- Humana (Austin, TX)
- …a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make ... reference materials, internal teaching conferences, and other reference sources. Medical Directors will learn Medicare, Medicaid, and Medicare Advantage requirements… more
- Elevance Health (Grand Prairie, TX)
- …abuse prevention and control. + Review and conducts analysis of claims and medical records prior to payment . Researches new healthcare-related questions as ... **Clinical Fraud Investigator II - Registered Nurse and CPC - Calrelon Payment Integrity SIU** **Location:** This role requires associates to be in-office 1 - 2 days… more
- Robert Half Accountemps (Dallas, TX)
- …in a medical office or equivalent. Requirements EMR - Electronic Medical Records, Medical Payment Poster, Outpatient Coding, Patient Accounting, ... claim denials as assigned by the Billing Manager. Procure payment or establish payment arrangements with patients...accordance with billing office policies and procedures. * Forwards medical or coding denials to the QA Department for… more
- Intermountain Health (Austin, TX)
- …or workflow issues, and escalating in a timely manner + Advanced knowledge of Medical Terminology + Payment Handling + Effective written and verbal communication ... in a timely and accurate manner. **Essential Functions** + Identifies appropriate payment details and saves back-up as appropriate. + Researches, validates and makes… more
- Houston Methodist (Houston, TX)
- …payor websites and initiate calls to ensure prompt authorization approvals and secure payment of medical claims for both hospital billing and physician billing. ... Services. This position assists in notifying patients of their financial responsibility, payment options, and collecting payments. The IFC ensures the operation of… more
- TEKsystems (San Antonio, TX)
- …and confidentiality by adherence to all applicable policies and procedures. Skills Payment posting, Collection, Medical collections, Medical , Payment ... calls, Accounts receivable, Cash postings, Collections customer service, 50 wpm, Medical insurance, Insurance follow up, Icd-10, Medical terminology… more
- Methodist Health System (Dallas, TX)
- …* High School Diploma and minimum one year relevant experience * 1 year medical payment posting * Ability to analyze Explanation of Benefits statements * ... accounts. You will post and balance accounts receivable insurance and patient payments while resolving payment disputes in a timely manner. Your Job Requirements:… more
- Centene Corporation (Austin, TX)
- …involving complex, controversial, or unusual or new services in order to determine medical necessity and appropriate payment . + Develops alliances with the ... for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering… more
- Centene Corporation (Austin, TX)
- …involving complex, controversial, or unusual or new services in order to determine medical necessity and appropriate payment . + Develops alliances with the ... for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering… more
- Elevance Health (Grand Prairie, TX)
- …coding or quality assurance environment preferred. + Broad knowledge of medical claims billing/ payment systems provider billing guidelines, payer reimbursement ... for employment, unless an accommodation is granted as required by law._ Carelon Payment Integrity is a proud member of the Elevance Health family of companies,… more