- Houston Methodist (Sugar Land, TX)
- At Houston Methodist, the Senior Denials Management Specialist position is responsible for performing utilization review activities, and monitoring the ... and denials for no authorization. The Senior Denials Management Specialist position communicates clinical information utilizing various… more
- Datavant (Austin, TX)
- …realize our bold vision for healthcare. The purpose of the Denial Prevention Specialist is to effectively defend utilization of available health services, review of ... Nurse or Registered Nurse well versed in DRG downgrade denials and appeal writing for inpatient admission. Experience with...as it relates to job function as delegated by management Ideal candidate should be a Licensed Practical Nurse… more
- Texas Health Resources (Arlington, TX)
- Inpatient Coding Denials Analyst _Are you looking for a rewarding career with an award-winning company? We're looking for a qualified_ Inpatient Coding Analyst _like ... in an acute care setting REQUIRED 2 Years Performing billing and coding denials resolution preferred Licenses and Certifications CCS - Certified Coding Specialist… more
- Texas Health Resources (Arlington, TX)
- …assigned (eg, Charge correction requests, research of payor policies, Accounts Receivable & Denials management of Profee charges) Additional perks of being a ... care company? We're looking for a qualified_ Coder II ( Denials ) _like you to join our Texas Health family._...Coder Upon Hire REQUIRED or CCS-P - Certified Coding Specialist - Physician-based Upon Hire REQUIRED and Other Specialty… more
- Houston Methodist (Houston, TX)
- …utilization review functions through point of entry, observation progression of care management , concurrent review and denials reviews. Additionally, the URSN ... At Houston Methodist, the Utilization Review Specialist Nurse (URSN) position is a licensed registered...denials , and pre-bill team members, as well as management . The URSN position helps drive change by identifying… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Revenue Cycle Specialist is responsible for providing direct and indirect revenue cycle support to the Revenue Cycle Managers. It is ... identified by the Revenue Cycle Managers. In addition, the Revenue Cycle Specialist is responsible for resolving all outstanding third-party primary and secondary… more
- HCA Healthcare (Plano, TX)
- …We want your knowledge and expertise! **Job Summary and Qualifications** The Clinical Denials Coding Review Specialist is responsible for applying correct coding ... Do you have the career opportunities as a Clinical Denial Coding Review Specialist you want with your current employer? We have an exciting opportunity for… more
- KPH Healthcare Services, Inc. (Longview, TX)
- **Overview** The Revenue Cycle Management Specialist - Collections responsibility is to ensure timely collection of outstanding balances. **Responsibilities** + ... Specialty Pharmacy collections. Connect With Us! (https://kphcareers-kphhealthcareservices.icims.com/jobs/13809/revenue-cycle- management - specialist collections/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336031866) **Job Locations**… more
- Molina Healthcare (San Antonio, TX)
- …and eligibility criteria. * Experience with Medicaid and Medicare claims denials and appeals processing, and knowledge of regulatory guidelines for appeals ... and denials . * Customer service experience. * Strong organizational and time management skills; ability to manage simultaneous projects and tasks to meet… more
- Molina Healthcare (Houston, TX)
- …and eligibility criteria. * Experience with Medicaid and Medicare claims denials and appeals processing, and knowledge of regulatory guidelines for appeals ... and denials . * Customer service experience. * Strong organizational and time management skills; ability to manage simultaneous projects and tasks to meet… more