- CVS Health (Austin, TX)
- …areas. Knowledge of Aetna clinical and coding policy and experience with appeals , claim review, reimbursement issues, and coding is preferable, but a willingness ... pre-certification, and predetermination of covered benefits in the Commercial and Medicare environment. This Medical Director provides subject matter expertise in… more
- US Anesthesia Partners (Austin, TX)
- …companies for status on outstanding claims. + Processes and follows up on appeals to insurance companies. + Refiles claims as needed. + Works correspondence daily. ... of insurance processing, guidelines, laws, and EOBs. + Knowledge of managed care, Medicare , and Medicaid guidelines. + Data entry skills with high accuracy. +… more
- Baylor Scott & White Health (Austin, TX)
- …leadership, and senior medical staff including denials from all payers, Medicare /Medicaid audit activities and key contract enforcement activities. + Collaborates ... (CBS) and other revenue cycle departments to streamline referral and appeals workflows. + Supports education and training initiatives to improve documentation… more
- US Anesthesia Partners (Austin, TX)
- …skills. + Ability to prioritize work. + In-depth knowledge of Medicare , Medicaid, Workers Compensation guidelines and billing standards. + Revenue Cycle ... including, but not limited to clean claim guidelines, working. denials, writing appeals , resolving balances with carriers and patients. + Ability to work effectively… more