- HCA Healthcare (San Antonio, TX)
- …TX, UT, VA). Do you want to join an organization that invests in you as a Senior Appeals Analyst? At Parallon, you come first. HCA Healthcare has committed up to ... colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no...make a difference. We are looking for a dedicated Senior Appeals Analyst like you to be… more
- NTT DATA North America (Plano, TX)
- …delivery of services. This position is eligible for company benefits including medical , dental, and vision insurance with an employer contribution, flexible ... organization, apply now. We are currently seeking a Delivery Senior Manager to join our team. NTT DATA is...team. NTT DATA is seeking to hire a **Medicare Appeals Clinical Leader** to lead service delivery engagements and… more
- Houston Methodist (Sugar Land, TX)
- …management or equivalent revenue cycle clinical role + Experience includes writing clinical appeals for medical necessity compliance or level of care for ... At Houston Methodist, the Senior Denials Management Specialist position is responsible for...National Coverage Determination (NCD) + Competence in writing clinical appeals for medical necessity compliance or level… more
- Guardian Life (Austin, TX)
- …agency relationships, and ensuring customer satisfaction at the highest level. The Senior Disability Insurance Underwriter will work with adjacent departments, ... conveying decisions in a polite, confident, and professional manner. + Consult with Medical Director and Mentors and/or senior underwriting staff for the purpose… more
- Molina Healthcare (Fort Worth, TX)
- **JOB DESCRIPTION** **Job Summary** Provides senior level support for accurate and timely intake and interpretation of regulatory and/or functional requirements ... and contractual guidelines. + Partner with provider relations, Health plans and appeals teams to address recurring dispute trends and recommend systemic solutions. +… more
- CenterWell (Austin, TX)
- …medical management organizations, hospitals/ Integrated Delivery Systems, health insurance , other healthcare providers, clinical group practice management. + ... **Become a part of our caring community and help us put health first** The Medical Director, Primary Care relies on medical background and reviews health claims.… more
- HCA Healthcare (Austin, TX)
- …of care in 21 states and the United Kingdom. We are looking for a Chief Medical Officer for our St. David's North Austin Medical Center team where excellence ... creates excellence. **Benefits** St. David's North Austin Medical Center, offers a total rewards package that supports the health, life, career and retirement of our… more
- Evolent (Austin, TX)
- …in on-going training per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to the Utilization ... overall accountability for utilization management while working in conjunction with the Senior Medical Director. **Qualifications - Required and Preferred:** +… more
- Evolent (Austin, TX)
- …in on-going training per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to the Utilization ... accountability for utilization management while working in conjunction with the Senior Medical Director. **Qualifications** + MD/DO/MBBS Degree + Current,… more
- Evolent (Austin, TX)
- …in on-going training per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to the Utilization ... overall accountability for utilization management while working in conjunction with the Senior Medical Director. **Qualifications - Required and Preferred:** +… more
- Evolent (Austin, TX)
- …assuming overall accountability for utilization management while working in conjunction with the Senior Medical Director. May assist the Senior Medical ... standard and expedited appeals . + Ensures documentation of all communications with medical office staff and/or MD provider is recorded in a timely and accurate… more
- Evolent (Austin, TX)
- …is recorded in a timely and accurate manner. . May assist the Senior Medical Director in research activities/questions related to the Utilization Management ... of the request and provides clinical rationale for standard and expedited appeals . . Utilizes medical /clinical review guidelines and parameters to assure… more
- Evolent (Austin, TX)
- …is recorded in a timely and accurate manner. + May assist the Senior Medical Director in research activities/questions related to the Utilization Management ... of the request and provides clinical rationale for standard and expedited appeals . + Utilizes medical /clinical review guidelines and parameters to assure… more
- Cardinal Health (Austin, TX)
- …Collections is responsible for the timely follow-up and resolution of insurance claims. This role ensures accurate and efficient collection of outstanding ... balances from insurance payers, working to reduce aging accounts receivable and...+ Analyze denials and underpayments to determine appropriate action ( appeals , corrections, resubmissions). + Track and follow up on… more
- Southland Industries (Schertz, TX)
- …excellent benefits for you and your family: + 401(k) Plan + Competitive Pay + ** Medical , Dental, Vision Insurance ** + Term Life, AD&D Insurance , and ... aspects of our work. **What you'll do:** + Assist Senior Engineers in design tasks as required. + Perform...one of the country's largest MEP building systems firms appeals to you and you're ready for the next… more
- Cardinal Health (Austin, TX)
- …may need to happen to not delay patient care. + Complete any pre-service appeals to obtain paying approval based on medical necessity. + Communicate effectively ... Operations Management oversees the business and administrative operations of a medical practice. This position is responsible for reviewing the physician's daily… more
- Guardian Life (Austin, TX)
- …manage contracts and financial reimbursement rates with DSOs + Make presentations to senior -level management of DSOs + Identify and report to leadership team on ... for all assigned DSOs. Respond to provider inquiries, concerns, complaints, appeals and grievances within assigned timeframes. Collaborate across teams to resolve… more
- Robert Half Management Resources (Dallas, TX)
- …in the United States. Benefits are available to contract/temporary professionals, including medical , vision, dental, and life and disability insurance . Hired ... Description We are looking for an experienced Real Estate Senior Financial Analyst to join the asset management division of a real estate company based in Dallas,… more