- HCA Healthcare (Pearland, TX)
- …for completeness, reasonableness of charges and appropriateness of billing codes and payer information + Pursues timely collection of each claim using thorough ... follow-up efforts appropriate to each payer + Reviews, makes corrections to and ensures the legibility of outgoing secondary bills and other correspondence before… more
- TEKsystems (San Antonio, TX)
- …play a critical role in qualifying orders for medical devices based on payer requirements and clinical criteria. You'll act as a liaison between patients, ... and disciplined to work in a hybrid remote setting. + Skilled in interpreting payer requirements and clinical documentation. Work Environment + Must be local to San… more
- TEKsystems (San Antonio, TX)
- …data to support the teams in missing collection/ billing gaps for each facility and payer ! There are more than 80+ tabs on the excel sheets organized by both ... facility and payer . Responsible recording rates on account on a timely basis, resolving payment variances and completing month-end close in accordance with CBO… more
- Molina Healthcare (Fort Worth, TX)
- …Certification, Association** + Certified Risk Adjustment Coder - (CRC) + Certified Professional Payer - Payer (CPC-P) + Certified Coding Specialist - Physician ... based (CCS-P) To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal… more
- CenterWell (Austin, TX)
- …leaders and champions to identify HEDIS gaps and deficiencies. + Participate in Payer calls/chart reviews. + Compile payer findings and assist with research. ... + Participate in payor meetings/discussions to ensure accurate data submission. **Use your skills to make an impact** **Required Qualifications:** + A minimum of three years Medical Coding experience or similar (including IPA and Offshore coding management) +… more
- Cardinal Health (Austin, TX)
- …need for a better quality of life. Our diverse expertise in pharma, payer and hub services allows us to deliver best-in-class solutions-driving brand and patient ... concerns in a timely manner + Mediate effective resolution for complex payer /pharmacy issues toward a positive outcome + Proactive follow-up with various contacts… more
- Methodist Health System (Dallas, TX)
- …and manage multiple priorities. Proficiency in healthcare billing software, systems and payer portals (eg, Epic, Novitasphere). Demonstrated ability to lead with a ... to enhance their skills and knowledge. Stay updated on industry trends, payer requirements, and best practices in revenue cycle management. Maintain assigned WQ… more
- Cardinal Health (Austin, TX)
- …need for a better quality of life. Our diverse expertise in pharma, payer and hub services allows us to deliver best-in-class solutions-driving brand and patient ... a sense of urgency + Knowledge of Medicare, Medicaid and Commercially insured payer common practices and policies, preferred + Ability to work any schedule between… more
- Cardinal Health (Austin, TX)
- …need for a better quality of life. Our diverse expertise in pharma, payer and hub services allows us to deliver best-in-class solutions-driving brand and patient ... service environment, preferred + Clear knowledge of Medicare, Medicaid & Commercial payer policies and guidelines for coverage, preferred + Knowledge of Diagnostic… more
- Cardinal Health (Austin, TX)
- …need for a better quality of life. Our diverse expertise in pharma, payer and hub services allows us to deliver best-in-class solutions-driving brand and patient ... regarding status of their request for assistance + Demonstrate expertise in payer landscapes and insurance processes. Remain knowledgeable about long and short-range… more