- Kelly Services (Houston, TX)
- We are currently seeking a ** Medical Claims Specialist ** that is pursuing a career in **healthcare administration** for our client located in **North West ... hr** **Temp-hire onsite** **Do you meet the Requirements?** + Have 2-3 yrs Medical Claims experience as a Claims Representative in a call center environment… more
- TEKsystems (Houston, TX)
- Description * Provide subject matter expertise on medical and prescription insurance coverage/ verification claim billing medication prior authorization and appeal ... with health insurance payors and providers to investigate pharmacy and medical benefits. Obtain and confirm information to maintain Pharmacy Solutions payor… more
- Houston Methodist (Houston, TX)
- …AR collections. **FINANCE ESSENTIAL FUNCTIONS** + Expedites and maximizes payment of insurance medical claims by contacting third party payers and patients. This ... is responsible for resolving all outstanding third-party primary and secondary insurance claims for professional services. This Specialist is required to perform… more
- UT Health (Houston, TX)
- …Summary:** **RESTRICTED TO MMS/REVENUE CYCLE/CHARGE CAPTURE & CODING** The Coding Denial Specialist is responsible for resolving denied claims within the Charge ... Coding Denial Specialist - Rev Cycle **Location:** Houston, Texas **Hot**...Rev Cycle **Location:** Houston, Texas **Hot** **Category:** Professional/Managerial McGovern Medical School at UTHealth Houston Requisition #: 240003D7 **What… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Sr Coding Specialist position is responsible for applying correct coding conventions to patient charge encounters in a clinical ... errors in the electronic health record. In addition, the Sr Coding Specialist position is responsible for reviewing, correcting and appealing coding related claim… more
- Houston Methodist (Houston, TX)
- …changes are needed. **QUALITY/SAFETY ESSENTIAL FUNCTIONS** + Analyzes data from various sources ( medical records, claims data, payer medical policies, etc.), ... At Houston Methodist, the Coding Charges & Denials Specialist is responsible for coordinating and monitoring the...Integrates the payer medical policies, case specific medical documentation, and claims information into a… more
- MD Anderson Cancer Center (Houston, TX)
- …graduate students, trainees, professionals, employees, and the public. **SUMMARY** Analyzes medical records and abstracts clinical data by assigning codes from ... and usage of Craneware. Initiate queries when appropriate . Review medical record documentation, understand, and assign accurate Evaluation & Management CPT,… more
- Sedgwick (Houston, TX)
- …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer ADA Accommodation Specialist **PRIMARY PURPOSE** : To enhance the ADA process for claimants ... requesting accommodations under the ADAAA; to review complex medical information for temporary and permanent accommodation requests; and to approve and/or negotiate… more
- GE Vernova (Houston, TX)
- **Job Description Summary** Reporting to the Commissioning Manager, the Commissioning Specialist is responsible for performing the tests under GE GSI scope of work ... Working with the Commissioning Lead and Commissioning Coordinator, the Commissioning Specialist will be executing the commissioning plan with the on-site supervision… more
- Elevance Health (Houston, TX)
- **Pharmacy Quality Assurance Specialist ** **Location:** The employee must live within 50 miles of an open access Elevance Health PulsePoint (within 50 miles of the ... office 1-2 days per week. The **Pharmacy Quality Assurance Specialist ** will be responsible for evaluating the quality of...Included are processes related to enrollment and billing and claims processing, as well as customer service written and… more
- Gilead Sciences, Inc. (Houston, TX)
- …lives of patients with life-threatening illnesses worldwide. As a Senior Therapeutic Specialist - Oncology you are responsible for representing Gilead's products and ... events, and other miscellaneous external expenditures. + Partner with Medical Scientists, National Account Managers, Therapeutic Center Specialists, Marketing, and… more
- Gilead Sciences, Inc. (Houston, TX)
- …the lives of patients with life-threatening illnesses worldwide. As a Prevention Specialist within Gilead's - Houston East territory, you will represent Gilead's ... + Partner effectively with local cross-functional colleagues (field reimbursement managers, medical scientists and other field team members) to ensure a seamless… more
- Dal-Tile Corporation (Houston, TX)
- …a commitment to promoting from within, unique benefits that go beyond just medical and dental, and a belief that every employee deserves a productive life ... first step forward and explore a career with Dal-Tile. The Sales Specialist is an established performer who helps implement initiatives and promotions, coordinate… more
- GE Vernova (Houston, TX)
- …between approved project financial data and books. + Support project close out and claims + Oversee the planning function on the project + Ensure quality of the ... bonus. 80,700.00 - 100,900.00 - 121,100.00 USD Annual **_Healthcare benefits include medical , dental, vision, and prescription drug coverage; access to a Health… more
- GE Vernova (Houston, TX)
- …between approved project financial data and books + Support project close out and claims /Provide support to tenders + Oversee the planning function on the project + ... bonus. 90,300.00 - 116,700.00 - 133,400.00 USD Annual **_Healthcare benefits include medical , dental, vision, and prescription drug coverage; access to a Health… more