- Option Care Health (Austin, TX)
- …Assists with Billing and Collection Training and completes "second level" appeals to payers. **Job Description:** **Job Responsibilities:** + Submits timely, ... letters to the patient or responsible party when their insurance carrier fails to make payment reasonable time frame....Pay Range is $17.87-$29.78 **Benefits:** -Medical, Dental, & Vision Insurance -Paid Time off -Bonding Time Off -401K Retirement… more
- TEKsystems (Dallas, TX)
- …root cause and prevention of future rejections & denials, advising management and appeals team where necessary. * Route claims and/or balances that are deemed ... Skills & Qualifications A comprehensive understanding of Medicare, Medicaid, and/or Commercial Insurance program rules as it pertains to DME billing. * Ability to… 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...Coding Denials Specialist must ensure timely, accurate, and thorough appeals for all accounts assigned and apply critical thinking… more
- KPH Healthcare Services, Inc. (Longview, TX)
- …+ Manage the collection process for outstanding claims, including contacting insurance companies, patients, and other responsible parties via phone, email, and ... complex or uncollectible accounts to management for further action. + Submit appeals /claim corrections as needed within timely filing limits. + Utilize billing… more
- Elevance Health (Grand Prairie, TX)
- …all prior authorization determinations. + Provides resolution to grievances and appeals issues. + Managing inbound and outbound communications, triaging and ... Experiences:** + National CPhT certification highly preferred. + Experience with PBM/Plan insurance setup, including but not limited to the processing of claims… more
- Houston Methodist (Houston, TX)
- …protection of private health and personal information. Adheres to all Health Insurance Portability and Accountability Act (HIPAA) and Payment Card Industry (PCI) ... (EF) + Completes reconciliation of unidentifiable/unmatched cash receipts. Processes insurance refunds as applicable. **FINANCE ESSENTIAL FUNCTIONS** + Reviews and… more
- The Cigna Group (Austin, TX)
- …**RESPONSIBILITIES** + Receive requests by email or telephone regarding insurance claims/policies while operating on multiple computer applications. Respond to ... for final processing + Independently respond to inquiries, grievances, complaints or appeals ranging from routine to moderate complexity. May seek assistance with… more
- Highmark Health (Austin, TX)
- …medical necessity and appropriateness. Complete initial determination of cases, review of appeals and grievances, and other reviews as assigned. Compose clear and ... + 1 year in Medical Management in a Health Insurance Plan; strong knowledge of managed care industry **LICENSES...this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described… more
- Centene Corporation (Austin, TX)
- …state, federal and accrediting body requirements. + Provide supervision for appeals and grievance, quality of care/service; provider redeterminations and other ... Centene offers a comprehensive benefits package including: competitive pay, health insurance , 401K and stock purchase plans, tuition reimbursement, paid time off… more
- Evolent (Austin, TX)
- …subject matter expert. + Provides clinical rationale for standard and expedited appeals . + Discusses determinations (peer to peer phone calls) with requesting ... package, Evolent is proud to offer comprehensive benefits (including health insurance benefits) to qualifying employees. All compensation determinations are based on… more