- HCA Healthcare (Austin, TX)
- …interdepartmental service coordination. + Actively participates in the Performance Improvement and Utilization Review programs. + Assumes a role in the ... and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low… more
- HCA Healthcare (Houston, TX)
- …and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low ... health coverage as well as free telemedicine services and free AirMed medical transportation. + Additional options for dental and vision benefits, life and… more
- HCA Healthcare (Dallas, TX)
- …and from other countries. We offer sophisticated treatment by our 400+ in-house physician specialists. Medical City Dallas has a full-service adult hospital and ... We have an exciting opportunity for you to join Medical City Dallas which is a part of the...supporting a balance of optimal care and appropriate resource utilization . What You Will Do In This Role: +… more
- MTC (Raymondville, TX)
- …and confidentiality of all medical records. Observe applicable HIPAA rules. + Review medical files to determine all provided services are documented. + ... **Pay: $38.88 per hour** **Schedule: Night shift** **Benefits:** + Medical , vision, dental and prescription drug insurance + Short-term and long-term disability… more
- CVS Health (Austin, TX)
- …meal delivery, assists with securing DME, and helps to ensure timely physician follow-up. - Understands Payer/Plan benefits, policies, procedures, and can articulate ... who cannot advocate for themselves. The TOC team will review prior claims to address potential impact on current...timelines. - Utilizes weekly and daily reporting to identify utilization for the purpose of reducing Emergency Department … more
- Texas Health Resources (Arlington, TX)
- …Suite, encoder software and computer-assisted-coding software. . Demonstrated appropriate utilization of coding software and coding reference material to facilitate ... . Assesses high risk quality cases to accurately trigger pre-bill coding review process. . Abstracts and complies clinical data elements such as attending… more
- AdventHealth (Mansfield, TX)
- …support. . Help develop a brand new $150 million community hospital and medical office building that will provide services such as Emergency Services, Medical ... career with AdventHealth, named in 2018 by Becker's Hospital Review as one of the "150 Top Places to...Technologist performs a variety of technical procedures in the utilization of radionuclides for the diagnosis and treatment of… more
- Houston Methodist (Katy, TX)
- …Audit, Business Practices, Health Information Management, Patient Access Services, and Utilization Review as needed to ensure operational billing compliance ... areas of Revenue Cycle, to include but not limited to: medical coding, insurance billing, collections, patient account resolution, appeals/denials, customer service,… more
- HCA Healthcare (Austin, TX)
- …retrospective review of patient medical records for purposes of utilization review , care coordination compliance with requirements of external review ... Summary and Qualifications** Provides overall coordination in the delivery of medical services and discharge planning for specified patient populations. Performs… more
- Prime Therapeutics (Austin, TX)
- …clinical experience. + Experience in managed care, specialty drugs, care management and utilization review . + Meets Credentialing criteria. + At minimum must ... Under supervision, is responsible for performing referral services to support independent physician offices with maintaining member drug infusions in office or to… more