- Elevance Health (San Antonio, TX)
- …+ Verifies benefits and/or eligibility information. + May act as liaison between Medical Management and internal departments. + Responds to telephone and written ... + Requires HS diploma or equivalent and a minimum of 2 years customer service experience in healthcare related setting and medical terminology training; or any… more
- CVS Health (Austin, TX)
- …implementation, and evaluation of clinical / medical programs and expand Aetna's medical management programs to address member needs across the continuum of ... care. + You will support the Medical Management staff ensuring timely and consistent...providers and facilities to support the effective execution of medical services programs by the clinical teams.… more
- Molina Healthcare (Fort Worth, TX)
- …for strategic analysis, profitability, financial analysis, utilization patterns and medical management . + Interfaces and maintains positive interactions ... reporting service level benchmarks for EIM team. + Represents Medical Economics department in cross-departmental and operational meetings. + Serves as liaison… more
- Sedgwick (Dallas, TX)
- …and deductions, claim and disability duration, cost containment principles including medical management practices and Social Security application procedures as ... as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Advisor, Medical Malpractice (Professional Liability) **PRIMARY… more
- Houston Methodist (Sugar Land, TX)
- …- Certified Provider Credentialing Specialist (NAMSS) **OR** + CPMSM - Certified Professional Medical Services Management (NAMSS) **OR** + CPHQ - Certified ... At Houston Methodist, the Manager Medical Staff Services position is responsible for the management and administration of the Medical Staff Services … more
- Valor Health (Copperas Cove, TX)
- …for the US Department of Veterans Affairs. Valor provides a full range of medical services to veterans through the operations of CBOCs, tailored to meet ... the specific needs of local VA medical centers. Our comprehensive set of services ...within 24 hours of a patient encounter. + Solicits medical management consult or input when appropriate.… more
- Centene Corporation (Austin, TX)
- …changes everything for our 28 million members as a clinical professional on our Medical Management /Health Services team. Centene is a diversified, national ... IDEAL CANDIDATE WILL HAVE CODING CERTIFICATION **Position Purpose:** Perform clinical/coding medical claim review to ensure compliance with coding practices through… more
- Catholic Health Initiatives (Houston, TX)
- …Maintains a positive, caring attitude towards patients. Good computer skills using a medical management application. Possess a strong work ethic and a high ... **Responsibilities** The Medical Assistant is responsible for working within a...scope of practice for an MA. Maintains patient and service rooms in a neat and orderly condition. Schedules… more
- Texas Health Resources (Fort Worth, TX)
- …Provider Credentialing Specialist Upon Hire Required Or CPMSM - Certified Professional Medical Services Management Upon Hire Required **Skills** Leadership, ... staff leaders, the hospital's administrative team, and other department heads. Administrative Management of Medical Staff Services department operations 1.… more
- Houston Methodist (Cypress, TX)
- …Certified Provider Credentialing Specialist (NAMSS) **OR** + CPMSM - Certified Professional Medical Services Management (NAMSS) **KNOWLEDGE, SKILLS, AND ... At Houston Methodist, the Medical Staff Services Specialist position provides...and appropriate patient care; interacts daily with hospital staff, management , and members of the medical staff… more