- 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
- Baylor Scott & White Health (Temple, TX)
- …and provide resolution recommendations. + Ensure compliance with **HIPAA** , payer guidelines, and internal business rules. + Create detailed documentation, QA ... healthcare billing processes, coding standards (ICD-10, CPT, HCPCS), and payer systems. + Excellent documentation and communication skills. **Preferred Skills:**… more
- Datavant (Austin, TX)
- …to noisy or incomplete inputs. You'll own the Matching roadmap for our Payer vertical, while also shaping the broader strategy and uncovering needs across other ... + Familiarity with healthcare data, with bonus points for experience in the payer risk adjustment space + Deep comfort working with engineering and analytics teams… more
- Guidehouse (Lewisville, TX)
- …ability to effectively review remittance advices and electronic billing reports from payer to determine the action required. This position performs all related job ... assigned. **Duties and Responsibilities** + Contacts third party payers and guarantors via payer websites or by phone to resolve account balances on all assigned… more
- Methodist Health System (Dallas, TX)
- …+ Investigate and address claim denials promptly. Utilize knowledge of payer policies, medical coding guidelines, and billing regulations to appeal denials ... including explanation of benefits (EOBs), remittance advice (RA), and other payer communications. Take necessary actions based on correspondence received, such as… more