- Adecco US, Inc. (Irving, TX)
- …specific drug (including Benefit Investigation, Prior Authorization, Claims Assistance, and Appeals ) and educating the office on Payer landscape and services ... training venues. Must have a solid working knowledge of Medicare and Commercial insurance plans and benefit structures in order to relay detailed benefit information… more
- HCA Healthcare (San Antonio, TX)
- …plans (accident, critical illness, hospital indemnity), auto and home insurance , identity theft protection, legal counseling, long-term care coverage, moving ... assistance, pet insurance and more. + Free counseling services and resources...analysis of managed care issues. Offers clinical support for appeals and denials process, discharge planning, case management, and… more
- Centene Corporation (Austin, TX)
- …optimize outcomes. + Collaborates effectively with clinical teams, network providers, appeals team, medical and pharmacy consultants for reviewing complex cases and ... medical necessity appeals . + Participates in provider network development and new...work in the areas of Health Administration, Health Financing, Insurance , and/or Personnel Management is advantageous. Experience treating or… more
- Methodist Health System (Dallas, TX)
- …and maintain an efficient flow of patients from patient registration, insurance verification, initial contact and surgeon consultation through the surgical pathway ... to complete insurance and program criteria, and medical clearances to be...schedules 1 week post op appointment. * Handle all appeals and denials in conjunction with patient's care. *… more
- Urology Clinics of North Texas (Mesquite, TX)
- …billing errors; resubmit claims to insurance carriers as needed. + Review insurance Explanation of Benefits (EOB) and initiate appeals when necessary. + ... Summary: The Oncology Accounts Specialist is responsible for managing and resolving insurance and patient receivables for the Oncology service line. This role… more
- Cardinal Health (Austin, TX)
- …relationships of trust with customers and internal business partners. The Insurance Follow-up Collector generates revenue by monitoring and pursuing payment on ... goals to maximize cash flow. Responsibilities + Reverification of insurance benefits if missed by front office + Able...importance and relationship to patient care + Consults with appeals department for disputed / denied claims. + Works… more
- CBRE (Dallas, TX)
- …be solved, and scope of the project, such as, mortgage financing, insurance replacement cost calculation, estate valuation, tax appeals , equitable distribution, ... experience. This role will provide the following benefits: 401(K), Dental insurance , Health insurance , Life insurance , and Vision insurance . Successful… more
- Houston Methodist (Katy, TX)
- …position has direct contact with other Houston Methodist departments and insurance companies and must demonstrate strong interpersonal and persuasive abilities in ... Indicator. **FINANCE ESSENTIAL FUNCTIONS** + Follows up on assigned delinquent insurance claims. Ensures maximization of collection dollars from insurance … more
- Humana (Austin, TX)
- …other Medical management organizations, hospitals/ Integrated Delivery Systems, health insurance , other healthcare providers, clinical group practice management. + ... review organization, such as Medicare Advantage, managed Medicaid, or Commercial health insurance . + Experience with national guidelines such as MCG(R) or InterQual… more
- Cardinal Health (Austin, TX)
- …with various healthcare providers, including physicians, specialty pharmacies, and insurance companies, to ensure seamless coordination of patient care and ... timely access to necessary services + Assist in obtaining insurance , prior authorization, and appeal requirements and outcomes + Help patients understand their … more