- Elevance Health (Grand Prairie, 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
- Fresenius Medical Center (Plano, TX)
- …coding. + Chart Analysis, OP Coding Data auditing and validation: Reviews medical records for the determination of accurate assignment of all documented diagnoses ... and procedures. Adheres to Standards of Ethical Coding (AHIMA/AAPC). Reviews medical records for the determination of accurate assignment of all documented diagnoses… more
- Cardinal Health (Austin, TX)
- …Billing leadership teams.** **_Responsibilities_** + Processes claims : investigates insurance claims ; and properly resolves by follow -up & disposition. + ... done. **The Accounts Receivable Specialist II is responsible for processing insurance claims and billing. They will work within the scope of responsibilities as… more
- Covenant Health (Lubbock, TX)
- …of claim billed and collected on behalf of Covenant. This individual addresses claim edits, files all claims on either a UB-04 (RHC) or 1500 (835/837 ... file formats) and completes follow -up on outstanding accounts. In addition, this individual identifies...valued - they're invaluable. Join our team at Covenant Medical Group and thrive in our culture of patient-focused,… more
- Elevance Health (Grand Prairie, TX)
- …not eligible for employment based sponsorship. **Ensures accurate adjudication of claims , by translating medical policies, reimbursement policies, and clinical ... into effective and accurate reimbursement criteria.** PRIMARY DUTIES: + Review medical record documentation in support of Evaluation and Management, CPT, HCPCS… more
- Houston Methodist (Houston, TX)
- …AR collections. **FINANCE ESSENTIAL FUNCTIONS** + Expedites and maximizes payment of insurance medical claims by contacting third party payers and patients. This ... denials as they appear with actionable items that result in resolution. Engages the coding follow up team for any medical necessity or coding related appeals. +… more
- Sedgwick (Austin, TX)
- …external customers; escalates issues to the appropriate parties; provides status and follow up information to internal or external customers; and assists real-time ... of related experience to include two (2) years of workers' compensation or claims related experience and three (3) years of EDI technical experience including… more
- HCA Healthcare (Plano, TX)
- …experience preferred, such as accounts receivable follow -up, insurance follow -up and appeals, insurance posting, professional medical /billing, medical ... and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low… more
- Prime Healthcare (Mesquite, TX)
- …charts and code insurance information for accurate insurance billing + Submit insurance claims and ensure timely reimbursement + Follow up on insurance denials ... Overview We are seeking a Medical Biller , sometimes referred to as a... Biller, you will manage patient billing and insurance claims in our Physician Group or Hospital . The… more
- Sedgwick (San Antonio, TX)
- …for claimants requesting accommodations under the ADAAA; to review complex medical information for temporary and permanent accommodation requests; and to approve ... and/or client requirements. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Reviews medical information for ADAAA temporary and permanent accommodation requests. +… more