- USAA (Houston, TX)
- … claim damages including communicating with the insured, internal claims adjusters, and third parties/vendors. May require face-to-face interactions with members ... for handling, if applicable. + Maintain accurate and current claim file documentation throughout the claims process...high standards of productivity through effective desk management, timely follow ups, and accurate mapping of repair plan and… more
- Houston Methodist (Houston, TX)
- …denials and adjustments for the individual facilities and the system. + Works assigned claim edit and follow up work queues and meets the assigned productivity ... reduce financial risk and exposure caused by front end claim edits and retrospective denial of payments for services...**QUALITY/SAFETY ESSENTIAL FUNCTIONS** + Analyzes data from various sources ( medical records, claims data, payer medical… more
- Caris Life Sciences (Irving, TX)
- …take appropriate action. + Check claims status via phone or portal. + Submit Medical Records upon request and follow up on submission. + Submit HCFA's ... companies. This role involves following up with insurance companies to check claim status, reviewing medical records request and submitting required… more
- Cognizant (Austin, TX)
- …of pay interactions, appeal outcomes, and resolution activities. *Perform comprehensive follow -up on hospital claims to resolve outstanding accounts receivable. ... you will perform advanced level work related to resolution of hospital claims . You will be responsible for resolving aged hospital accounts receivables, identifying… more
- Methodist Health System (Dallas, TX)
- …to resubmit claims promptly and accurately. - Investigate and address claim denials promptly. Utilize knowledge of payor policies, medical coding guidelines, ... such as claim corrections, appeals, or adjustments. - Conduct thorough follow -up on aging accounts receivable, prioritizing those with no response or denied … more
- R1 RCM (Austin, TX)
- …transform the patient experience and financial performance of hospitals, health systems and medical groups. We are the one company that combines the deep expertise ... analytics, AI, intelligent automation, and workflow orchestration Job Description The Follow Up Associate II rep will be responsible for investigating and… more
- InGenesis (El Paso, TX)
- …In this role, you will process referrals for off-site specialty consults and follow -up medical appointments. If you meet the qualifications outlined below, apply ... medical appointments, such as radiology procedures, specialty consults follow -up appointments, and surgical procedures. * Heartsaver CPR AED certification… more
- Robert Half Finance & Accounting (Dallas, TX)
- …compliance, and timeliness in all functions. + Manage the preparation, submission, and follow -up of medical claims and billing activities. + Monitor ... supervising a team, ensuring timely and accurate processing of medical claims , and driving efficiency in the...with internal teams to resolve billing issues and improve claim acceptance and reimbursement processes. + Develop and implement… more
- Lincoln Financial (Austin, TX)
- …organization. This position will be responsible for reviewing, analyzing, and interpreting medical information available for disability claims . In this role you ... a clinical resource for Group Protection benefit specialists and claim professionals. You will evaluate medical information...this role you will provide coaching and guidance to claims regarding medical management. **What you'll be… more
- Elevance Health (Houston, TX)
- …coding or quality assurance environment preferred. + Broad knowledge of medical claims billing/payment systems provider billing guidelines, payer reimbursement ... -expense spending. The **DRG CODING AUDITOR** is responsible for auditing inpatient medical records and generating high quality recoverable claims for the… more