- TEKsystems (Addison, TX)
- …terminology,medical biller,anesthesia Additional Skills & Qualifications - Proven experience as an Appeals Specialist or in a similar role within a healthcare ... identify the root causes. - Initiate and manage the appeals and arbitration process for denied or underpaid claims,...or Sick Leave) Workplace Type This is a fully onsite position in Addison,TX. Application Deadline This position is… more
- Elevance Health (Houston, TX)
- …TRICARE methodology and findings may be so complex and advanced that disputes or appeals may only be reviewed by other DRG Coding Audit Principals (or Executives). ... Registered Health Information Technician, CCS as a Certified Coding Specialist , CIC as a Certified Inpatient Coder, or Certified...times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring… more
- Baylor Scott & White Health (Dallas, TX)
- …of significant financial impact and confidentiality. + **HYBRID** position - 2 days onsite each week - Dallas, TX **ESSENTIAL FUNCTIONS OF THE ROLE** Promptly ... Responsibility for the preparation of summaries and files for denials, appeals , medical opinions, subrogation and litigation.1. Collection of documents and… more
- Evolent (Austin, TX)
- …Join our Utilization Management team as a Field Medical Director, Cardiovascular Specialist and use your expertise in interventional cardiology to help ensure the ... of best practices. + Provides clinical rationale for standard and expedited appeals . + Discusses determinations (peer to peer phone calls) with requesting physicians… more