- Evolent (Austin, TX)
- …to support prior authorization and financial scope reconciliations, ensuring accuracy and compliance . + Conduct ongoing surveillance of coding updates from ... who work with national health plans to ensure that prior authorization and financial coding stay accurate, compliant, and aligned with evolving needs. As a member of… more
- Fresenius Medical Center (Houston, TX)
- …the application process for physician privileges and compliance with FMS Medical Staff By-Laws. + Responsible for strong Director and physician relationships ... vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. Ensure… more
- Robert Half Accountemps (Dallas, TX)
- Description We are looking for a skilled Medical Payment Poster Specialist to join our team in Dallas, Texas. In this Contract-to-Permanent position, you will play a ... key role in ensuring accurate posting of payments and maintaining compliance with healthcare regulations. This role offers an opportunity to contribute to the… more
- Houston Methodist (The Woodlands, TX)
- …The CQO position works in close association with the System CQO and entity Director and/or VP of Quality & Outcomes and collaborates with all disciplines, hospital ... leadership, and the medical staff to promote identification of organizational vulnerabilities, health care design using human factors and system principles, and… more
- Community Health Systems (Corsicana, TX)
- …+ Associate Degree in a healthcare related field preferred or + Technical School for Medical Billing or Coding preferred + 0-2 years of experience in medical ... and other payers, researching and resolving claim issues while maintaining compliance with billing regulations and organizational policies. The Billing Specialist I… more
- Fresenius Medical Center (Marble Falls, TX)
- …and payroll. PHYSICIANS: + Facilitates the application process for physician privileges and compliance with Fresenius Medical Care Medical Staff By-Laws. + ... **About this role:** As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care...advance your career into an Area Team Lead or Director of Operations role. **Our culture:** We believe our… more
- HCA Healthcare (San Antonio, TX)
- …designation on final UB-04through chart review, staff interview and collaboration with Rehab Medical Director . Provides ongoing education to the staff of the ... and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low… more
- Elara Caring (Dallas, TX)
- …eligibility, billing, coding , and clinical documentation. Duties of the Billing Compliance Auditor include but are not limited to: (1) conducting audits in ... + Opportunities for advancement + Comprehensive insurance plans for medical , dental, and vision benefits + 401(K) with employer...to perform job tasks You will report to the Director of Compliance Audit. _This is not… more
- Methodist Health System (Dallas, TX)
- …staff to the assigned program as requested. 3: Collaborate with the teaching clinic medical director or other assigned program leadership to fulfill the MHS ... in assigned clinical settings. Review clinical documentation of trainees to ensure compliance with CMS billing and coding regulations; and provide timely… more
- Sanofi Group (Dallas, TX)
- …coding , financial assistance offerings, patient support, access, payer medical policy, prior authorization, specialty pharmacy operations, infusion center ... customers. In this field-based position, the FRM will report to a field-based Director , Field Reimbursement, within Patient Support for T1D (Type 1 Diabetes). The… more