- Houston Methodist (Houston, TX)
- At Houston Methodist, the Coding Charges & Denials Specialist is responsible for coordinating and monitoring the coding-specific clinical charges and denial ... and payers to successfully clear front end claim edits, appeal clinical denials , and address customer service inquiries. Additionally, this position will collaborate… more
- Baylor Scott & White Health (Dallas, TX)
- …**Job Summary** + Under the Safe Choice Claims Manager, the Safe Choice Claims Specialist II reviews, studies, and processes assigned claims within their ... communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live...efficient service while protecting the organization's assets. + The Claims Specialist II's main duty involves using… more
- Molina Healthcare (Fort Worth, TX)
- …benefits, subrogation, and eligibility criteria. + Familiarity with Medicaid and Medicare claims denials and appeals processing, and knowledge of regulatory ... to ensure that internal and/or regulatory timelines are met. + Research claims appeals and grievances using support systems to determine appeal and grievance… more
- Methodist Health System (Dallas, TX)
- … claims , able to identify, address, and resolve no response claims , denied claims , and correspondence. As an AR II Specialist , you will play a crucial ... review outstanding claims , focusing on those with no response or denials . Identify and rectify errors, discrepancies, and missing information to resubmit … more
- KPH Healthcare Services, Inc. (Longview, TX)
- **Overview** The Revenue Cycle Management Specialist - Collections responsibility is to ensure timely collection of outstanding balances. **Responsibilities** + ... Manage the collection process for outstanding claims , including contacting insurance companies, patients, and other responsible parties via phone, email, and written… more
- Molina Healthcare (Austin, TX)
- …by the Centers for Medicare and Medicaid. **KNOWLEDGE/SKILLS/ABILITIES** + Enters denials and requests for appeal into information system and prepares documentation ... of appeals according to state and federal and Molina Healthcare guidelines. + Requests and obtains medical records, notes,...and grievances. + Elevates appropriate appeals to the Appeals Specialist . + Generates and mails denial letters. + Assists… more
- Robert Half Accountemps (Fort Worth, TX)
- Description We are looking for a skilled and proactive Medical Biller/Collections Specialist to join our team in Fort Worth, Texas. This role is vital for ensuring ... accurate billing processes, resolving insurance claims , and maintaining patient documentation. As a Contract-to-permanent position, it offers flexible afternoon and… more
- Molina Healthcare (Fort Worth, TX)
- …reported accurately to maintain compliance and to minimize risk and denials . **KNOWLEDGE/SKILLS/ABILITIES** + Performs on-going chart reviews and abstracts diagnosis ... activities with other departments in Molina including Finance, Revenue analytics, Claims and Encounters, and Medical Directors + Maintains professional and technical… 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:** 41973BR **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
- Banner Health (TX)
- …Proficiency in claims software to address coding edits and claim denials utilizing multiple platforms and internal tracking tools. Provides findings for use as ... Inpatient Facility Coding department. If you have experience with DRG and PCS coding/ denials /audits, we want to hear from you. **Requirements:** + **5 years recent… more