- Highmark Health (Austin, TX)
- …relationships hold the key to uncovering society's most complex challenges? Do you see medical records not just as disparate facts, but as a vast, dynamic network of ... work will directly impact millions of lives. As our Lead Graph Intelligence specialist , you will be the spearhead of cutting-edge research projects. This means… more
- Adecco US, Inc. (Irving, TX)
- …access and reimbursement barriers. + Manage benefit investigations, prior authorizations, claims escalations, and appeals. + Deliver payer insights and education on ... insurance, and specialty pharmacy. + Experience with prior authorizations, claims processing, and appeals. + Strong communication, presentation, and organizational… more
- Molina Healthcare (Fort Worth, TX)
- …activities with other departments in Molina including Finance, Revenue analytics, Claims and Encounters, and Medical Directors + Maintains professional ... administrative duties such as planning, scheduling of chart reviews, obtaining of medical records, and provider training and education + Assists in coordinating… more
- Defense Health Agency (TX)
- …available. This is a Direct Hire Solicitation Responsibilities Serve as sub- specialist and consultant in Neonatal Perinatal Medicine for Pediatrics. Evaluate and ... to NICU or Newborn Nursery. Provide continuing education to medical professionals in the area of neonatal-perinatal medicine. Provide...providers as they are covered by the Federal Tort Claims Act (28 USC | 1346(b)) while acting within… more
- Highmark Health (Austin, TX)
- …related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of coding, ... appropriate steps to effect resolution. (10%) + Reviews and interprets medical information, classifies that information into the appropriate payor specific groups… more
- Medtronic (TX)
- …articulate to customers. + Execute engaging field sales and clinical specialist field education programs that are targeted, purposeful, and support electrophysiology ... Clinical Expert + Translates complex technical messaging, dispels competitive claims , resolves complex technical issues, and maintains customer relationships through… more
- CenterWell (Athens, TX)
- …the Branch Coordinator is to provide clerical support for the branch medical records and billing department. Also, responsible for day-to-day coordination of ... 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
- STG International (Temple, TX)
- …or any other protected class. Medical Corps - 60J, 60L, 61F, 61H, 61N, 61R,62B Medical Specialist Corps - 65B, 65C, 65D Nurse Corps - 66B,66H, 66P Medical ... & co-insurance) collections at 99% 32. On hold unbilled claims are less than .25% of 3rd party (non-private)...mission. STGi offers a competitive benefits package which includes Medical , Dental, Vision, 401k with company match and a… more
- CenterWell (Vernon, TX)
- …the **Branch Coordinator** is to provide clerical support for the branch medical records and billing department. Also, responsible for day-to-day coordination of ... 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
- Robert Half Accountemps (Houston, TX)
- …and revenue cycle management? Our client in downtown Houston is seeking a Medical Billing Specialist for a contract-to-hire, remote position. Join their Billing ... demographics, diagnosis codes, and other critical data necessary for finalizing claims . You'll work collaboratively with clients, access payor portals, and support… more
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