- R1 RCM (Austin, TX)
- …went wrong, and keeps staff educated on all current trends in the appeals arena. Utilizes computer systems/programs, processes, policies and procedures as they apply ... High School diploma Demonstrated extensive knowledge in the health insurance industry (Commercial Insurances, Medicare, Medicaid); health claims billing and/or… 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
- 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
- KBR (Houston, TX)
- …disciplinary and grievance matters, including handling high-profile cases and managing appeals panels. + Maintain quarterly joint labor forums ensuring transparency ... could include 401K plan with company match, medical, dental, vision, life insurance , AD&D, flexible spending account, disability, paid time off, or flexible work… more
- Evolent (Austin, TX)
- …of the request. + Provides clinical rationale for standard and expedited appeals . + Utilizes medical/clinical review guidelines and parameters to assure consistency ... package, Evolent is proud to offer comprehensive benefits (including health insurance benefits) to qualifying employees. All compensation determinations are based on… more
- Elevance Health (TX)
- …a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US military base, vessel or any ... and long term disability benefits, 401(k) +match, stock purchase plan, life insurance , wellness programs and financial education resources, to name a few. Elevance… more
- Elevance Health (Houston, TX)
- …a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US military base, vessel or any ... and long term disability benefits, 401(k) +match, stock purchase plan, life insurance , wellness programs and financial education resources, to name a few. Elevance… more
- Centene Corporation (Austin, TX)
- …medical records to ensure billing is consistent with medical record for appeals , adjustments and miscellaneous/unlisted code review + Review cases with Medical ... Centene offers a comprehensive benefits package including: competitive pay, health insurance , 401K and stock purchase plans, tuition reimbursement, paid time off… more
- FREEMAN (Dallas, TX)
- …existing and new product offerings. + Assist with managing sales/use tax audits and appeals . + Process and analyze business data to support sales and use tax audits ... be some variances in specific benefits across regions. + Medical, Dental, Vision Insurance + Tuition Reimbursement + Paid Parental Leave + Life, Accident and… more
- Reynolds & Reynolds (College Station, TX)
- …processes. Training You will receive comprehensive on-the-job training that appeals to various learning styles. The training program includes instructor-led ... verbal communication skills Benefits Our associates receive medical, dental, vision, and life insurance . We also offer company contributions to your HSA, 6% match on… more