- Health Care Service Corporation (Houston, TX)
- …Under Supervision, This Position Is Responsible For Processing And Adjudicating Complex Non-Utilization. Management Appeals According To The Appropriate Federal, ... State, And Ncqa Requirements And Regulations; And Responding, By Phone, In Person, Or In Writing, To All Inquiries Involving Member*S Requests For Appeals. May Train And Mentor Less Experienced Appeals Specialists. THIS IS NOT A FULLY REMOTE POSITION THIS ROLE… more
- Methodist Health System (Dallas, TX)
- …address, and resolve no response claims, denied claims, and correspondence. As an AR II Specialist , you will play a crucial role in optimizing revenue flow ... Description :** We are seeking an experienced Accounts Receivable II (AR II ) Specialist specializing...payer policies, medical coding guidelines, and billing regulations to appeal denials and secure rightful reimbursement. + Manage all… more