- Elevance Health (Grand Prairie, 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
- Molina Healthcare (San Antonio, TX)
- …ASSOCIATION:** Certified Clinical Coder, Certified Medical Audit Specialists, Certified Case Manager , Certified Professional Healthcare Management, Certified ... appropriate level of care utilizing MCG/InterQual, state/federal guidelines, billing and coding regulations, and Molina policies; validates the medical record and… more
- Houston Methodist (Houston, TX)
- …resolving all outstanding third-party primary and secondary insurance claims for professional services. This Specialist is required to perform collections activities ... denials and prepare complex appeals on outstanding insurance balances in the professional fee environment. This role is also responsible servicing as the subject… more
- Elevance Health (TX)
- …to 5:00 pm** The **Clinical Quality Consultant NP** is responsible for quality documentation, coding and value capture. **How you will make an impact:** + Focus on ... expertise to ensure full accurate and appropriate diagnosis, documentation, coding and care. will review all provider visit medical...our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors… more
- Elevance Health (Grand Prairie, 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
- 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
- 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
- HCA Healthcare (Austin, TX)
- …Healthcare, there are many ways for nurses to have a voice through professional practice councils, advisory councils, vital voices surveys, and units of distinction. ... physician's orders and under the supervision of the Clinical Manager . **What you will do in this role** :...will need:** + Graduate of an accredited school of professional nursing + Minimum of one or more years… more
- ManpowerGroup (Houston, TX)
- …enhance existing applications to produce commissions reports. + Work with Manager /IT Lead to understand requirements, create technical design, analyze source tables ... and relationships, adhere to consistent coding /SVN standards, and provide daily status updates. + Work...environment. + Develop strong working relationship with team members, Manager , Commissions team analysts, DBA team, Project Manager… more
- Elevance Health (Houston, TX)
- …claims. **How you will make an impact:** + Claim reviews for appropriate coding , data mining, entity review, law enforcement referral, and use of proprietary data ... and claim systems for review of facility, professional and pharmacy claims. + Responsible for identifying and...: + Fraud certification from CFE, AHFI, AAPC or coding certificates preferred. + Knowledge of Plan policies and… more