RN Clinical Reviewer (Cpc Medical Coding Academy) - San Juan, PR UnitedHealth Group Inc.RN Clinical Reviewer (Cpc Medical Coding Academy) - San Juan, PRSan Juan, PRPositions in this function investigates Optum Waste and Error stopped claims by gathering information, researching state and federal guidelines, and following internal procedure to determine the viability of the claim for further review in a production environment. 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.
RN Clinical Reviewer (CPC Medical Coding Academy) - San Juan, PR UnitedHealth Group IncRN Clinical Reviewer (CPC Medical Coding Academy) - San Juan, PRSan Juan, PRPositions in this function investigates Optum Waste and Error stopped claims by gathering information, researching state and federal guidelines, and following internal procedure to determine the viability of the claim for further review in a production environment. 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.
NewCode Enforcement Officer City of EdinburgCode Enforcement OfficerEdinburg, TXFull timeA DAY IN THE LIFE OF A CODE ENFORCEMENT OFFICER This position is to conduct on-site inspections to ensure compliance and approves for opening of restaurants, day care centers, school cafeterias, foster and adoption home applications, grocery and convenience stores. We provide great benefits and perks, including paid holidays, paid time off (PTO), life & ADD insurance, a retirement plan with a 7% employee contribution and a city match of 2 to 1, 100%-paid medical and 100%-paid dental with optional dependent coverage, workers compensation, and Family and Medical Leave Act (FMLA).
MEDICAL DENTAL CODER SU Clinica FamiliarMEDICAL DENTAL CODERHarlingen, TXMINIMUM QUALIFICATIONS/CERTIFICATES/LICENSES/REGISTRATIONS REQUIRED: High school diploma or GED; and certification in Billing and Coding from an accredited program with one year or more in billing experience in any of the following specialties: Adults, Pediatrics, Women's Health Services. Bills and submits claims to insurances/programs through AthenaOne EMR, follows up on claims statuses, resolves claim denials, submits appeals, post payments and adjustments, and manages collections.
Medical Billing Supervisor- Private Duty Nursing- Therapy- Home Health Tri-County HealthcareMedical Billing Supervisor- Private Duty Nursing- Therapy- Home HealthHarlingen, TXFull timeThe essential functions include, but are not limited to, the following: Reviewing client authorizations and working with the designated department when authorization issues arise. Manage and track primary insurance copays and payments to ensure timely coverage and prevent lapses in patient treatment.
Medical Biller Career StrategiesMedical BillerWeslaco, TexasThe Medical Biller is responsible for preparing and submitting patient claims to insurance companies, following up on unpaid accounts, and ensuring accurate billing to maximize reimbursement and support the revenue cycle. Prepare, review, and submit medical claims to private and government payers (Medicare, Medicaid, commercial insurers).
Billing Supervisor Tri-County HealthcareBilling SupervisorHarlingen, TexasThe mission of Tri-County Healthcare is to participate as an active part of the community, in providing and continuously improving the home health care needs of the patient by delivering value driven, high quality compassionate care using a family centered approach. Essential Duties and Responsibilities: The essential functions include, but are not limited to, the following: Reviewing client authorizations and working with the designated department when authorization issues arise.
Account Representative - Temporary Prime Healthcare Management IncAccount Representative - TemporaryHarlingen, TexasTemporaryAnalyze insurance payments and managed care contracts to ensure accurate reimbursement and compliance with state and federal regulations, including Worker’s Compensation fee schedules. Responsibilities: Accurately post and reconcile daily incoming payments, apply contractual adjustments, and maintain correct patient account balances within hospital systems.
Clinic Biller Knapp Medical GroupClinic BillerWeslaco, TexasFull timeThe Medical Biller will ensure accurate coding, timely reimbursements and clear communication between patients, insurers, and our medical group or hospital departments . Affiliated with Knapp Medical Center, Knapp Medical Group is actively seeking new members to join its award-winning team!
Account Representative Temporary Prime Healthcare Services IncAccount Representative TemporaryHarlingen, TXAnalyze insurance payments and managed care contracts to ensure accurate reimbursement and compliance with state and federal regulations, including Worker's Compensation fee schedules. Accurately post and reconcile daily incoming payments, apply contractual adjustments, and maintain correct patient account balances within hospital systems.
