- Abbott (Plano, TX)
- …follow up for requested authorizations. + For each procedure, audit required clinical documents for completeness and accuracy. + Obtain authorization for the ... carrier. + Work with key provider contacts to obtain required clinical information for authorizations. + Work with respective carrier'sutilization review department… more
- Kelsey-Seybold Clinic (Pearland, TX)
- …or GED from an accredited program Preferred: Associates Degree or Billing and Coding Certificate **Experience** Required: 3 years' experience in a health care Call ... policies. Basic knowledge of medical terminology, ICD10 and CPT coding . Ability to navigate and use a variety of...quality patient care by adding to our team of clinical and non- clinical professionals that work together… more
- Texas Health Resources (Arlington, TX)
- …Do: Charge Capture Subject Matter Expert Serve as charge capture SME for clinical revenue generating departments as it relates to charge capture activities and ... to achieve accurate charging practices and/or improvement in charge capture. Monitor clinical revenue generating department work queues to ensure timely review and… more
- HCA Healthcare (Houston, TX)
- …or C-suite role, shape business and operational outcomes, or work to deliver clinical excellence behind the scenes in data science, case management or transfer ... care. Performs in accordance with physician's orders and under the supervision of the Clinical Manager. **What you will do in this role** : + Assesses home care… more
- HCA Healthcare (Fredericksburg, TX)
- …or C-suite role, shape business and operational outcomes, or work to deliver clinical excellence behind the scenes in data science, case management or transfer ... care. Performs in accordance with physician's orders and under the supervision of the Clinical Manager. **What you will do in this role** : + Assesses home care… more
- HCA Healthcare (Austin, TX)
- …care. Performs in accordance with physician's orders and under the supervision of the Clinical Manager. **What you will do in this role** : + Assesses home care ... identifying physical, psychosocial and environmental needs as evidenced by documentation, clinical records, case conferences, team reports, call-in logs and on-site… more
- Texas Tech University Health Sciences Center - Lubbock (Lubbock, TX)
- …+ Conduct educational activities and/or research related to mental health. + Provide clinical services to patients. + Teach residents in the field of Psychiatry. + ... proportional call coverage to hospitals and ED consults. + Participate in clinical research and scholarly activity. + Provide administrative and academic direction… more
- Molina Healthcare (Austin, TX)
- …Looking for a RN with experience with appeals, claims review, and medical coding . JOB DESCRIPTION Job SummaryProvides support for clinical member services review ... verifying that services are medically necessary and align with established clinical guidelines, insurance policies, and regulations - ensuring members reach desired… more
- Baylor Scott & White Health (Irving, TX)
- …cycle, billing, patient experience, human resources, budgeting, financial analysis, clinical workflows, and recruitment. This role typically manages the following ... system goals by maintaining workflows that support, measure and achieve key clinical outcomes. Maintains an improvement mindset for the practice and aligns the… more
- Humana (Corpus Christi, TX)
- …caring community and help us put health first** The Quality Assurance, Clinical Professional 1 consults and collaborates with clinicians to ensure high ... accountability of compliance and quality. The Quality Assurance, Clinical Professional 1 work assignments are often straightforward and of moderate complexity. The… more
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