- Community Health Systems (Corsicana, TX)
- …Medical Billing or Coding preferred + 0-2 years of experience in medical billing, insurance claims processing, or revenue cycle management required ... Certified Medical Biller issued by AAPC preferred or + Certified Medical Insurance Specialist (CMIS) issued by PMI preferred Equal Employment Opportunity… more
- DriveTime (Fort Worth, TX)
- …**That's Nice, But What's the Job?** In short, as a Vendor Support Specialist , you will be involved in assisting recovery vendors with questions, invoicing, and ... addition, this is a customer facing role where the specialist serves as a liaison between the customer and...resolve any vendor invoice escalations + Handle customer complaint claims due to repossession activity through customer calls, research… more
- Houston Methodist (Houston, TX)
- …changes are needed. **QUALITY/SAFETY ESSENTIAL FUNCTIONS** + Analyzes data from various sources ( medical records, claims data, payer medical policies, etc.), ... At Houston Methodist, the Coding Charges & Denials Specialist is responsible for coordinating and monitoring the...Integrates the payer medical policies, case specific medical documentation, and claims information into a… more
- CVS Health (Austin, TX)
- …handle customer service inquiries and problems. **Additional Responsibilities:** Reviews pre-specified claims or claims that exceed specialist adjudication ... day. **Position Summary** Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. Acts as a subject… more
- University of Texas Rio Grande Valley (Edinburg, TX)
- …prior authorizations and referrals and entering the completed referral into the electronic medical record system for claims adjudication to ensure services are ... Position Information Posting NumberSRGV8412 Working TitlePRIOR AUTHORIZATION AND REFERRAL SPECIALIST Number of Vacancies1 LocationEdinburg, Texas DepartmentSchool of Medicine/… more
- Molina Healthcare (TX)
- …to ensure that internal and/or regulatory timelines are met. + Research claims appeals and grievances using support systems to determine appeal and grievance ... outcomes. + Requests and reviews medical records, notes, and/or detailed bills as appropriate; formulates conclusions per protocol and other business partners to… more
- KPH Healthcare Services, Inc. (Longview, TX)
- **Overview** The Revenue Cycle Management Specialist - Collections responsibility is to ensure timely collection of outstanding balances. **Responsibilities** + ... Manage the collection process for outstanding claims , including contacting insurance companies, patients, and other responsible parties via phone, email, and written… more
- HCA Healthcare (Corpus Christi, TX)
- …care like family! Jump-start your career as an Inpatient Coding Resolution Specialist today with Parallon. **Benefits** Parallon, offers a total rewards package that ... colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no...Come join our team as an Inpatient Coding Resolution Specialist . We care for our community! Just last year,… more
- CDM Smith (Austin, TX)
- …40509BR **Business Unit:** FSU **Job Description:** The Disaster Program Delivery Specialist : * Collects, coordinates and/or reviews applicant data to determine ... expertise may be needed throughout the program delivery process. * Supports the claims process by reviewing and validating damage details, scopes of work, and costs… more
- Mass Markets (Killeen, TX)
- …as a trusted partner in the industry. We're looking for a Talent Acquisition Specialist to support our growing team by managing the full recruitment life cycle. If ... WHAT DOES SOMEONE IN THIS ROLE ACTUALLY DO? As a Talent Acquisition Specialist , you'll handle everything from sourcing candidates to onboarding new hires. You'll… more