- Kelly Services (Coppell, TX)
- …insurance benefits, deductibles, and eligibility with a variety of payers including Medicare , Medicaid , HMO, PPO, and third-party plans. + Communicate with ... patients regarding coverage, billing concerns, and payment options. + Submit and follow...accurate. + Enter and maintain accurate demographic, insurance, and billing information. + Identify and correct front-end billing… more
- Molina Healthcare (Dallas, TX)
- …representatives in accordance with the standards and requirements established by the Centers for Medicare and Medicaid Services (CMS). M-F from 8am - 4:30pm EST ... coordination of benefits (COB), subrogation and eligibility criteria. * Experience with Medicaid and Medicare claims denials and appeals processing, and… more
- Molina Healthcare (Houston, TX)
- …Act** cases in accordance with the standards and requirements of Centers for Medicare and Medicaid Services (CMS). **Essential Job Duties** * Responsible for ... coordination of benefits (COB), subrogation and eligibility criteria. * Experience with Medicaid and Medicare claims denials and appeals processing, and… more
- Molina Healthcare (Houston, TX)
- …in accordance with the standards and requirements established by the Centers for Medicare and Medicaid Services (CMS). **Essential Job Duties** * Manages team ... complicated claims, COB and DRG/RCC pricing). * Experience with Medicaid and Medicare claims denials and appeals...related vocational program in health care (ie, certified coder, billing , or medical assistant). To all current Molina employees:… more
- Catholic Health Initiatives (Bryan, TX)
- … Billing Coordinator referencing necessary pre-transport screening patient information, Medicare and Medicaid Laws/Guidelines updates, and other contractual ... Billing Coordinator referencing necessary pre-transport screening patient information, Medicare and Medicaid Laws/Guidelines updates, and other contractual… more
- Cardinal Health (Austin, TX)
- …and executing audit plans. + Expert-level knowledge and application of Medicare / Medicaid documentation and coding rules and guidelines; ICD/CPT/HCPCS/DRG/APC ... and manages compliance audits to determine organizational integrity of billing for professional (physician) services and/or hospital (technical) services. This… more
- Humana (Corpus Christi, TX)
- …efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. ... Auditor ensures clinical documentation meets CMS regulations, OASIS accuracy, and Medicare Conditions of Participation. This role audits Start of Care,… more
- Molina Healthcare (Houston, TX)
- …in accordance with the standards and requirements established by the Centers for Medicare and Medicaid Services (CMS). **Essential Job Duties** * Enters denials ... Qualifications** * Customer/provider experience in a managed care organization ( Medicaid , Medicare , Marketplace and/or other government-sponsored program), or… more
- HCA Healthcare (Plano, TX)
- …is met in compliance with departmental policies and procedures + Review Medicare Recovery Audit Contractor (RAC) recoupment requests and process or appeal as ... receivable follow-up, insurance follow-up and appeals, insurance posting, professional medical/ billing , medical payment posting, and/or cash application. + Prior… more
- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- …Location:** El Paso **Preferred Qualifications:** + Extensive knowledge of HIPAA, Medicare and Medicaid guidelines and regulations evaluation and management ... medical documentation for outpatient and inpatient medical coding and timely billing . + Assist with onboarding training for physicians, residents, non-physician… more