Hospital Denial Management Specialist
3 weeks ago
We are hiring for Hospital Denial Management specialists to support a growing healthcare RCM company As a specialist on our team you will be verifying insurance information, following up, doing research on insurance coverage, and updating patient information as appropriate as well as communicating with insurance companies and payors to support our clients. If you have experience working within medical insurance roles handling claims, payer portals, appeals, AR follow up, denials or anything within revenue cycle we would love to chat with you
Job Description & Duties:
The duties include working with payers to resolve issues and facilitate prompt payment of claims. Thorough knowledge and understanding of patient billing, claims submission, and payer specific requirements is a must. This position is highly focused on the resolution of insurance processing errors and denials. Payers include but are not limited to Medicare, Medicaid, Blue Cross, and commercial health insurance carriers.
• Reduce outstanding accounts receivable by managing claims inventory
• Speak to insurance companies in a professional manner regarding patients outstanding balances
• Gather information from patients, clients/family members, client clinical areas, government agencies, employers, third party payors and/or medical payment programs, etc. both in-person and by telephone to register patients, gather or update information, obtain referrals and pre-authorizations, complete appropriate forms, conduct evaluations, determine benefits and eligibility (insurance, public programs, etc.), determine financial responsibility and/or to identify sources of payment for services
• Request, input, verify, and modify patient’s demographic, primary care provider, and payor information
• Utilize tools, including computer programs, when indicated
• Provide excellent customer service and timely response to questions and issues related to benefits, billing, claims, payments, etc.
• Answer questions by phone and provide quotes for services; identify financial resources, etc. in accordance with the client policies and procedures
• Utilize various databases and specialized computer software for revenue cycle activities including eligibility verifications, pre-authorizations, medical necessity, review/updating of patient accounts, etc.
• Input, retrieve, and modify information and data stored in computerized systems and programs; generate reports using computer software
• Explain charges, answer questions, and communicate a variety of requirements, policies, and procedures regarding patient financial care services and resources to patients, staff, payors, and agencies
• Work with Claims and Collections in order to assist patients and their families with billing and payment activities in order to increase cash flow
Day to Day Duties:
- Each specialist will be assigned an inventory to work. New accounts assigned every day.
- Work off of a worklist on either EPIC or Cerner. *trained for each inventory*
- Work account to account. Every account is different and the insurance company has either paid it and left a balance or denied it and the specialist needs to assist.
- Could be coded incorrectly or certain coverage(need to have people who can understand how insurance is processed to push the account through)
- Logging into payor websites.
- Sometimes read through EOBs and it will clear the checklist.
- Depending on what account, productivity expectation is around 50 a day.
-Communicating with team via teams chat for feedback or questions.
About TEKsystems:We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.
The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
-
Rural Hospital Contract Specialist
3 months ago
Austin, United States Texas Department of Aging & Disability Services Full timeJob Description: Contract Specialist V The Texas Health and Human Services Commission seeks high qualified candidates to fill a Rural Hospital Grants Contract Specialist position in the Office of Rural Hospital Finance and Coordination on the Grants Team. This position will be part of an innovative state funded grant program targeting rural hospitals....
-
Medical Account Receivable Specialist
4 weeks ago
Austin, United States Aspire Allergy & Sinus Full timeDescriptionAspire Allergy & Sinus is seeking a full-time Medical Account Receivables Specialist to evaluate assigned payers to include working rejections, invalid and denied claims, appeals and follow-up to bring the account to final resolution on open accounts within a timely manner and to Industry-standard benchmarks. This position ensures accounts...
-
Contract Manager for Rural Hospital Grants
4 days ago
Austin, Texas, United States Texas Department of Aging & Disability Services Full timeRural Hospital Grants Contract SpecialistThis role requires a highly qualified individual to fill a contract specialist position in the Office of Rural Hospital Finance and Coordination on the Grants Team at the Texas Health and Human Services Commission.Job ResponsibilitiesContract ManagementParticipate in contracting activities for various procurement...
-
Enterprise Risk Management Specialist
1 month ago
Austin, Texas, United States STATE OFFICE OF RISK MANAGEMENT Full timeGENERAL DESCRIPTION As the state risk management specialist, the Executive Director of the Office is responsible for supervising the development and administration of a system of risk management for the state. The Office's performance measures include the goal to manage costs for covered state entities arising from the risk of loss through the delivery of...
-
Highly Specialized Nursing Care Provider
2 weeks ago
Austin, Texas, United States Pain Specialist of America LLC Full timePain Specialist of America LLC is seeking a highly skilled Registered Nurse to join our team. As a leading provider of comprehensive pain management services, we offer a competitive salary and excellent benefits package.Job SummaryThe ideal candidate will have a graduate degree in professional nursing and current registration with the Texas Board of Nurse...
-
Manager Patient Financial Services
5 months ago
Austin, United States UMC Health System Full timeWe’ve learned that what is best for patients is also best for employees. Learn more about why we are one of the Best Companies to Work for in Texas. JOB SUMMARY: This position is responsible for managing Revenue Integrity Analyst and Denials Manager positions. They will manage all tools as they relate to revenue integrity. They are also responsible for...
-
Risk Management Specialist
3 weeks ago
Austin, Texas, United States STATE OFFICE OF RISK MANAGEMENT Full timeJob SummaryThe State Office of Risk Management is seeking a highly skilled Risk Management Specialist to join our team. As a Risk Management Specialist, you will be responsible for assisting state entities in establishing and maintaining comprehensive risk management programs.Key ResponsibilitiesAct as a representative of the Office to fulfill statutory risk...
