- Highmark Health (Austin, TX)
- …correspondence inquiries (routine, priority Congressional / Department of Defense), and appeals . Ensures that all processes are compliant with requirements and ... performance standards are consistently met. Responsibilities include: provides supervisor direction, scheduling and support for customer service representatives on… more
- Houston Methodist (Houston, TX)
- …required to perform collections activities on complex denials and prepare complex appeals on outstanding insurance balances in the professional fee environment. This ... other team members as advised by the Manager and/or Supervisor . + Identifies denial trends and notifies Supervisor...complex payers and resolve accounts. + Manages denials and appeals efforts. Creates and submits appeals when… more
- Houston Methodist (Houston, TX)
- …providing verbal and written communication. + Identifies denial trends and notifies supervisor and/or manager to prevent future denials and further delay in ... support to other team members as advised by the manager and/or supervisor . **SERVICE ESSENTIAL FUNCTIONS** + Completes special projects to improve team performance,… more
- TEKsystems (San Antonio, TX)
- …correspondence, on underpaid, or non-paid balances. * Refers accounts to Supervisor /Manager, or CBO Director for write-off consideration, agency or attorney ... referral. * Responsible for managing CBO Aging Report properly to insure appeals are followed up timely to prevent past filing deadlines. * Communicates all denial… more
- Select Medical (Dallas, TX)
- …+ Obtaining insurance approvals and authorizations, as well as facilitating appeals for patients + Demonstrates positive referrer satisfaction and account retention. ... in assigned hospitals. Creates quarterly goals and objectives and submits to supervisor . + Works with VP/Director Business Development to identify opportunities for… more
- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- …knowledge of compliance documentation and coding standards, seeking guidance from supervisor as necessary. Research payer policies to accurately and completely ... Participate in coding/billing educational programs and report relevant information to supervisor . Network with peers. + Monitors and addresses payer audits reviews.… more
- Houston Methodist (Houston, TX)
- …appropriately. Additionally, this position will work with the Cash Applications Supervisor and/or management to resolve any ERA posting issues. **PEOPLE ESSENTIAL ... support to other team members as advised by the manager and/or supervisor . **SERVICE ESSENTIAL FUNCTIONS** + Works correspondence received in lockbox daily. +… more
- University of Texas Rio Grande Valley (Mcallen, TX)
- …investigation, discovery, motions practice, mediation, trial preparation, and appeals ; ensure effective coordination between the University, the Office ... duties as assigned. Supervision Received General supervision from assigned supervisor . Supervision Given Direct supervision of assigned staff. Required Education… more
- Texas A&M University System (College Station, TX)
- …wide variety of financial aid related records + In collaboration with supervisor and Marketing & Communications representative, helps develop and revise financial ... & Student Services + Manages Satisfactory Academic Progress (SAP) reconsideration appeals and coordinates emergency aid distribution to assist students facing… more
- R1 RCM (Austin, TX)
- …went wrong, and keeps staff educated on all current trends in the appeals arena. Utilizes computer systems/programs, processes, policies and procedures as they apply ... to the plan benefits pertaining to the EOB. Performs duties as given by supervisor to fill in where needed: covering phones, sorting mail, scanning and filing or… more