- Datavant (Austin, TX)
- …to realize our bold vision for healthcare. **What We're Looking For:** As a Clinical Documentation Quality Improvement (CDQI) Specialist , you will play a pivotal ... Collaborate with physicians and caregivers to ensure appropriate reimbursement and clinical severity for DRG-based payer patients. + Demonstrate understanding of… more
- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- **43332BR** **Extended Job Title:** Prior Authorization Specialist **Org Level 1:** Texas Tech Unv Hlth Sci Ctr El Paso **Position Description:** Responsible for ... workflow for the pre-authorization process. + Provide instruction and guidelines on coding and pre-authorization processes to faculty, residents and staff. + Assist… more
- Abbott (Plano, TX)
- …location in **Plano, TX** currently has an opportunity for a **Patient Therapy Access Specialist ** (PTA). This is an in office 5 days a week position. Preferred ... hours 8am to 5pm. As a PTA Specialist you are responsible for facilitating and assisting Abbott...for requested authorizations. + For each procedure, audit required clinical documents for completeness and accuracy. + Obtain authorization… more
- HCA Healthcare (Houston, TX)
- …We care like family! Jump-start your career as a Medical Collections Specialist today with HCA Healthcare. **Benefits** HCA Healthcare offers a total rewards ... location._** Come join our team as a Medical Collections Specialist . We care for our community! Just last year,...on accounts to ensure prompt payment You will identify coding or billing errors from EOBs and work to… more
- HCA Healthcare (Austin, TX)
- …is recognized. Submit your application for the opportunity below:Insurance Collections Specialist - CBOSurgery Ventures **Benefits** Surgery Ventures offers a total ... vary by location._** We are seeking an Insurance Collections Specialist - CBO for our team to ensure that...accounts to ensure prompt payment + You will identify coding or billing errors from EOBs and work to… more
- Elevance Health (Plano, TX)
- …our specialty pharmacies, our infusion centers, and the home setting. **Referral Specialist II - Paragon Healthcare** **Location: TX-PLANO, 3033 W PRESIDENT GEORGE ... accommodation is granted as required by law.** The **Referral Specialist II** is responsible for providing support to a... II** is responsible for providing support to a clinical team in order to facilitate the administrative components… more
- UTMB Health (Galveston, TX)
- Patient Account Specialist - RCO PB Follow-Up **Galveston, Texas, United States** **New** Business, Managerial & Finance UTMB Health Requisition # 2507282 ... or one year of patient accounts experience. **JOB SUMMARY:** The Patient Account Specialist will be responsible for billing all third-party payers through a claims… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Insurance Authorization Specialist position is responsible for obtaining and managing insurance authorizations for medical services and ... interactions with patient's, co-workers, insurance companies, physicians, and other clinical and administrative partners. **PEOPLE ESSENTIAL FUNCTIONS** + Promotes a… more
- Elevance Health (Houston, TX)
- …make an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in the performance of medical ... audit activities. + Draws on advanced ICD-10 coding expertise, mastery of clinical guidelines, and industry knowledge to substantiate conclusions. + Utilizes… more
- Molina Healthcare (San Antonio, TX)
- …Office suite/applicable software program(s) proficiency. **Preferred Qualifications** * Certified Clinical Coder (CCC), Certified Medical Audit Specialist ... JOB DESCRIPTION **Job Summary** The RN Clinical Appeals Nurse provides support for internal appeals...Utilization Review and/or Medical Claims Review experience. Knowledge in coding : DRG, ICD-10, HCPCS codes is highly preferred. Additional… more