Seeking a Patient Service Representative to provide courteous and professional assistance to patients and families. Requires 3 years' experience in healthcare billing and knowledge of Texas insurance regulations. Strong communication and interpersona...
Design, implement, and assess individualized treatment plans for patients. Educate, supervise, and contribute to quality control initiatives. Must hold a Physical Therapy Bachelor's Degree and valid licensure. Two years of experience required. Clinic...
Adjudicate medical claims for Medicaid and CHIP, ensuring compliance with regulations. High school diploma/GED required. 2+ years of billing experience, knowledge of Medicaid and commercial claims, ICD-9, CPT 4 coding, and medical terminology preferr...
Seeking a Senior Billing Coordinator to handle claim edits & billing tasks within Epic system. Run reports for PBS leadership, provide training to new coordinators. High school diploma & 3+ years of billing experience required, knowledge of Medicaid,...
Collaborate with Director on the Connecting Kids to Coverage grant: engage with local schools and community partners, develop health education activities, and ensure culturally sensitive initiatives. Coordinate outreach events to promote Medicaid and...
Develop and oversee treatment programs for inpatients and outpatients. Supervise non-professional staff, manage administrative tasks, and educate as per Rehab Manager's direction. Deliver efficient physical therapy and document patient progress. Coll...
Lead the audit of payments from third-party payers to uncover underpayments, trends, and appeal opportunities. Expertise in claims, billing, and payer processing required. Support projects, address issues, and collaborate for solutions. Minimum 5 yea...
Responsible for ensuring accurate account reimbursements by resolving payor issues, contacting patients for payments, and interacting with various stakeholders. Requires high school diploma, 1-3 years hospital experience, knowledge of payor guideline...
Analyze intricate claim issues beyond standard examiner purview. Consult and assist staff on complex problems. Collaborate with Configuration for contract testing. Operate independently with 5 years of HMO/PPO claims experience. High School diploma/G...
Develop and maintain a claims auditing program to enhance claims processing standards and ensure top-notch service. Identify training needs for processors and phone reps to boost performance. Must have expertise in HCFA and UB92 claims processing, CF...
