- Molina Healthcare (TX)
- …compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse (RN) performs clinical/ medical reviews of previously denied cases in which a formal ... likelihood of a formal appeal being submitted. + Independently re-evaluates medical claims and associated records by applying advanced clinical knowledge, knowledge… more
- HCA Healthcare (Austin, TX)
- …This position is incentive eligible. **Job Summary and Qualifications** HCA Graduate Medical Education is one of the nation's largest providers of residency and ... HCA GME is building a leading network of innovative, patient-centered graduate medical education programs. We believe graduate medical education is much… more
- CenterWell (Houston, TX)
- …medicine, continuity of care, health maintenance, and disease prevention. Keeps a medical history and medical records. Refers the patient to specialists ... quality of patient care using available data and chart reviews. + Complete all medical record documentation in a timely manner, working with a quality-based coder to… more
- CGI Technologies and Solutions, Inc. (Los Angeles, TX)
- …**Position ID:** J0724-1952 **Employment Type:** Full Time **Position Description:** CGI Federal is looking for experienced Support Associates to support the Los ... in a prescribed or slightly varied sequence, such as coding and filing documents in an extensive alphabetical file;...your Service Contract Act: Paid Time Off (PTO) Paid Federal Holidays Health & Welfare Benefits \#CGIFederalJob \#PassportUS \#IAF… more
- Kelsey-Seybold Clinic (Spring, TX)
- …utilizes various system applications for reporting purposes, interprets multiple medical plan benefits to maximize accurate collections, endorses mutual respect ... Required: 3 years general administrative experience and 2 years medical insurance verification experience or experience scheduling operative procedures. OR… more
- Texas Tech University Health Sciences Center - Lubbock (Lubbock, TX)
- …experience and/or skills **Major/Essential Functions:** + Provides supervision and teaching to medical students and residents in Psychiatry. + Work with learners to ... and sufficient management and control of business, personnel, finance, and billing/ coding processes. + Collaborate with and support co-endeavors with the University… more
- Adecco US, Inc. (Irving, TX)
- …client expectation. 3. Reimbursement Support on Case management, billing and coding updates, appropriate claims submission, Specialty Pharmacy, Medical Benefit ... Minimum of 8 years healthcare related reimbursement experience. Strong medical reimbursement experience with Buy & Bill and/or Specialty...Sick Leave or any other paid leave required by Federal , State, or local law, as well as Holiday… more
- Elevance Health (Grand Prairie, TX)
- …abuse prevention and control. + Review and conducts analysis of claims and medical records prior to payment. + Researches new healthcare related questions as ... an equivalent background. **Preferred Skills, Capabilities, and Experiences:** + Coding Certificate or Registered Nurse preferred. + Law Enforcement investigation… more
- Highmark Health (Austin, TX)
- …to testify in a court of law, prepare cases for referral to various federal , state and local law enforcement entities and work with those agencies through closure ... to prevent further improper payments.Forwards case to the Credentialing and/or Medical Review Committee, law enforcement and regulatory agencies. + Responsible for… more
- Fujifilm (Austin, TX)
- …with Key Accounts and Opinion Leaders within the Liver/Hepatology Medical Oncology community. Manage specific assigned geographic areas and successfully ... Liaise with office and laboratory staff to provide reimbursement support and test coding . + Development of business plans aligned to strategic accounts with resource… more