- CenterWell (Athens, TX)
- **Become a part of our caring community and help us put health first** The primary function of the Branch Coordinator is to provide clerical support for the branch ... End of Period claim workflow as part of Billing Specialist responsibilities. This includes confirming all orders are signed...to ensure other billing requirements are satisfied to release claims timely. . Adhere to and participate in Agency's… more
- UTMB Health (Galveston, TX)
- …American Health Information Management (AHIMA) Or CCS - Cert-Cert Coding Specialist American Health Information Management (AHIMA) Or CCS-P - Cert-CCS-P ... **Galveston, Texas, United States** **New** Business, Managerial & Finance UTMB Health Requisition # 2504837 **Senior Coder (Remote)** **Minimum Qualifications:** A… more
- Highmark Health (Austin, TX)
- …Management Association (AHIMA) + AHIMA Credentials (Inpatient or Outpatient): Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS) ... **Company :** Allegheny Health Network **Job Description :** **GENERAL OVERVIEW:** Performs...skills Preferred + Associate's Degree + 3 years with claims processing and data management + Past auditing and… more
- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- …direct oversight of daily coding operations while also performing coding specialist functions. **Requisition ID:** 41973BR **Travel Required:** Up to 25% ... Provide direct oversight, training and guidance to assigned multi-specialty coding specialist teams. Coach, develop and make recommendations to the director… more
- Houston Methodist (Houston, TX)
- …and capture potential revenue opportunities. This position performs quality assurance, detailed claims analysis and medical record reviews of complex claims and ... FUNCTIONS** + Conducts risk-based and baseline reviews of complex and escalated claims or records in a timely manner, evaluates corrective actions and processes… more
- Defense Health Agency (Fort Hood, TX)
- …available. This is a Direct Hire Solicitation Responsibilities Serve as sub- specialist and consultant in Neonatal Perinatal Medicine for Pediatrics. Evaluate and ... for federal civilian healthcare providers as they are covered by the Federal Tort Claims Act (28 USC | 1346(b)) while acting within the scope of their employment.… more
- NTT America, Inc. (Houston, TX)
- …people who work here. NTT DATA, Inc. currently seeks a "TEMP BPO Senior Specialist **"** to join our team. **Client's business problem to solve?** Our client ... provides access to high-quality healthcare, innovative programs and a wide range of health solutions that help families and individuals get well, stay well. NTT is… more
- Prime Therapeutics (Austin, TX)
- …This role is responsible for mentoring and training the Eligibility Specialist . **Responsibilities** + Serves as subject matter expert representing eligibility on ... files, outgoing eligibility files, verification of letters of authority and some claims analysis. + Other duties as assigned **Minimum Qualifications** + Bachelor's… more
- Molina Healthcare (San Antonio, TX)
- …of a formal appeal being submitted. + Independently re-evaluates medical claims and associated records by applying advanced clinical knowledge, knowledge of ... the specific programs supported by the plan such as Utilization Review, Medical Claims Review, Long Term Service and Support, or other specific program experience as… more
- Molina Healthcare (Fort Worth, TX)
- …activities with other departments in Molina including Finance, Revenue analytics, Claims and Encounters, and Medical Directors + Maintains professional and technical ... verbal and written communication skills + Maintain confidentiality and comply with Health Insurance Portability and Accountability Act (HIPAA) + Ability to establish… more