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.
Clinical Review Auditor I CorVel Healthcare CorporationClinical Review Auditor IFort Worth, TXRemote$70,143–$107,253 / yearPart timePay 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. For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role.
Manager Professional Billing & Denial Recovery Methodist Health SystemManager Professional Billing & Denial RecoveryDallas, TexasNamed 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. Your Job Responsibilities: Leads all post-bill follow-up and denial resolution activities across all payers, ensuring timely resolution and maximum reimbursement for multi-specialty physician services.
Patient Account Specialist United Surgical Partners InternationalPatient Account SpecialistDallas, TXUnder the direction of the Director of Business Office or Revenue Cycle Management (RCM) team, the Patient Account Specialist is responsible for performing follow-up functions to ensure timely and accurate collection of patient accounts. We are conveniently Located at Walnut Hill & 75 in the prestigious NorthPark area Specialties include: Orthopedics, Spine, General Surgery, Pain Management, Urology, GI/Endoscopy, Plastic, and Podiatry surgeries.
CERIS Certified Coder I CorVel CorpCERIS Certified Coder IFort Worth, TXRemote$43,886–$65,638 / yearPay 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. For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role.
AR II Specialist - Hybrid Position Methodist Health SystemAR II Specialist - Hybrid PositionDallas, TexasNamed 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. Named 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.
HIM Coder Analyst I Cook Children's Health Care SystemHIM Coder Analyst ITXRemoteReviews and interprets patient medical record documentation to identify pertinent diagnoses and procedures and assigns ICD-10-CMPCS and CPT 4 codes accurately and timely to the highest level of specificity based upon physician documentation for emergency department, outpatient clinic as the major responsibility and may assist with ambulatory surgery designated as simple cases. Summary: The HIM Coder Analyst I requires knowledge of and skill in applying International Classification of Diseases and Procedures (ICD), and Current Procedural Terminology (CPT) code sets and associated Medicare/Medicaid rules and guidelines.
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.
CERIS Certified Coder I CorVel Healthcare CorporationCERIS Certified Coder IFort Worth, TXRemote$43,886–$65,638 / yearPart timePay 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. For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role.
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.
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.
Medical 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 - Spine and Brain Surgery - Remote UnitedHealth Group IncMedical Director - Spine and Brain Surgery - RemoteDallas, TXRemote$248,500–$373,000 / yearTotal cash compensation includes base pay and bonus and is based on several factors including but not limited to local labor markets, education, work experience and may increase over time based on productivity and performance in the role. 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 IncMedical 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.
NewMedical Director, Orthopedic Surgery - Remote UnitedHealth Group IncMedical Director, Orthopedic 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 Surgeon - Remote from anywhere UnitedHealth Group IncMedical 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.
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.