Authorization and Denials Coordinator CompuGroup Medical SE & Co KGaAAuthorization and Denials CoordinatorRichardson, TXYour Qualification: Experience: Minimum of 3 years of experience in healthcare authorizations/revenue cycle, cardiology, internal medicine, multi-specialty practice billing or authorizations, appeals, denial management, and payer escalation processes. Manage denials and appeals - analyze root causes of denied claims, draft documentation-backed appeal letters, track deadlines, and recover outstanding revenue by overturning invalid denials.
HIM Coder Analyst CornerStone Professional PlacementHIM Coder AnalystFort Worth, Texas$35–$40 / hourReview and interpret outpatient medical records to assign ICD-10-CM and CPT-4 codes with the highest level of specificity for ambulatory surgery, observation, special procedures, emergency department, ancillary, and clinic encounters. Support accurate reimbursement, regulatory compliance, and quality reporting by reviewing outpatient medical records and assigning accurate ICD-10-CM and CPT-4 codes.
PN Account Specialist II Cook Children's Health Care SystemPN Account Specialist IIFort Worth, TXThe Account Specialist II, Insurance Follow-Up & Denials Management will primarily be responsible for performing duties such as; reimbursement analysis; provides the Manager, Insurance Follow-Up & Denials Management with timely financial and volume data related to claims adjudication and payment trend analyses; performs all required patient account adjustments; provides feedback to practice managers regarding effectiveness of diagnostic and procedural coding; monitors active accounts receivable for identification of potential problems; serves as liaison between assigned practice(s) and billing office; communicates effectively with patients, practice managers, physicians and others regarding collection of outstanding claims; maintains proper documentation and edits of work performed; and at all times maintains a professional demeanor to assure that patients are treated in an appropriate and compassionate manner. With more than 60 primary, specialty and urgent care locations throughout Texas, families can access our top-ranked specialty programs and network of services to meet the unique needs of their child.
Authorization and Denials Coordinator CompuGroup MedicalAuthorization and Denials CoordinatorRichardson, MichiganYour Qualification: Experience: Minimum of 3 years of experience in healthcare authorizations/revenue cycle, cardiology, internal medicine, multi-specialty practice billing or authorizations, appeals, denial management, and payer escalation processes. Manage denials and appeals — analyze root causes of denied claims, draft documentation-backed appeal letters, track deadlines, and recover outstanding revenue by overturning invalid denials.
NewClinical Review Supervisor CorVel CorpClinical Review SupervisorFort Worth, TXRemote$77,960–$120,368 / yearThe Diagnostic Related Groups (DRG) Clinical Supervisor is responsible for performing DRG validation (clinical/coding) reviews of medical records and/or other documentation to determine correct DRG/coding that is clinically supported as defined by review methodologies specific to the contract for which review services are being provided. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions.
NewMedical Director, Utilization Management Physician - Optum - Remote UnitedHealth Group IncMedical Director, Utilization Management Physician - Optum - RemoteDallas, TXRemote$248,500–$373,000 / yearThe Medical Director for Utilization Management will support WellMed Medical Management, Inc. by making utilization management determinations, identifying utilization trends suggesting possible over or under utilization of services and proactively suggesting improvements to WellMed Medical Management's utilization management program. WellMed is a network of doctors, specialists and other medical professionals that specialize in providing care for more than 1 million older adults with over 16,000 doctors' offices.
Medical Records Coder 2 Methodist Health SystemMedical Records Coder 2Dallas, TexasYour Job Requirements: • High school graduate or its equivalent • Minimum of 2 years of DRG based coding experience in an acute care hospital with experience using an encoder • Proficient in detailed work • Maintain a professional image in handling confidential patient information • Excellent written and oral communication skills to interact with physicians, other health care workers, the general public, administration, and health information management staff • Team oriented Your Job Responsibilities: • Communicate clearly and openly • Build relationships to promote a collaborative environment • Be accountable for your performance • Always look for ways to improve the patient experience • Take initiative for your professional growth • Be engaged and eager to build a winning team Methodist Dallas Medical Center is one of North Texas’ best places to work. The Coder 2 classifies and abstracts inpatient and outpatient diagnoses and procedures, which are assigned appropriate ICD10-CM, ICD10 PCS and/or CPT codes for optimal reimbursement.
Medical Scribe SuvidaMedical ScribeDallas, TexasPatient Encounter Documentation : Accompany healthcare providers during patient visits and accurately document all relevant medical information, including medical histories, physical examinations, diagnostic tests, and treatment plans in real-time. Working closely with primary care providers, the CIS scribes and records medical histories, physical examinations, diagnostic tests, treatment plans, and other pertinent information into electronic health record (EHR) systems.
Revenue Integrity Charge Description Master Analyst Parkland HospitalRevenue Integrity Charge Description Master AnalystDallas, TXStays abreast of the latest developments, advancements, and trends in the field by attending seminars/workshops, reading professional journals, actively participating in professional organizations, and/or maintaining certification or licensure. Reduces risk to Parkland by identifying, documenting documenting, and reporting potential compliance issues within their specific area of accountability, such as analysis of timely contractual and liabilities or charge master coding reviews.
