- 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
- Guidehouse (Lewisville, TX)
- …office and three days from home._** **Essential Job Functions** + Account Review + Appeals & Denials + Medicare/Medicaid + Insurance Follow-up + Customer Service ... None **Clearance Required** **:** None **What You Will Do** **:** The ** Insurance Patient Account Representative** is an extension of a client's business office… 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
- Houston Methodist (Houston, TX)
- …responsible for resolving all outstanding third party primary and secondary insurance claims for professional services. This position performs collections activities ... on simple and complex denials and on outstanding insurance balances in the professional fee environment. This role...including claims resubmission to payors. + Creates and submits appeals when necessary. Engages the coding follow-up team for… more
- Ascension Health (Austin, TX)
- …hour day shift, Monday - Friday, Remote + **Facility:** Ascension Care Management Insurance + **Salary:** $75,295.00 - $104,957.00 (per year) Must reside in Texas ... **Benefits** Paid time off (PTO) Various health insurance options & wellness plans Retirement benefits including employer match plans Long-term & short-term… more
- Amaze Health (Dallas, TX)
- …patients through the twists and turns of the healthcare system, making complex insurance and care processes clear, accessible, and less stressful every step of the ... thrives in a collaborative, hybrid office-based environment. Responsibilities + Make insurance understandable: Explain insurance coverage and costs in everyday… more
- Amgen (San Antonio, TX)
- …the entire reimbursement journey through payer prior authorization to appeals /denials requirements and forms + Review patient-specific information in cases ... during the access process, including formulary coverage/utilization management criteria, insurance forms & procedures, benefits investigation, prior authorization, appeal,… more
- Robert Half Accountemps (Dallas, TX)
- Description Job Summary: Overall responsibility for contacting all assigned patient and insurance /third party payer accounts with a debit balance to ensure receipt ... within 45 days from the date of service. Perform appeals for underpaid claims or claim denials as assigned...31 days old. * Audits assigned accounts for proper insurance filing. Compares posted payments to EOBs to confirm… more
- Humana (Austin, TX)
- …include an overview of coding practices and clinical documentation, grievance and appeals processes, and outpatient services and equipment, within their scope. The ... other Medical management organizations, hospitals/ Integrated Delivery Systems, health insurance , other healthcare providers, clinical group practice management. +… more
- Humana (Austin, TX)
- …an overview of coding practices and clinical documentation, dispute/grievance and appeals processes, and outpatient services and equipment, within their scope. ... other Medical management organizations, hospitals/ Integrated Delivery Systems, health insurance , other healthcare providers, clinical group practice management. +… more