- Elevance Health (Grand Prairie, TX)
- …claims. **How you will make an impact:** + Claim reviews for appropriate coding , data mining, entity review, law enforcement referral, and use of proprietary data ... + Pharmacy technician license and/or experience preferred. + Formulary, clinical rules, pharmacy claims analysis, and/or prior authorization experience for… more
- Cardinal Health (Austin, TX)
- …delivering cell and gene therapies (CGTs) to patients who need them. From clinical development to commercialization, our experts partner with pharma and payers to ... + Experience with prior authorization approvals and medical/pharmacy benefit billing & coding , both highly preferred + Excellent verbal and written communication (to… more
- CenterWell (Austin, TX)
- …Team Leadership: Manage, mentor, and develop a team of WFM Reporting Analysts. Set coding standards, conduct code reviews (SQL), and foster a culture of accuracy and ... patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow… more
- MD Anderson Cancer Center (Houston, TX)
- …* Perform general X-ray procedures as needed. * Accurately enter data into clinical systems and maintain knowledge of billing/ coding standards. * Complete other ... technical duties as assigned. *REQUIREMENTS* Education Required : High school diploma or equivalent *and* Graduate of an accredited Joint Review Committee on Education in Radiologic Technology (JRCERT) Program. Preferred Education : Bachelor's Level Degree… more
- Elevance Health (Houston, TX)
- …of claims, by translating medical policies, reimbursement policies, and clinical editing policies into effective and accurate reimbursement criteria. Serves ... as subject matter expert regarding reimbursement policies, edits, and coding conventions. **How you will make an impact:** + Works with vendors and enterprise teams… more
- Molina Healthcare (Fort Worth, TX)
- …with Molina policies/procedures or CMS guidelines/regulations, or to assess the non- clinical quality of customer service provided to Molina members. + Provides ... issues related to utilization management, pharmacy, quality of care, and correct coding , for example. + Independently delivers training and presentations to assigned… more
- The University Of Texas At Dallas (Dallas, TX)
- …up to two tenure-system faculty members (open rank) with expertise in neural coding , neural computation, neural control, or using approaches at the intersection of ... lives. In North Texas, BBS serves as a leader where research, education, and clinical training come together to prepare future leaders. It is home to world-class… more
- CenterWell (El Paso, TX)
- …CCA, CCSP, CCS from AHIMA) + Strong experience in ICD-9, ICD-10 and CPT coding + Payor Portal Experience + Prior management or supervisory experience + Highly ... patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow… more
- Ascension Health (Austin, TX)
- …and complete paperwork promptly and properly. + Review procedural charges and coding , recommending adjustments as protocols change or new procedures are added. + ... career in healthcare since 1902. Ascension Seton operates more than 100 clinical locations in Central Texas and four teaching hospitals, including Dell Seton… more
- Oracle (Austin, TX)
- …Suite. Our product is designed to automate complex healthcare workflows-from clinical decision support to patient communication to reimbursement processes. Your ... + 10+ years building and operating distributed services at scale + Strong coding skills in modern languages, notably Java and/or C++ Expert in system design,… more