-
Pet Care Coordinator Specialist
4 days ago
Austin, Texas, United States Banfield Pet Hospital Full timeBanfield Pet Hospital Job DescriptionEstimate Salary: $43,000 - $65,000 per year.We are seeking a highly skilled Pet Care Coordinator Specialist to join our team at Banfield Pet Hospital. In this role, you will be responsible for driving the flow of clients and pets, ensuring excellent communication, and coordinating care in a welcoming and efficient manner....
-
Austin, United States Texas Children’s Hospital Full timeDivision of Neonatology | Texas Children’s Hospital – Austin Texas Children’s Hospital – Austin, seeks an experienced physician with a proven clinical track record to serve as an attending physician in the Neonatology department (NICU) in Austin Texas.The Division of Neonatology at Texas Children’s Hospital in Austin, Texas is seeking an...
-
Austin, United States Texas Children’s Hospital Full timeThe Department of Endocrinology at Texas Children’s Hospital in Austin, Texas is seeking an exceptional provider to serve as an Endocrinologist, Within the highly respected Department of Endocrinology.Texas Children’s provides trusted, care to children and adolescents. We are proud to offer support, resources, education, and tools to help providers and...
-
Austin, United States Texas Children’s Hospital Full timeThe Department of Endocrinology at Texas Children’s Hospital in Austin, Texas is seeking an exceptional provider to serve as an Endocrinologist, Within the highly respected Department of Endocrinology.Texas Children’s provides trusted, care to children and adolescents. We are proud to offer support, resources, education, and tools to help providers and...
-
Utilization Management Manager
4 weeks ago
Austin, United States Curative Full timeSUMMARY The Manager of Medical Management and Utilization Management oversees the coordination and execution of daily operations within the Medical Management and UM teams. This role is responsible for driving performance, ensuring compliance with regulatory requirements, optimizing patient care pathways, and maintaining operational efficiencies. The...
-
Registered Nurse, OR
4 weeks ago
Austin, United States Pain Specialist of America LLC Full timeJob Type Part-time, TemporaryDescriptionPain Specialists of AmericaPain Specialists of America ("PSA") is a Texas-based, multisite comprehensive pain management company. We seek extremely competent, talented professionals who can support the business and help achieve our strategic objectives and provide quality care to our patients.The Registered Nurse OR...
-
Veterinary Care Specialist
1 month ago
Austin, Texas, United States Crestview Veterinary Hospital on Airport Road Full timeAbout This OpportunityCrestview Veterinary Hospital on Airport Road is seeking a skilled Veterinary Care Specialist to join our team. As a key member of our hospital, you will be responsible for providing high-quality care to our patients while developing strong relationships with their owners.ResponsibilitiesProvide routine medical, surgical, and dental...
-
Nurse Practitioner
1 month ago
Austin, Texas, United States Pain Specialist of America LLC Full timeJob Title: Registered NurseJob Summary: We are seeking a skilled Registered Nurse to join our team at Pain Specialist of America LLC. The ideal candidate will have a strong background in nursing and experience in a hospital or ASC setting.Responsibilities:Ensure that physician orders are followed for all patients.Apply knowledge, skill, and judgment to...
-
Optical Specialist
1 month ago
Austin, Texas, United States Lumina Management Services LLC Full timeJob OverviewLumina Vision Partners is seeking a skilled Optical Specialist to join our team. As an Optical Specialist, you will play a critical role in providing exceptional patient care and ensuring the highest quality eyewear solutions.Key Responsibilities:Accurately interpret prescriptions and fit eyewear to ensure patient satisfaction.Educate patients on...
-
UM Review Nurse- RN
1 week ago
Austin, United States Curative HR LLC Full timeEmployee is expected to cheerfully and enthusiastically carry out tasks and responsibilities of the job, including but not limited to, high quality professional patient care, thorough and accurate documentation, a willingness to work closely with physicians, administrators, coworkers, and supervisors. Prompt assistance to other units/ departments is expected...
-
Austin Hospitality Specialist
4 weeks ago
Austin, Texas, United States Truluck's Ocean's Finest Seafood & Crab Full timeAt Truluck's Ocean's Finest Seafood & Crab, we're on a mission to create unforgettable dining experiences for our guests. That's why we're looking for a skilled and charismatic Austin Hospitality Specialist to join our team at our Austin Arboretum location.As a Hospitality Specialist, you'll be the face of our restaurant, responsible for ensuring that every...
-
Director of Hospital Facilities Management
4 weeks ago
Austin, United States St. David's South Austin Medical Center Full timeDescription This position is incentive eligible. IntroductionWant to join a team of daring managers who care without reservations or limits? Our St. David's South Austin Medical Center team is looking for a(an) Director of Hospital Facilities Management. HCA Healthcare is an advanced healthcare network that has committed up to $300 million to our incredible...
-
Director of Hospital Facilities Management
4 weeks ago
Austin, United States St. David's South Austin Medical Center Full timeDescription This position is incentive eligible. IntroductionWant to join a team of daring managers who care without reservations or limits? Our St. David's South Austin Medical Center team is looking for a(an) Director of Hospital Facilities Management. HCA Healthcare is an advanced healthcare network that has committed up to $300 million to our incredible...