support accurate and comprehensive record-keeping to ensure up-to-date information is maintained and effectively shared across departments. + Assist in the… more