- Houston Methodist (Houston, TX)
- …coding staff; and functions as clinical subject matter expert related to coding denials and appeals . **PEOPLE ESSENTIAL FUNCTIONS** + Communicates openly in a ... At Houston Methodist, the Coding Charges & Denials Specialist is responsible for coordinating and monitoring the coding-specific clinical charges and denial… more
- Molina Healthcare (Fort Worth, TX)
- …subrogation, and eligibility criteria. + Familiarity with Medicaid and Medicare claims denials and appeals processing, and knowledge of regulatory guidelines for ... able to rotate weekends and holidays** Must have Medicare Appeals and IRE experience** Responsible for reviewing and resolving... appeals and denials . + Strong verbal and written communication skills To… more
- Houston Methodist (Sugar Land, TX)
- …processes, managed care contracts and coordination of benefits related to coverage, clinical appeals , and denials to include knowledge of CPT and ICD codes ... At Houston Methodist, the Senior Denials Management Specialist position is responsible for performing...review activities, and monitoring the clinical denial management and appeals process, as applicable, in collaboration with clinical team… 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 ... payer work queues for complex payers and resolve accounts. + Manages denials and appeals efforts. Creates and submits appeals when necessary. + Resolves… more
- Caris Life Sciences (Irving, TX)
- …and genetic testing services. This role is responsible for overseeing appeals processes associated with denials from Caris-contracted and non-contracted ... Life Sciences is seeking an experienced and strategic Director of Billing Operations - Appeals to lead the appeals management function for an assigned payor… more
- Houston Methodist (Katy, TX)
- …to: medical coding, insurance billing, collections, patient account resolution, appeals / denials , customer service, cash applications, revenue integrity, etc. ... but not limited to the following: accounts receivable days, cash collections, denials , avoidable write-offs, staff productivity and work quality and credit balances.… more
- Houston Methodist (Houston, TX)
- …on insurance/managed care benefits + Supports and assists with concurrent insurance denials and appeals process, transmission of utilization reviews to insurance ... directed by the clinical team. Documents authorization, approvals, and denials **GROWTH/INNOVATION ESSENTIAL FUNCTIONS** + Maintains awareness of payor/reimbursement… more
- Baylor Scott & White Health (Dallas, TX)
- …file handling. + Responsibility for the preparation of summaries and files for denials , appeals , medical advice, subrogation, and litigation. + Collection of ... documents and summarizing information. + Providing presentations for committee meetings and any required correspondence. + Apply technical knowledge and human relations skills to ensure fair and prompt case disposal. Contribute to a reduced loss ratio. +… more
- Robert Half Accountemps (Fort Worth, TX)
- …of medical coding, including ICD-10 standards. * Proficiency in handling insurance denials , appeals , and hospital billing processes. * Familiarity with Lytec ... and TriZetto billing platforms. * Competence in using Microsoft Office applications such as Word, Excel, and Outlook. * Exceptional organizational skills and attention to detail. * Ability to work independently while collaborating effectively with healthcare… more
- HCA Healthcare (El Paso, TX)
- …Inpatient Coding Denials Specialist must ensure timely, accurate, and thorough appeals for all accounts assigned and apply critical thinking skills to ascertain ... organization that invests in you as an Inpatient Coding Denials Specialist? At Parallon, you come first. HCA Healthcare...difference. We are looking for a dedicated Inpatient Coding Denials Specialist like you to be a part of… more