• Grievance & Appeals Representative

    Humana (Austin, TX)
    …a part of our caring community and help us put health first** The Grievances & Appeals Representative 3 manages client denials and concerns by conducting a ... with clinical and other Humana parties. The Grievances & Appeals Representative 3 performs advanced administrative/operational/customer support duties… more
    Humana (09/02/25)
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  • Account Representative - (Museum District)

    Houston Methodist (Houston, TX)
    At Houston Methodist, the Account Representative position is responsible for resolving all outstanding third party primary and secondary insurance claims for ... services. This position performs collections activities on simple and complex denials and on outstanding insurance balances in the professional fee environment.… more
    Houston Methodist (08/14/25)
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  • Patient Account Representative - Physician…

    Guidehouse (Lewisville, TX)
    …all denials taking necessary actions to obtain account resolution + Submits appeals , as appropriate, for all non-clinical denials + Monitors all denials ... **Job Family** **:** Patient Account Representative **Travel Required** **:** None **Clearance Required** **:**...None **What You Will Do** **:** The **Patient Account Representative (PAR)** is expected to perform specific billing processes,… more
    Guidehouse (08/09/25)
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  • Case Management Representative

    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 ... At Houston Methodist, the Case Management Representative position is responsible for providing clerical assistance and data management support to the case management… more
    Houston Methodist (08/20/25)
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  • Representative II, Accounts Receivable

    Cardinal Health (Austin, TX)
    …in the appropriate system. + Manages and resolves complex insurance claims, including appeals and denials , to ensure timely and accurate reimbursement. + ... Processes denials & rejections for re-submission (billing) in accordance with...changes that may need to be made. + Processes denials & rejections for re-submission (billing) in accordance with… more
    Cardinal Health (08/24/25)
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  • Patient Account Representative - Medicare,…

    Guidehouse (Lewisville, TX)
    …and three days from home._** **Essential Job Functions** + Account Review + Appeals & Denials + Medicare/Medicaid + Insurance Follow-up + Customer Service ... **Job Family** **:** Patient Account Representative **Travel Required** **:** None **Clearance Required** **:**...**What You Will Do** **:** The **Insurance Patient Account Representative ** is an extension of a client's business office… more
    Guidehouse (08/18/25)
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