- Sedgwick (Irving, TX)
- … case management and complex claim determinations based on medical documentation and the applicable disability plan interpretation including determining benefits ... claims based on the disability plan. + Reviews and analyzes complex medical information (ie attending physician statements, office notes, operative reports, etc.) to… more
- Datavant (Austin, TX)
- …level position responsible for processing all release of information (ROI), specifically medical record requests, in a timely and efficient manner ensuring accuracy ... that only authorized individuals have access to the patient's medical information and that all releases of information are...information on multiple platforms using two computer monitors. + Preferred Customer Service and Data Entry and Release of… more
- Datavant (Austin, TX)
- …for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing you to ... shape the future of healthcare from your own workspace! Preferred : In need of a PRN Observation coder that...but not required. **What You Will Do:** + Review medical records and assign accurate codes for diagnoses and… more
- Houston Methodist (Houston, TX)
- …Advisor to address identified educational needs for providers and utilization review/ case management team members. + Serves as the primary information resource ... team. + Functions as a resource to department staff in communicating medical information required by external review entities, managed care contractors, insurers,… more
- Abbott (Tyler, TX)
- …spectrum of healthcare, with leading businesses and products in diagnostics, medical devices, nutritionals and branded generic medicines. Our 114,000 colleagues ... you dream of. + Employees can qualify for free medical coverage in our Health Investment Plan (HIP) PPO.... The Clinical Specialist will primarily be responsible for case planning, case support coverage, and product… more
- Datavant (Austin, TX)
- …two computer monitors. + Proficient in Microsoft office (including Word and Excel) ** Preferred Skills** + Knowledge of HIPAA and medical terminology + Familiar ... + Ability working in a high-volume environment. + Processing medical record requests such as: Insurance requests, DDS Requests,...reviewed by Datavant Human Resources and determined on a case -by- case basis. Depending on the state in… more
- Fujifilm (Austin, TX)
- …Knowledge Base articles. + Maintains an expert working knowledge of current medical imaging products and related technologies. + Engineers must have the ability ... effectively communicate with our customers, and document the interactions within a case . + Works cross-functionally with other Synapse teams/products as required and… more
- Healthfirst (TX)
- …**8am-5pm or** **8:30am-5:30pm** **Duties and Responsibilities:** + Responsible for case development and resolution of clinical cases, such as: Pre-existing ... Conditions, Prior Approval, Medical Necessity, Pre-certification, Continued Stay, Reduction, Termination, and Suspension...Update file documentation such as the file notes and case summary + Manage all duties within regulatory timeframes… more
- CVS Health (Austin, TX)
- …+ Researches and prepares cases for clinical and legal review. + Documents all appropriate case activity in case tracking system. + Prepare written case ... + Gives presentations to internal and external customers regarding ongoing case investigations. **Required Qualifications** + 3-5 years investigative experience in… more
- Robert Half Legal (Dallas, TX)
- …coordinate requests between internal and external counsel. * Gather and summarize medical records, depositions, and other case -related information. * Collaborate ... through all stages of the litigation process, including legal research, case management, and trial preparation. This position offers an excellent opportunity… more