• Admissions Specialist - Admitting ER - PRN…

    Texas Health Resources (Dallas, TX)
    **Admissions Specialist - Admitting ER - PRN** _Bring your passion to Texas Health so we are Better + Together_ **Work location:** Texas Health Dallas, 8200 Walnut ... network coverage and obtains and/or validates healthcare benefits and/or pre- certification for applicable tests and/or procedures. These efforts maximize… more
    Texas Health Resources (09/03/25)
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  • Clinical Support Specialist / LVN, Home…

    AccentCare, Inc. (Brenham, TX)
    Overview Find Your Passion and Purpose as a Clinical Support Specialist Reimagine Your Career in Corporate Healthcare As a professional, you know that what you do ... AccentCare-branded scrubs for patient-facing employees Qualifications Be the Best Clinical Support Specialist You Can Be If you meet these qualifications, we want to… more
    AccentCare, Inc. (07/25/25)
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  • Admissions Specialist - FT - Weekend Nights

    Texas Health Resources (Fort Worth, TX)
    **Admissions Specialist ** _Bring your passion to Texas Health so we are Better + Together_ **Work Location:** Texas Health Alliance, 10864 Texas Health Trail TX ... network coverage and obtains and/or validates healthcare benefits and/or pre- certification for applicable tests and/or procedures. These efforts maximize… more
    Texas Health Resources (09/03/25)
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  • Admissions Specialist I - Days

    Texas Health Resources (Fort Worth, TX)
    Admissions Specialist I _Bring your passion to Texas Health So We Are Better + Together_ Work Location: Texas Health Alliance, 10864 Texas Health Trail, Fort Worth, ... network coverage and obtains and/or validates healthcare benefits and/or pre- certification for applicable tests and/or procedures. These efforts maximize… more
    Texas Health Resources (08/29/25)
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  • Admissions Specialist I - PRN

    Texas Health Resources (Bedford, TX)
    **Admissions Specialist I** _Bring your passion to Texas Health so we are Better + Together_ **Work Location:** Texas Health HEB, 1600 Hospital Pkwy, Bedford, TX ... network coverage and obtains and/or validates healthcare benefits and/or pre- certification for applicable tests and/or procedures. These efforts maximize… more
    Texas Health Resources (08/29/25)
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  • Value-Based Reimbursement Specialist

    Highmark Health (Austin, TX)
    …share and risk share models and will be implemented for the Organization's Medicare Advantage, Medicaid, ACA, and commercial populations with the goal of maximizing ... interpretation, and outcomes strategic plan development. + 1 year experience with Medicare STARS, Medicaid HEDIS, risk revenue value streams, and population health… more
    Highmark Health (08/20/25)
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  • Referral Coordinator

    ChenMed (Houston, TX)
    …for multiple payers strongly preferred + Healthcare experience within the Medicare Advantage population preferred. + Medical Assistant certification preferred ... approved (when needed). + Schedules patient (Preferred Providers List of Specialist ) and notifies them of appointment information, including, date, time, location,… more
    ChenMed (08/30/25)
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  • Bilingual Referral Coordinator

    ChenMed (Houston, TX)
    …for multiple payers strongly preferred + Healthcare experience within the Medicare Advantage population preferred. + Medical Assistant certification preferred ... approved (when needed). + Schedules patient (Preferred Providers List of Specialist ) and notifies them of appointment information, including, date, time, location,… more
    ChenMed (08/20/25)
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  • Sr Utiliz. Review Spclst Nurse

    Houston Methodist (Houston, TX)
    At Houston Methodist, the Sr Utilization Review Specialist Nurse (URSN) position is a licensed registered nurse (RN) responsible for promoting the achievement of ... all objectives delineated in the Utilization Review Nurse and Utilization Review Specialist Nurse job roles and is responsible for facilitating appropriate length of… more
    Houston Methodist (08/26/25)
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  • Lead Analyst, Payment Integrity

    Molina Healthcare (San Antonio, TX)
    …of business. + Certified Business Analysis Professional (CBAP), or Certified Coding Specialist (CCS) certification . + Project Management Experience + Familiarity ... Ownership** + Assists and executes tasks and projects to ensure Centers for Medicare & Medicaid Services (CMS) and State regulatory requirements are met for Pre-pay… more
    Molina Healthcare (08/20/25)
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