• Inpatient Coding Denials Specialist

    HCA Healthcare (San Antonio, TX)
    …to join an organization that invests in you as an Inpatient Coding Denials Specialist ? At Parallon, you come first. HCA Healthcare has committed up to $300 million ... student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program ...We are looking for a dedicated Inpatient Coding Denials Specialist like you to be a part of our… more
    HCA Healthcare (07/26/25)
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  • Remote Member Engagement Specialist

    BeneLynk (San Antonio, TX)
    …to Medicare Advantage beneficiaries enrolled in a BeneLynk contracted Medicare Advantage plan. The Member Engagement Specialist makes outbound telephone ... is in service of this one central vision. REMOTE MEMBER ENGAGEMENT SPECIALIST This position holds accountability for conducting telephonic screening services… more
    BeneLynk (07/29/25)
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  • Healthcare Administrative Specialist

    Aveanna Healthcare (Dallas, TX)
    Healthcare Administrative Specialist ApplyRefer a FriendBack Job Details Requisition #: 205019 Location: Dallas, TX 75287 Category: Administrative/Clerical Salary: ... $13.00 - $15.00 per hour Position Details Position: Operations Specialist (Medical Records Specialist ) Join a Company That Puts People First! Aveanna Healthcare… more
    Aveanna Healthcare (07/02/25)
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  • Billing Specialist

    HCA Healthcare (Mckinney, TX)
    …Do you want to join an organization that invests in you as a(an) Billing Specialist ? At MSO - Comprehensive OB/GYN, you come first. HCA Healthcare has committed up ... student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program ...a difference. We are looking for a dedicated Billing Specialist like you to be a part of our… more
    HCA Healthcare (07/30/25)
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  • Registered Nurse or Physical Therapist Denials…

    CenterWell (Austin, TX)
    …caring community and help us put health first** The **Denials Management Specialist ** is responsible to respond to, monitor and analyze all governmental requests, ... administrative, supervisory, quality assurance or teaching position in/or related to a Medicare certified home health agency. + A thorough knowledge of federal… more
    CenterWell (07/30/25)
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  • Senior Specialist , Member & Community…

    Molina Healthcare (TX)
    …to working in the pacific time zone. **Job Duties** + Acts as a lead specialist to provide project, program , and/or initiative related direction and guidance for ... **Job Description** **Job Summary** The Sr Specialist , Member & Community Interventions oversees and implements new and existing clinical quality member intervention… more
    Molina Healthcare (07/31/25)
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  • Utilization Review Specialist RN - FT Days

    Houston Methodist (Sugar Land, TX)
    At Houston Methodist, the Utilization Review Specialist Nurse (URSN) position is a licensed registered nurse (RN) who comprehensively conducts point of entry and ... continued stay, and resource use, appropriate level of care and program compliance. Identifies when services no longer meet evidence-based criteria, initiates… more
    Houston Methodist (07/29/25)
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  • Reimbursement and Market Access Specialist…

    Stryker (Flower Mound, TX)
    **What You'll Do:** As our **Reimbursement and Market Access Specialist ,** you'll play a key role in ensuring patient access to our innovative IVS products by ... coding, coverage, and reimbursement processes.** + 1+ year of experience working with Medicare , Medicare Advantage, Medigap, and commercial payer policies. + 1+… more
    Stryker (07/28/25)
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  • Pharmacy Services Specialist

    Apex Health Solutions (Houston, TX)
    …experience or other work experience in an equivalent background such as Medicare Part D program . Certificates and Licenses: Current, unrestricted Certified ... Position Summary: The Pharmacy services Specialist will assist the Clinical Services staff (pharmacists...in all aspects of pharmacy operations and services including Medicare part D oversight, coverage determination and re-determination (appeal)… more
    Apex Health Solutions (07/19/25)
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  • Compliance Specialist

    Elara Caring (Dallas, TX)
    …the Right Time, in the Right Place. **Job Description:** The Compliance Specialist ensures compliance with all government mandated regulations and best practices for ... and branch locations through effective communication and site visits. The Compliance Specialist assists the Director of Compliance in establishing and maintaining a… more
    Elara Caring (07/25/25)
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