- Somatus (San Antonio, TX)
- …+ And more! **Somatus offers a Hybrid Telehealth environment with a combination of remote days and visits to members' homes.** This position will be focused on high ... physician's treatment plan. The CHW-Patient Advocate will work as an extension of the clinical care team, specifically under the guidance of RN Care Manager and act… more
- UTMB Health (Galveston, TX)
- Clinical Documentation Specialist ( Remote -Texas Resident) - Clinical Data **Galveston, Texas, United States** Medical Administrative UTMB Health ... of the patient care team, and hospital coding staff. **Function:** Ensures clinical documentation accurately reflects the appropriate level of service provided,… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Clinical Documentation Specialist is responsible for improving the overall quality and completeness of clinical ... documentation improvement. This role also facilitates modifications to clinical documentation through extensive interaction with physicians, nursing staff,… more
- Cognizant (Austin, TX)
- …determinations to the Health Plan/Medical Director based on the review of clinical documentation in accordance with Medicare, Medicaid, and third-party ... **Schedule:** Monday to Friday - Eastern Time **Location:** Remote **About the role** As a Registered Nurse...an impact by performing advanced level work related to clinical denial management and managing clinical denials… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Credentialing Specialist position is responsible for processing applications for appointment and reappointment to the Medical Staff of ... for appointment and reappointment. + Gathers and compiles all other necessary documentation , including case logs or quality data, for application completion. +… more
- TEKsystems (Austin, TX)
- About the Role We are seeking a detail oriented and experienced Clinical Insurance Authorization Specialist to join our team. This role is critical in ensuring ... and resolve payer-related issues to ensure timely reimbursement. + Collaborate with clinical and administrative teams to gather necessary documentation for… more
- Molina Healthcare (Longview, TX)
- **JOB DESCRIPTION** **Job Summary** The Provider Engagement Specialist , role implements Health Plan provider engagement strategy to achieve positive quality and risk ... Molina risk adjustment and quality efforts (eg Supplemental data, EMR connection, Clinical Profiles programs) and use of the Molina Provider Collaboration Portal. *… more
- BrightSpring Health Services (Irving, TX)
- …with healthcare providers, insurance companies, and patients to gather necessary clinical information and documentation to support prior authorization ... role will be responsible for activities relating to the proper initiation, clinical review, submission, and follow up of prior authorizations. This role requires… more
- UTMB Health (Galveston, TX)
- …of the clinical enterprise including patient registration, patient billing, clinical documentation utilized in the ambulatory and inpatient settings, as ... Epic EHR Clinical Apps Analyst (Mostly Remote , Houston/Galveston...documentation of business and management problems to formulate clinical application requirements. Assists in providing solutions to routine… more
- TEKsystems (Austin, TX)
- …audits the medical necessity for each patient chemotherapy treatment and documentation of regimen relative to pathway adherence. -Updates coding/payer guidelines for ... clinical staff. Tracks pathways and performs various other business...chemo, OR surgery medical insurance verification and authorization required. Remote ( in Texas area) Experience Level Expert Level… more
