- Abbott (Plano, TX)
- …spectrum of healthcare, with leading businesses and products in diagnostics, medical devices, nutritionals and branded generic medicines. Our 114,000 colleagues ... you dream of. + Employees can qualify for free medical coverage in our Health Investment Plan (HIP) PPO...currently has an opportunity for a **Patient Therapy Access Specialist ** (PTA). This is an in office 5 days… more
- J&J Family of Companies (Fort Worth, TX)
- …**Job Description:** We are searching for the best talent for Area Business Specialist to be in Fort Worth, TX/Dallas, TX. **About Immunology** Our expertise in ... of the way. Learn more at https://www.jnj.com/innovative-medicine As the Area Business Specialist (ABS), you will: + Ensure appropriate identified new and existing… more
- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- …practitioner (APP) and coding staff on documentation and coding guidelines. + Reviewing medical coding claim denials for correction and appeals within the ... **43114BR** **Extended Job Title:** Coding Specialist **Org Level 1:** Texas Tech Unv Hlth...Unv Hlth Sci Ctr El Paso **Position Description:** Review medical record provider documentation and assign appropriate CPT, HCPCS… more
- KPH Healthcare Services, Inc. (Longview, TX)
- **Overview** The Revenue Cycle Management Specialist - Collections responsibility is to ensure timely collection of outstanding balances. **Responsibilities** + ... complex or uncollectible accounts to management for further action. + Submit appeals /claim corrections as needed within timely filing limits. + Utilize billing… more
- Evolent (Austin, TX)
- …in a non-clinical setting? Join our Utilization Management team as a Field Medical Director, Cardiovascular Specialist and use your expertise in interventional ... endovascular procedures, implantable cardiac devices, etc) that do not initially meet medical necessity guidelines or require further evaluation by a subject matter… more
- Baylor Scott & White Health (Dallas, TX)
- …handling Responsibility for the preparation of summaries and files for denials, appeals , medical opinions, subrogation and litigation.1. Collection of documents ... establish reserve requirements, identify subrogation potential, maintain diaryReview and evaluate medical and loss wages, conduct thorough investigation of the claim… more
- CVS Health (Austin, TX)
- …within budgeted costs. **What you will do** + Acts as a top-level specialist on project management and develops a comprehensive plan that encompasses objectives, ... Product Experience + Experience with Part D Coverage Determination, Appeals and Grievances and/or Formulary Administration regulatory requirements and audit… more
- Cardinal Health (Austin, TX)
- …skills and prioritizes getting the right things done. **The Accounts Receivable Specialist II is responsible for processing insurance claims and billing. They will ... system. + Manages and resolves complex insurance claims, including appeals and denials, to ensure timely and accurate reimbursement....benefits and programs to support health and well-being. + Medical , dental and vision coverage + Paid time off… more