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.
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.
Team Lead - Healthcare - Hospital PFS GuidehouseTeam Lead - Healthcare - Hospital PFSLewisville, TexasCompensation decisions depend on a wide range of factors, including but not limited to skill sets, experience and training, security clearances, licensure and certifications, and other business and organizational needs. The Team Lead will and may work closely with their team, project supervisors, operations managers, and the client to work on opportunities with new and emerging approaches to our clients’ business processes.
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.
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.
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.
HEDIS Specialist I Integrated Resources, IncHEDIS Specialist IIrving, TexasFull timeUnder the direction of the HEDIS Program Manager, supports the annual HEDIS project management by coordinating the identification, collection and abstraction of medical records and other data in collaboration with other HEDIS staff. Essential Functions: Assists the Manager in the coordination and preparation of the HEDIS medical record review which includes ongoing review of records submitted by providers and the annual HEDIS medical record review.
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.
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.
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.
Clinical Data Abstractor Methodist Health SystemClinical Data AbstractorDallas, TexasKnowledge of ICD-O coding, anatomy, physiology, SEER, AJCC, Collaborative Staging, medical terminology, Working knowledge of Windows, Word, Excel, Access, and Cancer Registry Software. Abstracting: The individual applies abstracting and coding knowledge and communicates effectively with medical staff to determine the accurate assignment of codes for diagnosis, severity of illness, procedure and treatment, and outcome measures.
Associate Director, Medical Review Lead, MSRM - Remote Agios PharmaceuticalsAssociate Director, Medical Review Lead, MSRM - RemoteDallas, TXRemote$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.
SPECIALTY SALES REP- DALLAS Rayner Surgical Group LtdSPECIALTY SALES REP- DALLASDallas, TXThe Specialty Sales Representative is responsible for driving sales results by effectively deploying an Account-based selling approach and communicating the benefits of OMIDRIA to Ophthalmic Surgeons, Hospital Outpatient Surgery Centers (HOSCs) and Ambulatory Surgical Centers (ASCs) in an assigned geographic territory. Prospect, profile and qualify accounts to be targeted; then deploy an Account-based selling approach in converting the account's key ophthalmic surgeons, and other important and appropriate personnel (HCPs and non-HCPs) to adopt OMIDRIA.
Patient Registration Representative - Urology Parkland HospitalPatient Registration Representative - UrologyTXVirtual Care Only: Proactively outreaches patient utilizing motivational interviewing, demonstrating effective and caring communication to develop patient trust and establish and maintain relationships to gather information, encourage patient self-interest in healthcare, and follow up on patient established goals. Assists patients and families with health system navigation, making appointments, patient advocacy, determination of community resources to reduce barriers to care, and support set-up and initiation of electronic communication modes (email, MyChart, etc.).
Patient Registration Representative Parkland HospitalPatient Registration RepresentativeTXVirtual Care Only: Proactively outreaches patient utilizing motivational interviewing, demonstrating effective and caring communication to develop patient trust and establish and maintain relationships to gather information, encourage patient self-interest in healthcare, and follow up on patient established goals. Assists patients and families with health system navigation, making appointments, patient advocacy, determination of community resources to reduce barriers to care, and support set-up and initiation of electronic communication modes (email, MyChart, etc.).
Patient Financial Rep Senior - Financial Services CHRISTUS HealthPatient Financial Rep Senior - Financial ServicesIrving, TXProvide continuous updates and information to the PFS Leadership Team regarding errors, issues, and trends related to activities affecting productivity, reimbursement, payment delays, and/or patient experience. Monitor and performs cash reconciliation to identify cash posting errors and ensures all receipts are applied and reconciles to daily bank deposit and monthly bank statements.
NewPatient Financial Specialist Senior - Financial Services CHRISTUS HealthPatient Financial Specialist Senior - Financial ServicesIrving, TXProvide continuous updates and information to the PFS Leadership Team regarding errors, issues, and trends related to activities affecting productivity, reimbursement, payment delays, and/or patient experience. Monitor and performs cash reconciliation to identify cash posting errors and ensures all receipts are applied and reconciles to daily bank deposit and monthly bank statements.
NewPatient Financial Specialist - Financial Services CHRISTUS HealthPatient Financial Specialist - Financial ServicesIrving, TXActs as liaison between external vendors and Revenue Cycle departments to monitor external vendor activities and ensures accounts placed for collection are received timely and acknowledged as received by the vendor. Audits all vendor remittances and ensures all fees billed to CHRISTUS Health are in accordance with the contract and include supporting documentation of payments posted to the account on the patient accounting systems.
Lead Software Engineer - AI Humana IncLead Software Engineer - AIDallas, TX$129,300–$177,800 / yearExercises independent judgment and decision making on complex issues regarding job duties and related tasks, and works under minimal supervision, Uses independent judgment requiring analysis of variable factors and determining the best course of action. Clinical and Product Partnership: Collaborate closely with product managers, designers, clinicians, and data stakeholders to understand care delivery workflows and translate them into well-scoped, high-impact AI features.