- Methodist Health System (Dallas, TX)
- …receivable management system including but not limited to billing, claim corrections, reconciliation, payment posting, refunds/credit balances, customer service, and ... follow -up in accordance with Departmental protocol with an emphasis...depending upon assigned role may be responsible for reviewing claim information to ensure accuracy and provide feedback to… more
- Highmark Health (Austin, TX)
- …related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of coding, ... Contractor, the RAC, MIC, ZPIC, etc. Determine appeal action, prepare appeal letter follow up and identify education issues. (20%) + Develops audit detail summary… more
- Urology Clinics of North Texas (Mesquite, TX)
- …infusion cycles, and chemotherapy regimen cycles. The specialist will ensure timely follow -up on claims , accurate posting of adjustments, and effective patient ... tasks and utilize tasking tools to manage workflow. + Follow up on all oncology claims from...office-administered medications and infusion services. + Strong knowledge of medical terminology, insurance plans, claims , and billing… more
- Elevance Health (Grand Prairie, TX)
- …Cost of Care and/or Provider Contracting organizations. Focuses efforts on lowering claims costs, improving the quality of care, and increasing member and provider ... works with one provider type, eg physician, ancillary, or medical group. Provides advice and analytic support to ...and specialty care procedures and recommends policy changes and claim 's system changes to pursue cost savings. + Reviews… more
- Molina Healthcare (San Antonio, TX)
- …the Medicaid and Medicare programs as well as Marketplace. + Understanding of claim billing codes, medical terminology, anatomy, and health care delivery ... health care fraud, waste, and abuse. Duties include performing accurate and reliable medical review audits that may also include coding and billing reviews. The SIU… more
- Covenant Health (Lubbock, TX)
- **Description** Performs all types of billing, collection and follow up functions for direct, third party and government patient accounts and serves as a resource ... individual is able to readily identify and respond to claim denial trends, postings error trends and/or complex inquiry...systems in order to maintain highest integrity of the Medical Group as well as to prevent filing deadline… more
- Elevance Health (Grand Prairie, TX)
- …Cost of Care and/or Provider Contracting organizations. Focuses efforts on lowering claims costs, improving the quality of care, and increasing member and provider ... + Provides expert advice, analytic and consultative support to Medical Directors and management on cost of care issues....impact decision making tools + Recommends policy changes and claim 's system changes to pursue cost savings. + Reviews… more
- Covenant Health (Lubbock, TX)
- **Description** Performs all types of billing, collection and follow up functions for direct, third party and government patient accounts and serves as a resource ... individual is able to readily identify and respond to claim denial trends, postings error trends and/or complex inquiry...systems in order to maintain highest integrity of the Medical Group as well as to prevent filing deadline… more
- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- **42594BR** **Extended Job Title:** Medical Coding Auditor **Org Level 1:** Texas Tech Unv Hlth Sci Ctr El Paso **Position Description:** Responsible for auditing ... medical records to ensure accurate coding and compliance with...improvement + Monitor and track corrective actions post-audit, ensuring follow -up to resolve identified issues + Ensure abstracted data… more
- Houston Methodist (Webster, TX)
- At Houston Methodist, the Multi-Site Senior Medical Assistant, (Multi-Site Sr. MA) position is responsible for working at multiple sites, within multiple specialties ... The Multi-Site Sr. MA must communicate appropriately and carry out delegated medical assistant level tasks for the assigned patient population, under the direct… more