- Baylor Scott & White Health (Plano, TX)
- …individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well. Our Core ... patient registration procedures and documentation. + Knowledge of medical insurance claims procedures and documentation. Needs to have thorough understanding of the… more
- Actalent (Fort Worth, TX)
- Pharmacy Technician/Trainee Location: Fort Worth, TX (closed door pharmacy) Full-Time | Healthcare Services Overview Join our pharmacy support team to help patients ... quickly and accurately. This role involves handling calls, processing insurance claims , and resolving copay issues-all while delivering excellent customer service.… more
- R1 RCM (Austin, TX)
- …and obtain appropriate information in pursuit of resolving unpaid claims . Responsibilities: Reads and interprets expected reimbursement information from EOB's ... in the health insurance industry (Commercial Insurances, Medicare, Medicaid); health claims billing and/or Third-Party contracts, minimum of two years experience in… more
- Houston Methodist (Houston, TX)
- …Clinical Research Billing Compliance. + Provides oversight and performs detailed claims analysis and medical record review as necessary, including the following: ... clinical trial protocols, study budgets, coverage analyses, etc. - Performs detailed claims testing and medical review. - Reviews Medicare Coverage Analysis to… more
- Houston Methodist (Houston, TX)
- …calls to ensure prompt authorization approvals and secure payment of medical claims for both hospital billing and physician billing. + Consistently and accurately ... through varying methods to follow up on receipt of claims and bills, and to resolve outstanding account balances....hospital billing and collections or patient access in a healthcare setting, preferably in a hospital **LICENSES AND CERTIFICATIONS… more
- Houston Methodist (Houston, TX)
- …ESSENTIAL FUNCTIONS** + Analyzes data from various sources (medical records, claims data, payer medical policies, etc.), determines the causes for denials ... Integrates the payer medical policies, case specific medical documentation, and claims information into a concise appeal letter, including appropriate medical… more
- UIC Government Services and the Bowhead Family of Companies (San Antonio, TX)
- …and Virtualization solutions from the planning to the sustainment phase in a DOD healthcare environment + Five (5) years of experience in a hospital supporting an ... and other protected characteristics EOE/D/V. In furtherance, pursuant to The Alaska Native Claims Settlement Act 43 USC Sec. 1601 et seq., and federal contractual… more
- Cardinal Health (Austin, TX)
- …of healthcare data, including clinical data, patient demographics, and claims data. Understanding of HIPAA and other relevant regulations, preferred. + ... Center of Excellence (AI CoE), we are pushing the boundaries of healthcare with cutting-edge Data Science and Artificial Intelligence (AI). Our mission is… more
- Moore County Hospital District (Dumas, TX)
- Moore County Hospital District (MCHD), located in Dumas, Texas, is a leading healthcare provider dedicated to serving Moore County and the surrounding areas. Our ... over 15,000 nursing homes evaluated. MCHD is proud to provide comprehensive healthcare services to residents across six counties, ensuring accessible and exceptional… more
- Humana (Austin, TX)
- …first** The Medical Director relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex ... medical interpretation and determinations whether services provided by other healthcare professionals are in agreement with national guidelines, CMS requirements,… more