- Guidehouse (Lewisville, TX)
- …our Lewisville, TX office and three days from home._** **Essential Job Functions** + Hospital Claims + Account Review + Appeals & Denials + Medicare/Medicaid + ... Required** **:** None **What You Will Do** **:** The ** Insurance Patient Account Representative - Hospital A/R...provider experience working with UB04, appeals & denials. + Hospital or EOB claims emphasis + PC… more
- HCA Healthcare (Arlington, TX)
- …flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance , identity theft ... resolution, for HCA Healthcare. Our services include scheduling, registration, insurance verification, hospital billing, revenue integrity, collections, payment… more
- Sedgwick (Farmers Branch, TX)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Auto Claims Adjuster - Dallas, TX. (Must have NY license) **PRIMARY ... efficient claim processing. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Evaluates insurance policies, claims forms, policies, endorsements, carrier… more
- TEKsystems (Dallas, TX)
- …of the servicer and/or client + Files respective investor/insurer initial and final claims based on the respective guidelines for allowable limits + Reviews MI claim ... reasons for potential rebuttal + Files Appeal or Supplemental Claims ensuring all allowable advances and interest are recovered...Medical, dental & vision * Critical Illness, Accident, and Hospital * 401(k) Retirement Plan - Pre-tax and Roth… more
- TEKsystems (Dallas, TX)
- …of the servicer and/or client + Files respective investor/insurer initial and final claims based on the respective guidelines for allowable limits + Reviews MI claim ... reasons for potential rebuttal + Files Appeal or Supplemental Claims ensuring all allowable advances and interest are recovered...Medical, dental & vision * Critical Illness, Accident, and Hospital * 401(k) Retirement Plan - Pre-tax and Roth… more
- Cognizant (Austin, TX)
- **AR Hospital follow Up** Cognizant is one of the world's leading professional services companies. We help our clients modernize technology, reinvent processes, and ... role, the successful candidate performs advanced level work related to resolution of hospital denials. This position will be responsible for root cause analysis … more
- Humana (Austin, TX)
- …caring community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will ... closely with IT, the pricing software vendor, CIS BSS, Medicaid operations, claims operations, and other business teams involved in the administration of Medicaid… more
- Houston Methodist (Houston, TX)
- …(where applicable) and claim edits, payor rejections, unresolved or no response insurance claims and processing of financial correspondence. The Insurance ... general knowledge of billing practices and maintains departmental standards relating to insurance claims processing, charge entry and billing functions. This… more
- Methodist Health System (Dallas, TX)
- … insurance records along with fulfilling various Corporate Risk and insurance functions and responsibilities. ** Claims :** + Be responsible in managing ... general acute care hospitals and 1 general acute care hospital under construction. Our mission is to improve and.../ claims verification for members insured by MHS' self- insurance Trust. + Must be able to interpret contracts/lease… more
- Elior North America (Houston, TX)
- …combination of background, skills, and experience. + Knowledge of the application of insurance coverage and claims handling procedures. + Strong written and oral ... and action plans to effectively manage, investigate, and resolve workers' compensation claims . You will support the administration of the program by identifying… more