• Provider Enrollment Specialist

    TEKsystems (Dallas, TX)
    …plans. Maintain accurate and up-to-date provider records in internal databases and payer portals. Track application statuses and follow up with payers to ensure ... timely processing. Collaborate with providers and credentialing staff teams to gather required documentation and resolve discrepancies. Monitor and manage re-credentialing and revalidation timelines to ensure continuous participation. Respond to inquiries from… more
    TEKsystems (01/13/26)
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  • Senior PPI Professional - Inpatient Coding…

    Humana (Austin, TX)
    …SME and/or leadership experience within the last few years in provider/ payer inpatient auditing + Verifiable experience working with and supporting onshore ... and offshore MSDRG vendors/ staff + Comprehensive knowledge of Microsoft Office Programs Word, PowerPoint, and Excel + Excellent communication skills both written and verbal + High level of productivity with the ability to turn-around requests quickly and… more
    Humana (01/13/26)
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  • Multi-Specialty Account Manager

    Lundbeck (Tyler, TX)
    …to stay informed on reimbursement dynamics, anticipate and effectively address payer access issues (IDNs, Medicare, Medicaid, Commercial) using Lundbeck resources. ... **Pharmaceutical Environment/Compliance** - Apply knowledge of pharmaceutical and regulatory environment, including accountability and adherence to Lundbeck policies and procedures and FDA regulations regarding the promotion of pharmaceutical and medical… more
    Lundbeck (01/13/26)
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  • Access Services Financial Counselor

    Baylor Scott & White Health (College Station, TX)
    …guarantors with understanding of claims processing or denial of services by payer . **KEY SUCCESS FACTORS** 3 years of healthcare experience or education equivalency ... required. Proven ability to problem-solve, perform critical thinking. Requires good listening, interpersonal and communication skills, and professional, pleasant and respectful telephone etiquette. Ability to maintain a professional demeanor in a highly… more
    Baylor Scott & White Health (01/13/26)
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  • Case Manager - Per Diem

    Select Medical (Frisco, TX)
    …Planning + Care Planning Management + Fiscal Management + Payer /Referral Management **Qualifications** **Minimum Qualifications** + Current Licensure per state ... guidelines in clinical or related discipline OR a Bachelor's or Master's in a health or human services discipline. **Preferred Qualifications** + Previous experience in Case Management and Discharge Planning preferred. + CCM Certification Preferred.… more
    Select Medical (01/13/26)
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  • Supervisor Provider Enrollment

    Intermountain Health (Austin, TX)
    …team. Complete and monitor, and report on government and / or commercial payer enrollments for both technical and/or professional fee claim reimbursement. Assist in ... minimizing provider enrollment AR by monitoring enrollment accuracy & consistency, resolving issues affecting days in enrollment. **Essential Functions** + Oversee the Provider Enrollment day-to-day operations. Coordinates, implements and tracks initial… more
    Intermountain Health (01/13/26)
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  • Pharmacist

    Actalent (Tyler, TX)
    …local, state, and federal regulations, as well as DEA policies and third-party payer contract rules. + Supervise pharmacy production staff to maintain order entry ... workflow, security of the pharmacy area, and adherence to delivery schedules. + Check the completeness and accuracy of all new and refill labels, orders, and drug packaging. + Oversee the preparation and supervision of sterile IV drug products or solutions. +… more
    Actalent (01/13/26)
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  • Inpatient Audit Specialist FT 2,500 Sign on Bonus

    Datavant (Austin, TX)
    …and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, interim coding management, and coding workflow ... operations reviews. In this role, you will offer meaningful information tailored to exceed customer expectations, actively identifying and presenting solutions for customer issues. This role is fully remote with a flexible schedule, allowing you to help shape… more
    Datavant (01/13/26)
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  • Executive Assistant to President - All Saints…

    Baylor Scott & White Health (Fort Worth, TX)
    …post-acute partners, payers). Prepare exec-ready summaries for productivity, cost initiatives, payer mix, and growth KPIs. **Board, Medical Staff, and Governance ... Support** Own timelines, drafting, and quality control for board/committee agendas, decks, and packets. Coordinate medical staff, quality, finance, and ethics committees, record minutes and track action items to closure. Provide status updates and decision… more
    Baylor Scott & White Health (01/11/26)
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  • RN Administrator Home Health

    Elara Caring (Irving, TX)
    …in accordance with the mission and values, legal and regulatory requirements, payer and accreditation standards, customer expectations, and agency policy. + Approves ... and submits time and attendance files to payroll for processing, including final review of inputs (eg, visits, mileage, hours worked, etc.) and corresponding rates (eg, hourly rate, mileage reimbursement rate, pay-per-point scale, etc.). + Implements the… more
    Elara Caring (01/10/26)
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