AR Specialist 2 - Hybrid Position Methodist Health SystemAR Specialist 2 - Hybrid PositionDallas, TXNamed one of the fastest-growing health systems in America by Modern Healthcare, Methodist has a network of 12 hospitals (through ownership and affiliation) with nationally recognized medical services, such as a Level I Trauma Center, multi-organ transplantation, Level III Neonatal Intensive Care, neurosurgery, robotic surgical programs, oncology, gastroenterology, and orthopedics, among others. Our reputation as an award-winning employer shows in the distinctions we've earned: Magnet designations for Methodist Dallas, Methodist Charlton, Methodist Mansfield, and Methodist Richardson Medical Centers.
Provider Research & Resolution Specialist - Remote NTT DATAProvider Research & Resolution Specialist - RemoteDallas, TXRemote2+ years of experience in a role requiring analysis, critical thinking, independent research, with the ability to investigate issues and resolve discrepancies in complex information (Strong attention to detail and accuracy) . Our services include business and technology consulting, data and artificial intelligence, industry solutions, as well as the development, implementation and management of applications, infrastructure, and connectivity.
Radiation Oncology Coder Outpatient Specialty Sutter HealthRadiation Oncology Coder Outpatient SpecialtyDallas, TX$47.58–$66.60 / hourTotal compensation considers multiple factors, including, but not limited to a candidate's experience, education, skills, licensure, certifications, departmental equity, training, and organizational needs. Accurately assigns ICD-10 diagnosis and CPT procedure codes for outpatient specialty services in the hospital or office setting.
Benefits Administrator East-WestBenefits AdministratorPlano, TXReporting directly to the HR Manager, this highly collaborative role acts as the vital, empathetic liaison connecting staff with the Third-Party Administrator (TPA), Health Reimbursement Arrangement (HRA) vendors, and all critical components of the healthcare ecosystem. Working closely with the Compensation and Benefits Specialist, the Administrator manages the continuous flow and auditing of eligibility data using Google Workspace, while actively monitoring claims utilization to ensure plan benefits are used accurately and cost-effectively.
Medical Director - Orthopedic Surgeon - Remote From Anywhere UnitedHealth Group Inc.Medical Director - Orthopedic Surgeon - Remote From AnywhereDallas, TXRemote$248,500–$373,000 / yearWe are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes.
NewMedical Director, General Surgery - Remote UnitedHealth Group Inc.Medical Director, General Surgery - RemoteDallas, TXRemote$248,500–$373,000 / yearWe are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes.
NewMedical Director, Orthopedic Spine Surgery - Remote UnitedHealth Group Inc.Medical Director, Orthopedic Spine Surgery - RemoteDallas, TXRemote$248,500–$373,000 / yearCurrent board certification through the American Board of Medical Specialties (ABMS) or the American Osteopathic Association (AOA) in Orthopedic Surgery, with fellowship training and substantial clinical experience in Spine Surgery. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
NewMedical Director, Vascular Surgery - Remote UnitedHealth Group Inc.Medical Director, Vascular Surgery - RemoteDallas, TXRemote$248,500–$373,000 / yearWe are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes.
Clinical Investigator Behavioral Health Centene Corporation GroupClinical Investigator Behavioral HealthRemote-TX, TXRemote$56,200–$101,000 / yearPosition requires the associate to verify authorization for services and written documentation of services provided against claim information, ensure the appropriateness and accuracy of diagnosis and procedure codes supporting such claims, coordinate medical necessity and appropriate level of care determinations with Medical Directors, and validate services against CMS and State-specific coverage, limitations and exclusion guidelines. 2+ years clinical experience with independent license required; 2 years of fraud, waste, and abuse experience required; experience in provider education and managed care organization preferred; coding certification preferred.
Data Entry clerk Qureos IncData Entry clerkDallas$18–$25 / hourDoctor Management Service is a leading provider of medical billing and coding services, with 15 years of experience supporting physicians and healthcare facilities across the USA. We are currently seeking a meticulous and highly organised Data Entry Clerk to join our dynamic team in Dallas.
Senior Internal Auditor Parkland HospitalSenior Internal AuditorTXCertified Internal Auditor (CIA), Certified Public Accountant (CPA), Registered Health Information Administrator (RHIA), Registered Nurse, or similar healthcare-related designation required upon hire or commitment to obtain within two (2) years from date of entry into position. Plan, lead, and execute complex audit engagements across various healthcare functions including clinical operations, revenue cycle, billing, coding, and regulatory compliance to detect errors or irregularities and ensure compliance with relevant laws, regulations, and guidelines of Federal and State programs.