Administrative Assistant Fleet Quanta Services IncAdministrative Assistant FleetGrand Prairie, TXThe Fleet Administrator plays a critical role in ensuring fleet assets are accurately documented, compliant with regulatory requirements, and properly maintained within company systems to support operational efficiency across the organization. This position is responsible for maintaining fleet records, tracking inspections and compliance requirements, processing invoices and work orders, coordinating equipment inventory updates, and supporting fleet reporting activities.
Senior Architect, Data Engineering West Monroe Partners, LLCSenior Architect, Data EngineeringDallas, TX$199,100–$223,400 / yearThis is an excellent opportunity to work with clients developing Big Data strategy and roadmaps, while gaining exposure to a variety of industries including Healthcare, Financial Services, Insurance, Consumer & Industrial Products, and Energy & Utilities. Proven experience in supporting business development efforts, including identifying client needs, crafting technical solutions, contributing to proposals, and participating in pre-sales activities to drive revenue growth.
PRN Medical Receptionist - Specialty Clinic Baylor Scott & White HealthPRN Medical Receptionist - Specialty ClinicGrapevine, TXProvide front-office coverage during staff absences, PTO, increased patient volumes, and other operational needs to help ensure seamless patient care and clinic operations. May communicate with physicians, patients and healthcare staff to ensure relevant patient information is mutual with appropriate parties as required.
Sr Prior Authorization Specialist - Winchester Hospital Lahey Hospital and Medical CenterSr Prior Authorization Specialist - Winchester HospitalWinchester, MA$21.53–$28.98 / hourContacts patients, providers and insurance companies to validate data, collect missing information and resolve information discrepancies, Understands clinical guidelines for payors requiring authorization to better build cases for authorization requests and provide feedback to clinical departments on required notes. Works with the Financial Counselors, clinical departments, outside providers, third party insurers and any other individual or entity to assist in resolving patient financial clearance questions or problems in the most effective and positive manner possible.
PFS Denial Specialist 3 Lahey Hospital and Medical CenterPFS Denial Specialist 3MA$24.15–$32.50 / hourWorking in an SBO (Single Billing Office), environment the Denial Specialist 3 will need to know Hospital and Professional Billing to assist customers with questions and accurate registration of insurance and or processing physician billing denials. Provides support for the mentoring and training of new and end existing A/R staff as required following the training program set forth to include but not limited to policy and procedures, EHR system functionality, audits and staff reviews.
Professional Coder, ObGyn Lahey Hospital and Medical CenterProfessional Coder, ObGynBoston, MA$27.03–$43.25 / hourCustomer Service: Ability to provide a high level of customer service to patients, visitors, staff and external customers in a professional, service-oriented, respectful manner using skills in active listening and problem solving. This coder will help support providers and operations during the upcoming 2027 obstetric CPT coding updates, ensuring accurate billing, regulatory compliance, and provider training.
Supervisor, Medicaid Claims Reviewer Mass General BrighamSupervisor, Medicaid Claims ReviewerSomerville, Massachusetts$79,560–$115,720.80 / yearWorking with some of the most accomplished professionals in healthcare today, our employees have opportunities to learn and contribute expertise within a welcoming and supportive environment that embraces their unique and varied backgrounds, experiences, and skills. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success.
Supervisor, Medicaid Claims Reviewer Brigham and Women's HospitalSupervisor, Medicaid Claims ReviewerSomerville, MA$79,560–$115,720.80 / yearWorking with some of the most accomplished professionals in healthcare today, our employees have opportunities to learn and contribute expertise within a welcoming and supportive environment that embraces their unique and varied backgrounds, experiences, and skills. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success.
Senior Principal AI Engineer Vertex PharmaceuticalsSenior Principal AI EngineerBoston, Massachusetts$188,000–$282,000 / yearWorking within the Agentic AI Platform team, thisrole will focus on delivering production-grade platform services for model integration, prompt and workflow orchestration, evaluation, observability, performance optimization, and agent lifecycle management. Own thedeveloper experiencefor the platform, delivering intuitive self-service onboarding, SDKs, CLIs, sandbox environments, reference implementations, and clear documentation that let builders move from idea to production quickly.
Summer Intern 2027 - AI ManulifeSummer Intern 2027 - AIBoston, MassachusettsYou’ll receive guidance from experienced practitioners while gaining exposure to the end-to-end lifecycle of data science, machine learning, and emerging AI solutions in an enterprise environment. As part of our internship program, you will gain early access to Manulife John Hancock’s premier early talent program, GRO, tailored to graduating students!
Associate Director, Medical Review Lead, Msrm Agios PharmaceuticalsAssociate Director, Medical Review Lead, MsrmCambridge, MA$185,369–$308,948 / yearThe current base salary range for this position is expected to be between $185,369 and $308,948 annualized; final salary will be determined based on various factors including, but not limited to, years of relevant experience, job knowledge, skills and proficiency, degree/education, and internal comparators. This role provides oversight of medical review for Individual Case Safety Reports (ICSRs) across investigational and marketed products, ensuring medical accuracy, regulatory compliance, and high-quality safety data to support pharmacovigilance and risk management activities.