- Carrington (Plano, TX)
- **Come join our amazing team and work remote from home!** The Claims Recovery & Loss Analysis Specialist is responsible for performing financial reconciliation ... informed of all trends and problems including, but not limited to, claim denials /curtailments and claim payment offsets. + Moderate working knowledge of all Default… 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 ... the career opportunities as a Clinical Denial Coding Review Specialist you want with your current employer? We have...it relates to researching, analyzing, and resolving outstanding clinical denials and insurance claims . This job requires… more
- Molina Healthcare (Dallas, TX)
- …(COB), subrogation and eligibility criteria. * Experience with Medicaid and Medicare claims denials and appeals processing, and knowledge of regulatory ... JOB DESCRIPTION Job Summary Provides support for claims activities including reviewing and resolving member and...guidelines for appeals and denials . * Customer service experience. * Strong organizational and… more
- Molina Healthcare (Houston, TX)
- …(COB), subrogation and eligibility criteria. * Experience with Medicaid and Medicare claims denials and appeals processing, and knowledge of regulatory ... JOB DESCRIPTION Provides support for claims activities including reviewing and resolving **Provider No...guidelines for appeals and denials . * Customer service experience. * Strong organizational and… 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
- 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 (Houston, TX)
- JOB DESCRIPTION Job Summary Provides entry level support for claims activities including reviewing and resolving member and provider complaints, and communicating ... for Medicare and Medicaid Services (CMS). **Essential Job Duties** * Enters denials and requests for appeals into information system and prepares documentation for… more
- System One (Frisco, TX)
- …trends and recommend process improvements to enhance efficiency and reduce denials . Requirements + Associate's degree in Healthcare Administration, Business, ... Job Title: Revenue Cycle Specialist Location: Frisco & Carrollton, Texas (Onsite) Hours/Schedule:...accuracy, compliance, and improving revenue outcomes in a fast-paced healthcare setting, this is a great opportunity to make… more
- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- …Description:** Responsible for ensuring accurate billing for timely submission of claims , monitoring claim status, investigating claim denials /rejections, and ... **43131BR** **Extended Job Title:** Medical Billing Specialist **Org Level 1:** Texas Tech Unv Hlth...adjudication. + Analyze and interpret patient account information; ensure claims will submit to insurance companies in a timely… more
- Prime Healthcare (Mesquite, TX)
- …Submit insurance claims and ensure timely reimbursement + Follow up on insurance denials or unpaid insurance claims and correct errors or insurance codes + ... Biller , sometimes referred to as a Hospital Billing Specialist , Patient Accounts Representative or Insurance Billing Specialist...Medical Biller, you will manage patient billing and insurance claims in our Physician Group or Hospital . The… more