- Guidehouse (Lewisville, TX)
- …**:** None **Clearance Required** **:** None **What You Will Do** **:** The ** Insurance Patient Account Representative ** is an extension of a client's business ... **Essential Job Functions** + Account Review + Appeals & Denials + Medicare /Medicaid + Insurance Follow-up + Customer Service + Billing + UB-04 & CMS 1500… more
- Elevance Health (Houston, TX)
- …make an impact:** + Responds to customer questions via telephone regarding insurance benefits, provider contracts, eligibility and claims . + Analyzes problems ... Customer Care Representative **Location:** **Hybrid:** This role requires associates to...and troubleshooting. Requires limited knowledge of company services, products, insurance benefits, provider contracts and claims . Seeks,… more
- Cardinal Health (Austin, TX)
- …the right things done. **The Accounts Receivable Specialist is responsible for processing insurance claims and billing. They will work within the scope of ... from AR & Billing leadership teams.** **_Responsibilities_** + Processes claims : investigates insurance claims ; and...or third party policy. + Updates patient files for insurance information, Medicare status, and other changes… more
- Houston Methodist (Houston, TX)
- …is responsible for resolving all outstanding third party primary and secondary insurance claims for professional services. This position performs collections ... productivity goals. **FINANCE ESSENTIAL FUNCTIONS** + Expedites and maximizes payment of insurance medical claims by contacting third party payors and patients.… more
- US Anesthesia Partners (Austin, TX)
- …requirements of the job with or without a reasonable accommodation) + Contacts insurance companies for status on outstanding claims . + Process and follow ... Overview The Accounts Receivable Representative I is responsible for collecting outstanding accounts...up on appeals to insurance companies. + Refiles claims as needed.… more
- Humana (Austin, TX)
- …of our caring community and help us put health first** The Appeals Representative 4 - IRT (Internal Review Team) Investigates and resolves member and practitioner ... to determine if an appeal or further request is warranted. The Appeals Representative 4 IRT (Internal Review Team) + Review documents + Building cases +… more
- ATI (Dallas, TX)
- …This role will provide advanced support in managing asbestos and other litigated claims , insurance matters, discovery, and legal operations platforms. The Senior ... representative depositions, case strategy coordination). + Review and manage available insurance coverage for claims received and complete necessary reporting… more
- Caris Life Sciences (Irving, TX)
- …Associate is responsible for reviewing outstanding denied claims with Medicare , Medicaid and Commercial insurance companies. This role involves following ... insurance denials and take appropriate action. + Check claims status via phone or portal. + Submit Medical...information. + Respond promptly and professionally to inquiries from insurance companies, patient, and client's representative with… more
- CenterWell (Austin, TX)
- …ability to read, write, and speak English and Spanish + Prior experience with Medicare + Experience with the Claims Administration System (CAS) + Knowledge of ... caring community and help us put health first** The Grievances & Appeals Representative 3 manages client denials and concerns by conducting a comprehensive analytic… more
- Highmark Health (Austin, TX)
- …medication requests, and drug claim edits/prior authorizations. By reviewing member claims history, clearly defines the medical necessity of non-formulary and prior ... of benefit billing practices through paid clams review. + Participate as pharmacy representative in onsite member appeals and grievances sessions. + Serve as a… more