- Elevance Health (Grand Prairie, TX)
- …outside of the client health plan network. + Notifies ordering physician or rendering service provider office of the preauthorization determination decision. ... + Familiarity with Utilization Management Guidelines is preferred + ICD-9 and CPT-4 coding , and managed health care including HMO, PO and POS plans strongly… more
- Molina Healthcare (Dallas, TX)
- …issues related to utilization management, pharmacy, quality of care, and correct coding , for example. + Independently delivers training and presentations to assigned ... healthcare setting ideally in negotiating different provider contract types, ie, physician , group and hospital contracting, etc. To all current Molina employees:… more
- Baylor Scott & White Health (Dallas, TX)
- …that demographics and charges are posted timely and accurately.? Ensures coding changes are identified and implemented. Works closely with Executive Committee ... FACTORS** Minimum of?3?years previous healthcare management experience in a physician practice setting Operations management experience leading clinical and… more
- CenterWell (San Antonio, TX)
- …with specialists and providers outside of the primary care physician 's office. The Referral and Scheduling Coordinator performs basic ... Administration + Bilingual English/Spanish + Knowledge of ICD 10 and CPT coding + Referral experience **Additional Information** **Work Schedule:** Full Time / 40… more
- Molina Healthcare (Dallas, TX)
- …ancillary, medical facility, health care vendor, commercial health insurance, large physician practice, managed care organization, etc.) * Advanced proficiency with ... standard code systems (ICD-10CM, CPT, HCPCS, NDC, etc.) utilized in medical coding /billing (UB04/1500 form). * Advanced understanding of key managed care concepts… more
- Community Health Systems (Laredo, TX)
- …outcomes, and response to therapy in the medical record daily. + Ensures proper coding and accurate maintenance of charge logs for billing and compliance purposes. + ... Engages in discharge planning, providing necessary follow-up recommendations and physician feedback. + Conducts comprehensive speech, language, cognitive-communication, and… more
- Baylor Scott & White Health (Dallas, TX)
- …practice. Ensures demographics and charges are posted timely and accurately. Ensures coding changes are identified and implemented. + Works closely with the ... + Minimum of 2 years previous healthcare management experience in a physician practice setting + Operations management experience leading clinical and operational… more
- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- …and implementing solutions in order to optimize charge capture, lag, coding accuracy, and initial denials. + Approve departmental purchases and purchasing ... with the Department Administrator and Department Chair, assist with physician productivity and facility utilization. + Regularly review established benchmarks… more
- Baylor Scott & White Health (Irving, TX)
- …that demographics and charges are posted timely and accurately. + Ensures coding changes are identified and implemented. + Works closely with Executive Committee ... + Minimum of 5 years previous healthcare management experience in a physician practice setting + Operations management experience leading clinical and operational… more
- Adecco US, Inc. (Irving, TX)
- …In this client-facing, remote-based role, you will work directly with physician offices and manufacturer partners to resolve reimbursement challenges and deliver ... **Reimbursement Support (20%)** - Assist offices with claims, billing and coding , appeals, medical benefit interpretation, and co-pay or patient assistance programs.… more