- 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
- TEKsystems (San Antonio, TX)
- …or alternative resources for non-covered chemotherapy services to prevent payment denials . Provides a contact list for patients community resources including special ... programs, drugs and pharmaceutical supplies and financial resources. * Maintains a good working knowledge of chemotherapy authorization requirements for all payers, State and federal regulatory guidelines for coverage and authorization. Adheres to… more
- Molina Healthcare (Houston, TX)
- …for Medicare and Medicaid Services (CMS). **Essential Job Duties** * Enters denials and requests for appeals into information system and prepares documentation for ... further review. * Researches claims issues utilizing systems and other available resources. * Assures timeliness and appropriateness of appeals according to state, federal and Molina guidelines. * Requests and obtains medical records, notes, and/or detailed… more
- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- …direct oversight of daily coding operations while also performing coding specialist functions. **Requisition ID:** 42720BR **Travel Required:** Up to 25% ... Provide direct oversight, training and guidance to assigned multi-specialty coding specialist teams. Coach, develop and make recommendations to the director… 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
- Houston Methodist (Houston, TX)
- …and ensures standards are met. Implements action plan to reduce clinical denials and coordinates department training. **FINANCE ESSENTIAL FUNCTIONS** + Assists in ... paid claims by third-party payors related to coding or clinical denials . **GROWTH/INNOVATION ESSENTIAL FUNCTIONS** + Implements change, demonstrating the ability to… more
- Prime Healthcare (Mesquite, TX)
- …seeking a Medical Biller , sometimes referred to as a Hospital Billing Specialist , Patient Accounts Representative or Insurance Billing Specialist . As our ... + Submit insurance claims and ensure timely reimbursement + Follow up on insurance denials or unpaid insurance claims and correct errors or insurance codes + Prepare… more
- Catholic Health Initiatives (Lufkin, TX)
- …accuracy of billing within areas of responsibility/specialty. Reviews and resolves denials . Participates in special projects and completes other duties as assigned. ... through American Health Information Management Association (AHIMA) as Certified Coding Specialist (CCS) or Certified Coding Specialist Physician Based (CCS-P)… more
- Texas Health Resources (Arlington, TX)
- …PCP and attempts to schedule follow up appointments with either a PCP, specialist , clinic, visiting physician or other transitional care visit prior to discharge. ... discharge disposition, barriers to discharge, avoidable days, and potential denials . Coordinates/facilitates patient care progression throughout the continuum with… more
- Texas Health Resources (Arlington, TX)
- …additional reviews to assist departments handling Medicare, OIG, or non-Medicare denials . Provide expert analysis on coding, documentation, and applicable regulatory ... Health Information Administrator Upon Hire Required Or CCS - Certified Coding Specialist Upon Hire Required Or CPC - Certified Professional Coder Upon Hire… more