• Clinical Appeals Nurse (RN)

    Molina Healthcare (San Antonio, TX)
    …criteria with Chief Medical Officer on denial decisions. + Resolves escalated complaints regarding Utilization Management and Long-Term Services & Supports issues. + ... Identifies and reports quality of care issues. + Prepares and presents cases...and unrestricted Certified Clinical Coder + Certified Medical Audit Specialist + Certified Case Manager + Certified Professional Healthcare… more
    Molina Healthcare (08/15/25)
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  • Medical Assistant Novice II - Orthopedics (The…

    Houston Methodist (Houston, TX)
    …with patient, as appropriate, to ensure compliance with recommendations-medications, lab/x-ray, specialist visits, PCP visits, dieticians, CDE, etc. + After visit, ... the specific patient population. + Obtains and documents vital signs, chief complaints , medication reviews, medical and social history. + Educates patients about… more
    Houston Methodist (08/15/25)
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  • Hospital Manager II

    VCA Animal Hospitals (Willow Park, TX)
    …of the practice; and supporting the hospital's mission of delivering high quality patient care and exceptional client service. Skills and Qualifications * 2 ... and develop the veterinary, technical and administrative staff towards the goal of quality patient care and excellent client service; assist in the formulation of… more
    VCA Animal Hospitals (08/08/25)
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  • Medical Assistant II - PCP Med Specialties

    UTMB Health (Galveston, TX)
    …and courteous manner. + Reports and seeks assistance in dealing with guest complaints / concerns. + Establishes and maintains a positive rapport with patient / ... / needs in an appropriate manner. + Participates in and supports continuous quality improvement activities at the clinic / departmental level, as appropriate. +… more
    UTMB Health (09/06/25)
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  • Patient Services Representative I

    University of Texas Rio Grande Valley (Edinburg, TX)
    …on the telephone and promotes active listenings responsively to patient concerns or complaints and provides or seeks appropriate remedies while promoting quality ... Education Bi-lingual (English/Spanish) Licenses/Certifications Preferred: Completion of Medical Office Specialist certificate program or Medical Administrative Assistant or closely… more
    University of Texas Rio Grande Valley (08/26/25)
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  • Medical Assistant I (Bilingual, English/Spanish)…

    UTMB Health (Galveston, TX)
    …courteous manner. o Reports and seeks assistance in dealing with guest complaints /concerns. o Establishes and maintains a positive rapport with patients/family and ... an appropriate manner. * Participates in and supports continuous quality improvement activities at the clinic / departmental level,...assigned. **Marginal Functions:** + Serves as a patient service specialist (PSS) at clinic on a periodic basis as… more
    UTMB Health (08/21/25)
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  • Manager, Consultant Support

    Vistra (Irving, TX)
    …role is responsible for the management of the Consultant Support account specialist team which provides daily support for Ambit's Independent Consultant residential ... mentor and partner with Account Specialists to resolve disputes and complaints from Customers and Consultants. **Education, Experience, & Skill Requirements** +… more
    Vistra (08/07/25)
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  • Monitoring Center Shift Lead - Overnight

    Allied Universal (Richardson, TX)
    …technology. Allied Universal Technology Services is hiring for a Security Intervention Specialist Lead at our Monitoring and Response Center (MaRC). The primary ... be keyed or verified + Investigates and professionally resolves inquiries and complaints that require Supervisory level intervention + Respond to customer inquiries… more
    Allied Universal (07/27/25)
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  • Medical Authorization Splst

    Methodist Health System (Dallas, TX)
    …Shift :** **Job Description :** Your Job: The Medical Authorization Specialist professional responsible for verification of medical coverage, along with ... Provider, and/or Billing Manager, when necessary. * Advises Manager of all patient complaints , and asks for assistance if problem resolution has not occurred with… more
    Methodist Health System (06/21/25)
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