- Molina Healthcare (San Antonio, 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
- Intermountain Health (Austin, TX)
- …with AR to identify claim denial trends and with Coding to identify trend denials related to CPT codes and specific payer types. + Coordinates all aspects of ... with AR to identify claim denial trends and with Coding to identify trend denials related to CPT codes and specific payer types. 12. Execute large enrollment… more
- Molina Healthcare (Austin, 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
- Citizens (Irving, TX)
- …challenges? Citizens Bank is seeking a Single Point of Contact (SPOC) Relationship Specialist to serve as the primary liaison for borrowers throughout the default, ... Clearly communicate decisions and next steps, including modification approvals or denials , and guide borrowers through alternative solutions when needed. + Financial… more
- University of Texas Rio Grande Valley (Harlingen, TX)
- Position Information Posting NumberSRGV8237 Working TitleCLINICAL DOCUMENTATION SPECIALIST Number of Vacancies1 LocationHarlingen, Texas DepartmentSchool of ... to ensure accurate physician reimbursement is achieved and claims denials are reduced by ensuring documentation integrity. * Educates...American Academy Professional Coders ( AAPC ), Certified Coding Specialist - P ( CCS - P) from the… more
- KPH Healthcare Services, Inc. (Longview, TX)
- **Overview** The Revenue Cycle Management Specialist - Collections responsibility is to ensure timely collection of outstanding balances. **Responsibilities** + ... as assigned. + Identify and report trends in claim denials and payment challenges. + Communicateasneededwithpatients about billing issues,including theresults… more
- Molina Healthcare (TX)
- …by the Centers for Medicare and Medicaid. **KNOWLEDGE/SKILLS/ABILITIES** + Enters denials and requests for appeal into information system and prepares documentation ... to appeals and grievances. + Elevates appropriate appeals to the Appeals Specialist . + Generates and mails denial letters. + Assists with interdepartmental issues… more
- Methodist Health System (Dallas, TX)
- …provide feedback to the clinical and non-clinical areas regarding claim errors and/or denials , and for providing cross coverage for areas not primarily assigned as ... required to ensure efficient and professional operations and maximum patient satisfaction. Your Job Requirements: * Associate Degree or High School Diploma with (4) four years as an Account Receivable analyst in a Hospital setting. * Professional Certification… more
- Cardinal Health (Austin, TX)
- …skills and prioritizes getting the right things done. **The Accounts Receivable Specialist II is responsible for processing insurance claims and billing. They will ... system. + Manages and resolves complex insurance claims, including appeals and denials , to ensure timely and accurate reimbursement. + Processes denials … more
- Texas Health Resources (Arlington, TX)
- …as related to coding. This may include working to reduce the volume of coding denials through claim edit management. This would include feedback to the EPIC team as ... Certifications** CPC - Certified Professional Coder or CCS-P - Certified Coding Specialist - Physician-based required upon hire CPB - Certified Professional Billing… more