Clinic Biller Prime Healthcare Services IncClinic BillerWeslaco, TXKnowledge of medical terminology Effective written and verbal communication skills Ability to multi-task, prioritize needs to meet required timelines Analytical and problem-solving skills Customer Services experience required High School Graduate or GED Equivalent Required (effective 4/1/14 for all new hires). The Medical Biller will ensure accurate coding, timely reimbursements and clear communication between patients, insurers, and our medical group or hospital departments.
Coder (Cert-Inpatient) - ROC - FT University Health Services IncCoder (Cert-Inpatient) - ROC - FTEDINBURG, TXNotice At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skillset and experience with the best possible career path at UHS and our subsidiaries. If you are suspicious of a job posting or job-related email mentioning UHS or its subsidiaries, let us know by contacting us at: https://uhs.alertline.com or 1-800-852-3449.
Coder (Certified) - Inpatient - FT-ROC University Health Services IncCoder (Certified) - Inpatient - FT-ROCEDINBURG, TXNotice At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skillset and experience with the best possible career path at UHS and our subsidiaries. If you are suspicious of a job posting or job-related email mentioning UHS or its subsidiaries, let us know by contacting us at: https://uhs.alertline.com or 1-800-852-3449.
Coder (Certified) - Inpatient -PRN -ROC University Health Services IncCoder (Certified) - Inpatient -PRN -ROCEDINBURG, TXNotice At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skillset and experience with the best possible career path at UHS and our subsidiaries. If you are suspicious of a job posting or job-related email mentioning UHS or its subsidiaries, let us know by contacting us at: https://uhs.alertline.com or 1-800-852-3449.
Healthcare Claims Investigator - San Juan, PR UnitedHealth Group IncHealthcare Claims Investigator - San Juan, PRSan Juan, PRThe work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. 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.
Hospice Nurse Practitioner Amedisys IncHospice Nurse PractitionerHarlingen, TXMust meet physician-nurse practitioner restrictive collaborative requirements specific to state assigned to work by the Company and supply a copy of all active collaborating physician agreements and indicate whether these will be transferable to your employment with Amedisys. Order and review appropriate lab, x-rays, EKG's and other diagnostic procedures for palliation and treatment of the terminal disease as dictated by the patient's condition and documents the treatment plan accordingly and reviews results with collaborating physician.
Clinical Data AMS Sr. Consultant DeloitteClinical Data AMS Sr. ConsultantSan Juan, PR$120,200–$140,000 / yearThis role owns the health, stability, and compliance posture of a suite of clinical and regulatory R&D platforms - including Axway Secure Transport (ST), eClinical Elluminate, Eclipse (medical coding), and EAST - across the full engagement lifecycle: implementation, configuration, validation, and steady-state managed services. The team operates at the intersection of IT infrastructure, clinical operations, and quality/regulatory compliance, partnering closely with global business and technology stakeholders to support end-to-end clinical trial data lifecycles from data capture and coding through statistical analysis and submission-ready outputs.
Scheduling Clerk Coordinator FT ROC University Health Services IncScheduling Clerk Coordinator FT ROCEDINBURG, TXResponsibilities POSITION SUMMARY: Performs the primary functions of a Central Scheduling Coordinator within the Central Scheduling Department for outpatient ancillary/surgical departments by demonstrating knowledge in computer software, coding, and outpatient procedures for the TX/OK Region. Notice At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skillset and experience with the best possible career path at UHS and our subsidiaries.
Scheduling Clerk Coordinator - FT -ROC University Health Services IncScheduling Clerk Coordinator - FT -ROCEDINBURG, TXResponsibilities POSITION SUMMARY: Performs the primary functions of a Central Scheduling Coordinator within the Central Scheduling Department for outpatient ancillary/surgical departments by demonstrating knowledge in computer software, coding, and outpatient procedures for the TX/OK Region. Notice At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skillset and experience with the best possible career path at UHS and our subsidiaries.
Scheduling Clerk Coordinator - PT -ROC University Health Services IncScheduling Clerk Coordinator - PT -ROCEDINBURG, TXResponsibilities POSITION SUMMARY: Performs the primary functions of a Central Scheduling Coordinator within the Central Scheduling Department for outpatient ancillary/surgical departments by demonstrating knowledge in computer software, coding, and outpatient procedures for the TX/OK Region. Notice At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skillset and experience with the best possible career path at UHS and our subsidiaries.