- 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
- 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
- Molina Healthcare (Houston, TX)
- …to ensure that internal and/or regulatory timelines are met. + Research claims appeals and grievances using support systems to determine appeal and grievance ... outcomes. + Requests and reviews medical records, notes, and/or detailed bills as appropriate; formulates conclusions per protocol and other business partners to… more
- CDM Smith (Houston, TX)
- …40509BR **Business Unit:** FSU **Job Description:** The Disaster Program Delivery Specialist : * Collects, coordinates and/or reviews applicant data to determine ... expertise may be needed throughout the program delivery process. * Supports the claims process by reviewing and validating damage details, scopes of work, and costs… more
- Bayer (Pasadena, TX)
- …minds to make a real difference, there's only one choice.** **Women's Health Specialist - Pasadena TX** **Purpose:** Bayer is expanding in its efforts to advance ... its mission "Health for All, Hunger for None." The Women's Health Specialist (WHS) will be responsible for managing the Intrauterine Devices (IUDs) business… 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
- 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
- Amgen (Houston, TX)
- …and transform the lives of patients while transforming your career. **Field Reimbursement Specialist - Houston, TX** **What you will do** Let's do this. Let's change ... the world. In this vital role the Field Reimbursement Specialist (FRS) will manage defined accounts within a specified geographic region for Patient Access and… more
- CDM Smith (Houston, TX)
- …ID:** 40481BR **Business Unit:** FSU **Job Description:** The FEMA Costing Specialist : * Conducts preliminary damage assessments (PDAs) in the field for ... structure damaged by a disaster. * Reviews, evaluates and analyzes applicant-provided cost claims for reasonableness and accuracy as related to the scope of work. *… more
- CDM Smith (Houston, TX)
- …**Business Unit:** FSU **Job Description:** The FEMA Disaster Management Construction Specialist : * Schedules and conducts site inspections with applicants, performs ... projects and meets regularly on the status. * Evaluates applicant-provided cost claims for reasonableness to report to FEMA regarding claim eligibility. Participates… 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
- Sulzer Pumps US Inc. (La Porte, TX)
- Safety Specialist **Sulzer offers you a wealth of opportunities to drive your career into the direction that you want, depending on your skills and interests. We ... Dotted line accountability for health services and worker compensation claims management staff **To succeed in this role, you...Holidays + 15 Paid Time off (PTO) Days + Medical , dental, vision, life, and disability + 401k with… 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 /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
- Molina Healthcare (Houston, TX)
- …to law enforcement or for payment recovery. **KNOWLEDGE/SKILLS/ABILITIES** + Reviews post pay claims with corresponding medical records to determine accuracy of ... to present those findings. **Preferred License, Certification, Association** + AAPC Certified Medical CPC, CPMA, CPCO or similar specialist preferred + Certified… more
- Waste Connections (The Woodlands, TX)
- …Associate Employment Counsel in the Legal Department in The Woodlands, TX. This specialist in labor and employment law will provide a wide range of ... around the US, including aid in investigation and defense of existing claims (eg, response to demand letters, administrative charges, audits and other actions… more
- Kelsey-Seybold Clinic (Pearland, TX)
- …containment processes to maximize revenue, creating queries and reports to analyze claims cost trends. It synthesizes data into reports, validates data, and presents ... healthcare policies and ensures accurate coordination of benefits. The Specialist validates data, identifies discrepancies, resolves issues, and collaborates with… more
- Kelly Services (Houston, TX)
- …inspection company and the equipment supplier. + Follows up on all supplier claims and initiates QSPP process. + Performs Buying responsibilities as requested by the ... Purchasing Specialist and within the delegated authority levels. + Understands...resources. Kelly offers eligible employees voluntary benefit plans including medical , dental, vision, telemedicine, term life, whole life, accident… more