Payer Jobs in San Antonio, TX

Bluebird Staffing - San Antonio, TX, United States

are being selected - Demonstrates an expert knowledge of hospital outpatient coding guidelines, medical terminology, anatomy/physiology, and payer specific coding guidelines. Understands reimbursement

from: linkedin.com - 11 days ago

US Tech Solutions - San Antonio, TX, United States

Primary responsibilities include the following: Conduct Health Economics and Outcomes Research projects under the supervision of the manager to support the Value Proposition to Regulators, Payers

from: linkedin.com - 9 days ago

Christus Health - San Antonio, Texas

for staff inquiries Demonstrate a good understanding of payer benefits requirements, on-line claims status, submission, billing, cash application, and reconciliation procedures Approve or deny requested

from: resume-library.com - 3 days ago

Amerit Consulting - San Antonio, TX, United States

communicate to the payer the medical necessity/appropriateness /level of care criteria that is necessary for acute care hospitalization. Skills in setting priorities that accurately reflect the relative

from: linkedin.com - 4 days ago

Amerit Consulting - San Antonio, TX, United States

of clinical documentation · Ability to effectively communicate to the payer the medical necessity/appropriateness /level of care criteria that is necessary for acute care hospitalization. · Skills in setting

from: linkedin.com - 4 days ago

Christus Health - San Antonio, Texas

correspondence. Maintains payor specific knowledge of insurance and self-pay billing and follow up guidelines and regulations for third-party payers. Maintains working knowledge of all functions within Revenue

from: resume-library.com - 3 days ago

UnitedHealth Group - San Antonio, TX, United States

and accreditation requirements. Supports compliance with regulatory agency standards and requirements (e.g., CMS, NCQA, URAC, state / federal and third-party payers) Works with clinical staff to coordinate

from: linkedin.com - 2 days ago

Addiction Recovery Care - San Antonio, TX, United States

necessity of services, utilizing the American Society of Addiction Medicine (ASAM) guidelines for care Complete appeals process with third-party payers as needed. Communicate clearly and accurately to various

from: linkedin.com - 28 days ago

Christus Health - San Antonio, Texas

with the payer to verify coverage, submit claims, follow up on appeals, underpayments, short pays or payment disputes for resolution. Investigate and resolve complex payment denials inclusive of correcting errors

from: resume-library.com (+1 source) - 3 days ago

Johnson and Johnson - San Antonio, TX

efficiency practices to infuse the pharmaceutical product(s) to remain viable, updating practices on key private and public payer changes that impact infusion process, ensure staff in infusion clinics

from: Johnson and Johnson - 4 days ago