- Molina Healthcare (TX)
- …Utilization Management, Chief Medical Officer, Physicians, and Member/Provider Inquiries/ Appeals . + Provides training, leadership and mentoring for less ... **JOB DESCRIPTION** **Job Summary** Clinical Appeals is responsible for making appropriate and correct...has been made or upon request by another Molina department to reduce the likelihood of a formal appeal… more
- Catholic Health Initiatives (Houston, TX)
- …processes appeals and reconsiderations. Act as a working manager within Utilization Management, performing essential duties and responsibilities ... **Responsibilities** The Utilization Management (UM) Manager is responsible...decision-making and promote continuous improvement. 11. Ensure that the utilization management department complies with all relevant… more
- Dallas Behavioral Healthcare Hospital (Desoto, TX)
- The Utilization Review Case Manager is responsible for working with insurance companies and managed care systems for the authorization, concurrent and ... concurrent and extended stay reviews. + Prepares and submits appeals to third party payors. + Maintains appropriate records...third party payors. + Maintains appropriate records of the Utilization Review Department . + Performs related duties,… more
- Houston Methodist (Sugar Land, TX)
- …incidental overtime and overtime percentage, and other areas according to department specifications. + Manages utilization management (UM) programs including ... At Houston Methodist, the Manager Case Mgmt Social Svcs position is responsible...functional and operational aspects of the Case Mgmt./Social Work department , an integrated, interprofessional department which supports… more
- Methodist Health System (Dallas, TX)
- …Of Week :** Mon-Fri **Work Shift :** **Job Description :** Your Job: The Manager of Collections Physician Billing is responsible for overseeing the AR follow up team ... drive performance improvements and meet departmental and organizational goals. The Manager will work closely with various internal and external departments,… more
- Houston Methodist (Katy, TX)
- At Houston Methodist, the Manager Revenue Cycle position is responsible for the daily management of the staff and operations for one or more of the following areas ... to: medical coding, insurance billing, collections, patient account resolution, appeals /denials, customer service, cash applications, revenue integrity, etc. This… more
- CBRE (Dallas, TX)
- VAS - Funds Manager Job ID 215004 Posted 11-Apr-2025 Service line Advisory Segment Role type Full-time Areas of Interest Valuations/Appraisal Location(s) Dallas - ... - United States of America **About The Role:** As a CBRE Valuation Funds Manager , you will independently prepare market value appraisals on real estate assets with… more
- Houston Methodist (Houston, TX)
- …assistance and data management support to the case management and social work department to facilitate efficient utilization of resources and discharge planning ... care benefits + Supports and assists with concurrent insurance denials and appeals process, transmission of utilization reviews to insurance companies,… more
- UTMB Health (Galveston, TX)
- …experience, with at least six years of reimbursement experience at manager level or above. **Preferred Qualifications:** + Master's degree in accounting ... Medicaid statutory and regulatory requirements. + Supports UTMB Legislative Affairs department with various state reimbursement strategies, analyses and state agency… more