• Practice Engagement Professional

    CenterWell (San Antonio, TX)
    …community and help us put health first** The Provider Engagement Professional develops and grows positive, long-term relationships with physicians, providers and ... contracted working relationship with the health plan. The Provider Engagement Professional work assignments are often straightforward and of moderate complexity. The… more
    CenterWell (09/10/25)
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  • Medical Claim Review Nurse (RN)

    Molina Healthcare (San Antonio, TX)
    …ASSOCIATION:** Certified Clinical Coder, Certified Medical Audit Specialists, Certified Case Manager , Certified Professional Healthcare Management, Certified ... for a RN with experience with appeals, claims review, and medical coding . **Job Summary** Utilizing clinical knowledge and experience, responsible for review of… more
    Molina Healthcare (09/06/25)
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  • Account Representative - (Museum District)

    Houston Methodist (Houston, TX)
    …all outstanding third party primary and secondary insurance claims for professional services. This position performs collections activities on simple and complex ... denials and on outstanding insurance balances in the professional fee environment. This role is also responsible for...communication. + Identifies denial trends and notifies supervisor and/or manager to prevent future denials and further delay in… more
    Houston Methodist (08/14/25)
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  • Digital Media Coordinator

    Texas A&M University System (College Station, TX)
    …website function, publication, & availability. Assist and Consult with Senior Program Manager & Turbo Lab Communications Department to create pages as needed. ... function and capability of Turbo Lab sites. + Consult with Senior Program Manager on details/method of & lead distribution of contents of proceedings for symposia.… more
    Texas A&M University System (08/27/25)
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  • Clinical Provider Auditor II

    Elevance Health (Houston, TX)
    …as necessary to aid in investigations and stays abreast of current medical coding and billing issues, trends and changes in laws/regulations. + Collaborates with the ... Requires a AA/AS and minimum of 3 years medical coding /auditing experience, including minimum of 1 year in fraud,...our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors… more
    Elevance Health (09/26/25)
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  • Clinical Compliance Medical Director

    Elevance Health (Grand Prairie, TX)
    …Director** is responsible for providing clinical guidance related to the company's coding guidelines, provider coding audits, and participates in developing an ... includes provider medical record documentation. + Provides clinical guidance regarding coding guidelines and develops provider educational material. + Develops a… more
    Elevance Health (09/24/25)
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  • Lead Analyst, Payment Integrity - REMOTE

    Molina Healthcare (San Antonio, TX)
    …Medicare, Medicaid, and Marketplace lines of business. + Certified Business Analysis Professional (CBAP), or Certified Coding Specialist (CCS) certification. + ... + At least 6 years of experience as a Business Analyst or Program Manager in a Managed Care Organization (MCO) or health plan setting, including experience in… more
    Molina Healthcare (09/28/25)
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  • Clinical Provider Auditor II

    Elevance Health (Houston, TX)
    …as necessary to aid in investigations and stays abreast of current medical coding and billing issues, trends and changes in laws/regulations. + Collaborates with the ... Requires a AA/AS and minimum of 4 years medical coding /auditing experience, including minimum of 1 year in fraud,...our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors… more
    Elevance Health (09/06/25)
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  • Sr. Specialist, Owned Channels (Email and SMS)

    Academy Sports + Outdoors (Katy, TX)
    …our owned channels in customer marketing. This role includes planning, forecast and coding for email and SMS campaigns. A successful candidate will leverage insights ... and web analytics marketing experience. + 2-3 e xperience coding HTML emails with dynamic content + ESP experience...proper coverage + Supports the Email & SMS Marketing Manager in the execution of strategic Email & SMS… more
    Academy Sports + Outdoors (07/18/25)
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  • Insurance Biller FT-Katy

    Houston Methodist (Houston, TX)
    …Provides support for the revenue cycle departments (as applicable: payment posting, coding and accounts receivable (AR) follow up) related to administrative duties ... and provides support to other team members as advised by the manager and/or supervisor. Resolves routine insurance billing inquiries and problems within departmental… more
    Houston Methodist (08/28/25)
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