Compliance Consultant IV - Medical Coding - Risk Adjustment Kaiser PermanenteCompliance Consultant IV - Medical Coding - Risk AdjustmentTexas City, TXCompletes work assignments and supports business-specific projects by applying expertise in subject area; supporting the development of work plans to meet business priorities and deadlines; ensuring team follows all procedures and policies; coordinating resources to accomplish priorities and deadlines; collaborating cross-functionally to make effective business decisions; solving complex problems; escalating high priority issues or risks as appropriate; and recognizing and capitalizing on improvement opportunities. Assists with and supports the management of projects or compliance components of larger cross-functional projects by coordinating stakeholder contacts; recommending team resources based on project needs and team member strengths; assisting in the development, analysis, and management of project plans; and coordinating project schedules and resource forecasts.
Compliance Consultant IV, Medical Coding - Risk Adjustment Kaiser PermanenteCompliance Consultant IV, Medical Coding - Risk AdjustmentTexas City, TXCompletes work assignments and supports business-specific projects by applying expertise in subject area; supporting the development of work plans to meet business priorities and deadlines; ensuring team follows all procedures and policies; coordinating resources to accomplish priorities and deadlines; collaborating cross-functionally to make effective business decisions; solving complex problems; escalating high priority issues or risks as appropriate; and recognizing and capitalizing on improvement opportunities. Assists with and supports the management of projects or compliance components of larger cross-functional projects by coordinating stakeholder contacts; recommending team resources based on project needs and team member strengths; assisting in the development, analysis, and management of project plans; and coordinating project schedules and resource forecasts.
HCC Coding and Quality Assistant - Kelsey Seybold Clinics: Remote UnitedHealth Group IncHCC Coding and Quality Assistant - Kelsey Seybold Clinics: RemotePearland, TXRemote$18–$32 / hourWe 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.
Senior DRG Coder - RCO Coding (Remote) University of Texas Medical Branch at GalvestonSenior DRG Coder - RCO Coding (Remote)Galveston, TXRemoteJOB SUMMARY: To provide the advanced skills necessary for proper coding of all pertinent diagnoses and procedures and to provide optimal DRG assignment after thorough review of medical record and analysis of DRG options. Works coding related charge reviews/claim edits daily to ensure timely and accurate billing within filing deadlines.
DRG Coder - RCO Coding University of Texas Medical Branch at GalvestonDRG Coder - RCO CodingGalveston, TXJOB SUMMARY: To provide the advanced skills necessary for proper coding of all pertinent diagnoses and procedures and to provide optimal DRG assignment after thorough review of medical record and analysis of DRG options. Works coding related charge reviews/claim edits daily to ensure timely and accurate billing within filing deadlines.
Code Compliance Officer The City of League CityCode Compliance OfficerLeague City, TX$1–$2 / hourInvestigates complaints by meeting with citizens, City departments, and businesses regarding vacant homes and lots; addresses various violations, both reactively and proactively, related to tall weeds/grass, junk vehicles, trash and debris, MS4, storm water pollution and prevention, enforcement of sign ordinance, and tree preservation. Determines the nature of environmental or health hazards, nuisance violations and unsafe building conditions; generates violation letters, posts properties to abate, or initiates summons to have violators to appear in court; documents all actions and evidence collected during initial investigations; and conducts follow-up inspections.
RCM Director MAEVILLE PEDIATRICSRCM DirectorPearland, TXFull timeThis role requires strong leadership skills, in-depth knowledge of medical billing procedures, and the ability to collaborate effectively with healthcare providers and insurance companies. The ideal candidate will oversee the end-to-end revenue cycle management process, ensure accurate and timely billing, and optimize collections.
Hospital Charge Capture Analyst - Perioperative (Galveston) University of Texas Medical Branch at GalvestonHospital Charge Capture Analyst - Perioperative (Galveston)Galveston, TXPREFERRED EDUCATION / EXPERIENCE: Certified Coding Associate (CCA) or Certified Coding Specialist (CCS) certification from AHIMA; or Certified Outpatient Coder (COC) or Certified Inpatient Coder (CIC) certification from AAPC. The analyst coordinates surgical billing by verifying the accuracy of supply, implant, and personnel charges; identifying and correcting discrepancies; and electronically transmitting daily surgery charges across HIS, PMS, and FMS systems.
Clinical Documentation Specialist (Remote -Texas Resident) - Clinical Data University of Texas Medical Branch at GalvestonClinical Documentation Specialist (Remote -Texas Resident) - Clinical DataGalveston, TXRemote$71,923–$115,077 / yearRegistered nurse (or medical school graduate) with a minimum of 3 years inpatient clinical experience, advanced clinical expertise and an extensive knowledge of complex disease processes with broad clinical experience in an inpatient setting. Minimum Qualifications: Certified Registered Health Information Administrator (RHIA), Technician (RHIT), or an associate degree in a healthcare-related discipline with Certified Coding Specialist (CCS) certification, and a minimum of 3 years of medical coding experience.
Collections Representative - Kelsey Seybold - Pearland UnitedHealth Group IncCollections Representative - Kelsey Seybold - PearlandPearland, TX$18–$32 / hourThe Collections Representative is responsible for answering inbound calls and screening patients for financial clearance, collecting outstanding balances, reducing bad debt and arranging payment plans. Other duties include performing financial collection functions, (e.g., account analysis, extended payment arrangements).Maintains effective communication and professional interaction with patients and fellow co-workers.