Field Reimbursement Manager Syneos - Commercial - ProdField Reimbursement ManagerDallas, TX$150,000–$160,000 / year5+ years’ experience pharmaceutical and/or biotech experience and 2+ years’ relevant experience in the following: patient journey navigation, payer, reimbursement, medical billings & coding, specialty pharmacy & distribution, and patient support services engagement. Provide information to HCP on how the products are covered under the benefit design and educate key private and public payer coverage and changes that impact the products access for patients.
Physician ED Claims Reviewer VytwoPhysician ED Claims ReviewerDallas, TXRemoteFull timeRequired skills: Physician with an active US licensed with experience in with medical coding (CPT/HCPCS) and managed care to conduct clinical review of claims and UM authorization requests for clinical necessity. Minimum of recent (last 2-3 years) 3-5 clinical experience in emergency dept medicine, experience in internal medicine will be considered.
Mgr, Revenue Cycle Texas OncologyMgr, Revenue CycleRichardson, TexasOur founders pioneered community-based cancer care because they believed in making the best available cancer care accessible to all communities, allowing people to fight cancer at home with the critical support of family and friends nearby. Supports all activities associated with the direction, coordination, implementation, execution, control and completion of projects that relate to critical business goals while ensuring consistency with company strategy, commitments and goals.
Senior Analyst, Payment Integrity Disputes Oscar HealthSenior Analyst, Payment Integrity DisputesDallas, TXRemote$64,832–$85,092 / yearYou will leverage a deep understanding of Oscar's claim infrastructure, workflows, workflow tooling, platform logic, data models, etc., to work cross-functionally and understand and translate friction from stakeholders into actionable opportunities for improvement. Work Location: This is a remote position, open to candidates who reside in: Atlanta, Georgia; Chicago, Illinois; Dallas, Texas; Louisville, Kentucky; Minneapolis, Minnesota; Philadelphia, Pennsylvania; Salt Lake City, Utah.
Hospital AR Collector – Level III United Surgical Partners InternationalHospital AR Collector – Level IIIDallas, TXPersonal qualities of integrity, credibility, accountability, and commitment to the organization; displays a proactive, hands-on approach partnering with stakeholders to enhance overall value and visibility of the organization. Completes in-depth reviews and timely follow ups on high-dollar accounts (typically $10,000 and above) to ensure claim resolution to obtain maximum reimbursement.
Director of Clinical Reimbursement & Revenue Optimization Buckner InternationalDirector of Clinical Reimbursement & Revenue OptimizationDallas, TXEducation and Training Lead enterprise reimbursement education, talent development, and performance improvement initiatives by delivering training and coaching, establishing competency programs and succession pathways, developing reimbursement dashboards and KPI reporting, and driving data-informed operational improvements across the organization. Clinical Reimbursement Leadership Provide enterprise leadership for skilled nursing reimbursement programs by developing reimbursement strategies, ensuring compliance and revenue integrity, monitoring regulatory and payer changes, and serving as the primary reimbursement resource for BRS communities.
Clinical Special Investigations Unit Investigator- Health Plan Parkland HospitalClinical Special Investigations Unit Investigator- Health PlanTXMust be currently certified and in good standing or obtain certification within twelve (12) months of hire with one of the following: Health Care Anti-Fraud Associate (HCAFA), Accredited Health Care Fraud Investigator (AHFI), Association of Certified Fraud Examiners (CFE), or National Health Care Anti-Fraud Association (NHCAA). Responds to Requests for Information (RFIs) from National Benefit Integrity MEDIC, U.S. Office of Personnel Management Office of the Inspector General (OPM OIG), State Departments of Insurance (DOI), and other law enforcement agencies, as appropriate.
Tech Lead Yantran LLCTech LeadPLANO, TXWe are seeking a highly skilled Senior FullStack Developer with a strong focus on ReactJS to join our dynamic team at TechM Chennai TMCC. The ideal candidate will have 7 10 years of experience in software development, demonstrating a deep understanding of front end technologies and a passion for building high quality web applications.
Palliative Care Nurse Practitioner- PPV CompassusPalliative Care Nurse Practitioner- PPVDallas, TXThe Nurse Practitioner, if providing hospice care, functions as an extension of the interdisciplinary team (IDT) and hospice physician to provide routine recertification and emergency assessments, educational, and evaluative services to meet the needs of patients and their families. If providing Hospice Face to Face Visits: Performs routine and emergency assessments: Completes routine and emergency recertification visits on each patient entering their 3rd benefit period or beyond (including admissions and transfers).