- Insight Global (Houston, TX)
- …5+ years of Revenue Cycle Experience - End to End Strong experience in medical billing, claims , and revenue cycle management Experience with complicated ... in Houston, TX is seeking an AR Revenue Cycle Specialist to join their team. This position is hybrid...will be responsible for reviewing denied or rejected insurance claims , investigating the reasons for denial, correcting any errors… 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
- Sedgwick (Austin, TX)
- …Work(R) Fortune Best Workplaces in Financial Services & Insurance ADA Accommodation Specialist **PRIMARY PURPOSE** : To enhance the ADA process for claimants ... requesting accommodations under the ADAAA; to review complex medical information for temporary and permanent accommodation requests; and to approve and/or negotiate… 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
- Molina Healthcare (Fort Worth, 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
- Molina Healthcare (San Antonio, TX)
- …narratives, graphs, flowcharts, etc. for use in presentations and audits. Researches 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… more
- HCA Healthcare (Georgetown, TX)
- …is recognized. Submit your application for the opportunity below: Medicare Specialist Parallon **Benefits** Parallon, offers a total rewards package that supports ... colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no...may vary by location._** We are seeking a Medicare Specialist for our team to ensure that we continue… 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