NewUtilization Management /Referral Navigator Supervisor UnitedHealth Group IncUtilization Management /Referral Navigator SupervisorPearland, TXThis position is expected to exercise sound judgment, critical thinking, and operational problem-solving skills to identify practical solutions, improve workflow efficiency, and resolve operational issues independently whenever possible, escalating only those matters requiring higher-level leadership involvement. The Referral Navigator Supervisor is responsible for the day-to-day supervision, coordination, and operational performance of the Referral Navigator Department, including Home Health, Durable Medical Equipment (DME), Incomplete Referrals, Closed the Loop activities, authorization support functions, and other assigned Medical Management operations.
Assistant Professor of Clinical Practice, Internal Medicine-Rheumatology University of Texas Medical Branch at GalvestonAssistant Professor of Clinical Practice, Internal Medicine-RheumatologyWebster, TXThese positions report to the Division Chief of Rheumatology and work collaboratively with faculty across Internal Medicine subspecialties, hospital leadership, and interdisciplinary colleagues to advance patient care, education, and research missions. Faculty members will provide subspecialty care for patients with rheumatic diseases, contribute to the education of medical students, residents, and fellows, and have opportunities to develop scholarly activities aligned with their interests and the division's strategic priorities.
Patient Account Specialist - RCO HB Follow Up University of Texas Medical Branch at GalvestonPatient Account Specialist - RCO HB Follow UpGalveston, TXJOB SUMMARY: The Patient Account Specialist will be responsible for billing all third-party payers through a claims processing vendor and/or for appeal of denied professional and/or hospital claims. Identifies billing issues affecting hospital and/or physicians claims/accounts and takes necessary action to ensure timely and appropriate claim filing.
Manager of Clinical Documentation (CCDS Required) - Clinical Data Management University of Texas Medical Branch at GalvestonManager of Clinical Documentation (CCDS Required) - Clinical Data ManagementGalveston, TXThe CDI Manager will work in collaboration with CDI specialists, clinicians, coders, and all members of the healthcare team to ensure accurate and timely clinical documentation within the medical record. Provide direction for the provision of education to the medical staff and the healthcare team regarding clinical documentation opportunities, coding and reimbursement issues, as well as performance improvement methodologies.
Bilingual Medical Assistant CLINE PEDIATRICS, PABilingual Medical AssistantDickinson, TX$15–$17 / hourPart timeAssist in scheduling patients’ appointments with the pediatrician, and keep both the patient and his/her doctor updated on changes or cancellations of previous appointments. Room patients, take vitals, and inform the clinicians of the arrival of the patient to the clinic; also keep him/her informed of those waiting to see him/her.
Assistant Professor, Internal Medicine University of Texas Medical Branch at GalvestonAssistant Professor, Internal MedicineLeague City, TXThe Department of Internal Medicine at the University of Texas Medical Branch seeks board-certified physician at the Assistant, Associate, or Full Professor level to join a growing Division of Hematology/Oncology serving Southeast Texas through UTMB's multi-campus health system. Faculty members will provide comprehensive adult hematology and oncology care in both outpatient and inpatient settings including participating in multidisciplinary tumor boards, and support infusion and inpatient oncology services.
Insurance Follow-Up Rep II - Kelsey Seybold Clinic - Pearland - Hybrid UnitedHealth Group IncInsurance Follow-Up Rep II - Kelsey Seybold Clinic - Pearland - HybridPearland, TX$18–$32 / hourPrimary Responsibilities: Under the supervision of the Business Office Supervisor, the Insurance Follow-Up Representative is responsible for physician billing and collecting of third-party account receivables using their knowledge of medical software, the EHR, and multiple payors' insurance websites to research accounts, refile or appeal claims, submit additional medical documentation and track account status by monitoring and analyzing assigned unresolved third-party accounts. Professionalism and courtesy are expected when communicating with external contacts and patients to explain patient financial liability, advises of non-coverage, process payments and payment plans, clarify Explanation of Benefits and statement of physician services.
Business Office Customer Service Representative - Kelsey Seybold Clinics: Remote UnitedHealth Group IncBusiness Office Customer Service Representative - Kelsey Seybold Clinics: RemotePearland, TXRemote$16–$29 / hourUnder the supervision of Customer Service Supervisor, the Business Office Customer Service Representative will answer all patient telephone inquiries regarding patient accounts in reference to Clinic billing, insurance information, collection accounts, and general patient concerns. Proven analytical skills to rapidly evaluate simple patient billing questions and resolve on the first call, or to route complex problems to the appropriate party for follow-up action and resolution.
Therapy Manager CommonSpirit HealthTherapy ManagerPasadena, TXThe facility includes 53 medical/surgical beds, eight ICU beds and three endoscopy rooms, and offers a range of primary and specialized services-wound care, general surgery, gastroenterology, occupational health, heart and vascular, women's services, diagnostic imaging, outpatient rehab services, and sleep disorders. Responsible for recruitment, hiring, training, scheduling, development, counseling, and performance evaluation of supervisors and staff, relative to areas supervised; responsible for leadership development of supervisors; oversees clinical development of therapy staff to include orientation, competency assessment, ongoing education and training.
Billing Specialist Allegiance Crane & EquipmentBilling SpecialistWebster, TXReview tickets with dispatch and/or customers to assure ticket numbers are correct for project/s, this includes specific project addresses and project descriptions. Allegiance Crane & Equipment is seeking a Billing Specialist to add to our team at the headquarters office in the Clear Lake area, near NASA.