- UTMB Health (Webster, TX)
- Pharmacy Technician Specialist - Webster Pharmacy **Webster, Texas, United States** Allied Health UTMB Health Requisition # 2504665 **Minimum Qualifications:** ... State Board of Pharmacy (TSBP) + Three (3) years of technician experience with one ( 1 ) year of professional work experience in a related field of specialty OR + One… more
- Community Health Systems (Laredo, TX)
- **Job Summary** The Care Coordination Specialist Clinics is responsible for assisting in the coordination of patient care with referrals and/or authorizations for ... on clinic infrastructure.) Scope: Physician practice clinic Care Coordination Specialist responsibilities include all inpatient/outpatient clinic referrals and functions… more
- Intermountain Health (Austin, TX)
- …Participates in team work sessions for each market to address Epic hold and denial work queues and communicate issues and trends to leadership. Collaborates with AR ... to identify claim denial trends and with Coding to identify trend denials...High School graduate or equivalent is required + One ( 1 ) year previous work experience in healthcare + Preferred… more
- Molina Healthcare (Austin, TX)
- …responses to appeals and grievances. + Elevates appropriate appeals to the Appeals Specialist . + Generates and mails denial letters. + Assists with ... **REQU** **I** **RED E** **X** **PE** **R** **I** **E** **N** **C** **E:** + 1 year of Molina experience, health claims experience, OR one year of customer… more
- Molina Healthcare (Austin, TX)
- …appeals to the next level for review. * Generates and mails denial letters. * Provides support for interdepartmental issues to help coordinate problem-solving ... and other member/provider complaints. **Required Qualifications** * At least 1 year of experience in claims, and/or 1... 1 year of experience in claims, and/or 1 year of customer/provider service experience in a health… more
- US Tech Solutions (San Antonio, TX)
- …criteria for prospective and concurrent reviews of cases. authorizations. **Duties** 1 . Collaborates with the CRU Technician to process referrals, including ... patient and other healthcare professionals following agreed upon approval & denial management processes. (15%) 3. Handles inbound phone calls and escalations… more
- Molina Healthcare (San Antonio, TX)
- …details in the database. * Provides supporting documentation management for denial and modification of payment decisions. * Independently re-evaluates medical claims ... clinical guidelines and other appropriate criteria with medical directors on denial decisions. * Supplies criteria supporting all recommendations for denial… more
- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- **42720BR** **Extended Job Title:** Coding Manager ELP **Org Level 1 :** Texas Tech Unv Hlth Sci Ctr El Paso **Position Description:** Provide oversight, training and ... direct oversight of daily coding operations while also performing coding specialist functions. **Requisition ID:** 42720BR **Travel Required:** Up to 25%… more