Manager Medicare Appeal jobs in Houston, TX

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Medical Billing Manager
Thorough understanding of medical billing, collections and payment posting, revenue cycle, third party payers, Medicare;...
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Care Manager-Audit/Appeals -Medical Center (8a-5p)
Commercial, Managed Care, Medicare & Medicaid. Coordinates responses for insurance defense audits received and/or appeals of all clinical denials received....
Patient Access Representative
Addison Group - 140 reviews - Houston, TX 77030
Medical Biller creates, submits, and processes government, Medicare, Medicaid, and commercial insurance claims....
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Medical Billing Manager

Tangible Difference Learning Center - 15 reviews - Houston, TX 77092 (Northwest area)
Thorough understanding of medical billing, collections and payment posting, revenue cycle, third party payers, Medicare;...
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Regional Access Manager - South Central Region

Intercept Pharmaceuticals - 6 reviews - Houston, TX
Knowledge and understanding of all payer segments necessary (e.g., commercial, Medicare Part D) experience is preferred....

Manager Government Accounts Receivable

Houston Methodist - 881 reviews - Houston, TX
Specific payor groups include traditional Medicare and Medicaid. Partner with Internal Audit, Business Practices, HIM, PAS, and Utilization Review as needed to...

Accounts Receivable Manager- Physician Billing

Houston Methodist - 881 reviews - Houston, TX
Claim submission, payor follow-up, denial review, appeal submission and adjudication. Stays informed of the latest department, Medicare, Medicaid and commercial...

Intake Director

BELLAIRE HOSPITAL - Houston, TX 77081 (Bellaire area)
Managed care, Medicare, Medicaid, state gatekeep for Medicaid). Ensure the department meets JCAHO, Medicare and federal and state regulatory requirements....

Claims Quality & Training Supervisor

Kelsey-Seybold Clinic - 237 reviews - Pearland, TX 77584
Utilize audit results, appeals & adjustment trends and reporting data to improve overall quality outcomes relative to claims adjudication decisions....

Reimbursement Specialist

US Pain and Spine Institute - Houston, TX 77074 (Bellaire area)
Draft appeals for denials and payment reductions. Contact payors for status of outstanding claims and appeals submitted to the payor....
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Insurance Reimbursement Specialist

Round Table Medical Consultants - Houston, TX 77077 (West Houston area)
Medicare and Medicaid experience preferred. Research, appeal, and resolve unpaid insurance claims. Proven experience administering an appeals in a high-volume...
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Field Reimbursement Manager

Syneos Health Commerical Solutions - Houston, TX
Knowledge of Centers of Medicare & Medicaid Services (CMS) policies and processes with expertise in Medicare Part D (Pharmacy Benefit design and coverage policy...

Medical AR Collections Specialist at Houston Regional Busine...

United Surgical Partners International - 83 reviews - Houston, TX
Knowledge of how to interpret a managed care contract, Medicare and Medicaid and Workers Compensation claims is a must....
Reimbursement Specialist
US Pain and Spine Institute - Houston, TX 77074
Draft appeals for denials and payment reductions. Contact payors for status of outstanding claims and appeals submitted to the payor....
Easily apply
Field Reimbursement Manager - Houston, TX
Knowledge of private payer Medicare and Medicaid structure systems and reimbursement process. Technical knowledge of health care reimbursement from a patient...