- R1 RCM (TX)
- …development based on contractual provisions and applicable state and federal laws, writing appeals and letters to insurance companies to resolve denials, and ... and procedural arguments and tools. + Draft complex and contractual appeals and letters to insurance companies. + Review and apply client contract language and… more
- Affordable Care (Dallas, TX)
- …dental front office responsibilities (patient scheduling,handling dental office finances, full insurance billing process (claims submission, appeals , and denial ... job well. **Additional benefits include** , group medical and dental insurance , vision insurance , life insurance , flexible spending (health and dependent… more
- Guidehouse (Lewisville, TX)
- …from home._** **Essential Job Functions** + Hospital Claims + Account Review + Appeals & Denials + Medicare/Medicaid + Insurance Follow-up + Customer Service ... Required** **:** None **What You Will Do** **:** The ** Insurance Patient Account Representative - Hospital A/R Emphasis** is...+ 1+ year's medical provider experience working with UB04, appeals & denials. + Hospital or EOB claims emphasis… more
- Adecco US, Inc. (Dallas, TX)
- …landscapes and support services. + **Reimbursement Support:** Help offices navigate insurance processes-BI, PA, claims, and appeals . + **Relationship Building:** ... providers, guiding them through benefit investigations, prior authorizations, claims, and appeals . This client-facing role blends remote work with in-person visits,… more
- Select Medical (Dallas, TX)
- … insurance approvals and authorizations, as well as facilitating appeals for patients + Demonstrates positive referrer satisfaction and account retention. ... experience in a related position preferred. + Experience with insurance approvals, prior authorizations, and the appeals ...with insurance approvals, prior authorizations, and the appeals process. + Experience in workers' compensation is a… more
- NTT America, Inc. (Plano, TX)
- …Manager to join our team. NTT DATA is seeking to hire a **Medicare Appeals Clinical Leader** to lead service delivery engagements and improve end-to-end delivery of ... Medicare Appeals . Desire experience specifically for processes for clinical ...eligible for company benefits including medical, dental, and vision insurance with an employer contribution, flexible spending or health… more
- Houston Methodist (Sugar Land, TX)
- …utilization review activities, and monitoring the clinical denial management and appeals process, as applicable, in collaboration with clinical team partners. This ... for the denials and determines the need for or feasibility of submitting appeals . + Facilitates communication with payors and external case managers by documenting… more
- CVS Health (Austin, TX)
- …**Quality Appeal Coordinator** coordinates reviews and evaluations for complaints and appeals received by the organization. This includes denied claims, coverage ... and independently coaches others on matters regarding complaints and appeals . **In this role, you will:** + Handle quality...experience working with claims. + Prior experience in health insurance . + Prior experience in compliance or auditing. +… more
- Houston Methodist (Katy, TX)
- …of Revenue Cycle, to include but not limited to: medical coding, insurance billing, collections, patient account resolution, appeals /denials, customer service, ... aged accounts, adjudications timeframes, and erroneous denials. + Ensures that insurance follow-up and billing efforts result in optimal reimbursement. Gathers and… more
- Community Health Systems (Longview, TX)
- **Job Summary** The Insurance Verification Representative is responsible for verifying insurance coverage and benefits for scheduled procedures and services. ... prior authorizations, if needed, to facilitate timely reimbursement. The Insurance Verification Representative works closely with clinical and administrative teams… more