Instrumentation and Controls Engineer CECO EnvironmentalInstrumentation and Controls EngineerAddison, TexasFull timePositions in this function typically require typing, sitting, climbing, balancing, stooping, kneeling, crouching, crawling, reaching, standing, walking, pushing, pulling, lifting, fingering, grasping, feeling, talking, hearing, seeing and repetitive motions. CECO Environmental is a leading environmentally focused, diversified industrial company whose solutions protect people, the environment, and industrial equipment across the globe, serving a broad landscape of industrial air, industrial water and energy transition markets.
Independent Dispute Resolution (IDR) Claims/OON Specialist Exceptional Healthcare Inc.Independent Dispute Resolution (IDR) Claims/OON SpecialistDallas, TXRequires visual acuity to inspect and analyze work close to the eyes and ability to hear sound with or without correction; Ability to climb, stoop, kneel, reach, stand, walk pull, push lift, and able to exert up to 40 pounds of force occasionally and/or up to 10 pounds of force constantly to move objects. As an IDR Representative, you will be responsible for managing disputes between healthcare providers and insurers, determining the appropriate payment amounts for out-of-network services, and working to resolve disputes efficiently and effectively.
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.
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.
Project Manager Moss UtilitiesProject ManagerDallas, TXThe Project Manager ensures budgets are met, schedules stay on track, materials are procured, subcontractors are coordinated, risks are managed, and all regulatory requirements are satisfied. Founded in 2016, Moss Utilities carries forward a family legacy in Dallas-Fort Worth utility construction dating back to the early 1900s.
Intake Specialist - Revenue Cycle Management Vital Care Infusion ServicesIntake Specialist - Revenue Cycle ManagementDallas, TexasRemoteRequired Skills/Abilities: Excellent communication skills: listening, speaking, understanding, and writing English while influencing patients, caregivers, and payer representatives, answering questions, and advancing reimbursement and collection efforts. Obtain prior authorizations; initiate requests, follow up to provide the additional required information, track progress, expedite responses from insurance carriers and other payers, and maintain contact with customers to keep them continuously informed.
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.
Charge Master Analyst Sutter HealthCharge Master AnalystDallas, TX$106,745.60–$160,118.40 / yearPosition Overview: Serves as a subject matter expert for Charge Description Master (CDM) regulatory requirements and guidelines and payer contractual obligations in order to ensure CDM line items are aligned with current billing, coding regulations, guidelines, and contractual obligations. Maintains the CDM data elements (billing description, Current Procedural Terminology/Healthcare Procedure Coding System codes, revenue codes for Inpatient/Outpatient and appropriate modifiers) in the CDM software.
Compliance Manager DozeeCompliance ManagerDallas, TexasVideos Science Behind Dozee: Ballistocardiography & Artificial Intelligence 100 Dozee deliver 144 life saving alerts and INR 2.7 Cr of saving- Sattva Study Dozee saves life of a mother at home Leading Healthcare Game changers work with Dozee Introducing Dozee VS Dozee Shravan- A clinical grade RPM service Dozee in News: Bloomberg- Oct 21, 2024 From AI Beds to Remote ICUs, Startups are plugging India's health Gaps News18- Oct 26, 2024 Now, You Can Remotely Monitor Your Loved Ones in Hospital With Bengaluru Start-Up's 'Shravan' Analytics India Magazine- Oct 29, 2024 Dozee Harness AI for Personalised Patient Care ET HealthWorld- Sep 16, 2024 We trust AI everyday- From Google Maps to Smartphones, So why not use it to enhance patient safety in healthcare? As a part of our dynamic team, you’ll have the opportunity to collaborate with top healthcare providers in the country, applying AI-powered RPM solutions to tackle some of the most pressing challenges in healthcare - enhancing staff efficiency, improving patient outcomes, and pioneering the next generation of care models Position Summary: The Compliance Manager is responsible for building, executing, and continuously improving Dozee'shealthcare compliance program across all regulatory domains — Medicare RPM billing, HIPAA privacy andsecurity, FDA device compliance, and Anti-Kickback Statute adherence.
Insurance Specialist II Texas OncologyInsurance Specialist IIRichardson, TexasTexas Oncology is the largest community oncology provider in the country and has approximately 530 providers in 280+ sites across Texas, our founders pioneered community-based cancer care because they believed in making the best available cancer care accessible to all communities, allowing people to fight cancer at home with the critical support of family and friends nearby. Demonstrates positive interpersonal relations in dealing with fellow employees, supervisors, physicians, patients as well as outside contacts so that productivity and positive employee/patient relations are maximized.
A/R Insurance Specialist Texas OncologyA/R Insurance SpecialistRichardson, TexasTexas Oncology is the largest community oncology provider in the country and has approximately 530 providers in 280+ sites across Texas, our founders pioneered community-based cancer care because they believed in making the best available cancer care accessible to all communities, allowing people to fight cancer at home with the critical support of family and friends nearby. Demonstrates positive interpersonal relations in dealing with fellow employees, supervisors, physicians, patients as well as outside contacts so that productivity and positive employee/patient relations are maximized.
Clinical Nurse Reviewer ZelisClinical Nurse ReviewerPlano, TexasThe Nurse Reviewer is primarily responsible for conducting post-service, pre or post payment in-depth claim reviews based on accepted medical guidelines and clinical criteria, billing and coding rules, plan policy exclusions, and payment errors/overpayments. This is a place for builders with a growth mindset who act with agility, embrace change, and use modern technology to shape smarter solutions, exceptional experiences, and the future of our industry for our clients, customers, and our culture.
HIM CODER ANALYST II AA2ITHIM CODER ANALYST IIFort Worth, TX$35–$40 / hourReviews and interprets patient medical record documentation to identify pertinent diagnoses and procedures and assigns ICD-10-CM and CPT 4 codes accurately and timely to the highest level of specificity based upon physician documentation for ambulatory surgery, special procedure, observation, emergency department, outpatient ancillary and clinic visit records. Communicates with physicians and other providers regarding documentation requirements and collaborates with Clinical Documentation Specialists on patient cases regarding documentation needs and requirements, and coding assignment accuracy.
EPIC AA2ITEPICFort Worth, TX$35–$40 / hourReviews and interprets patient medical record documentation to identify pertinent diagnoses and procedures and assigns ICD-10-CM and CPT 4 codes accurately and timely to the highest level of specificity based upon physician documentation for ambulatory surgery, special procedure, observation, emergency department, outpatient ancillary and clinic visit records. Communicates with physicians and other providers regarding documentation requirements and collaborates with Clinical Documentation Specialists on patient cases regarding documentation needs and requirements, and coding assignment accuracy.
Patient Account Specialist United Surgical Partners International Inc (USPI)Patient Account SpecialistDallas, TXFull timeUnder 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.
Benefit Verification Specialist - DFW Urology Partners of North TexasBenefit Verification Specialist - DFWArlington, TXIn this dynamic position, you’ll handle essential day-to-day administrative functions such as patient registration, insurance verification, prior authorizations, and managing key tasks like scanning, faxing, and financial reconciliation of deductibles, copayments, and coinsurance. Accurately utilizes cost estimate technology to create cost estimates for services and communicates estimated costs to patients and other affected parties.
Provider Services Business Office Pennant ServicesProvider Services Business OfficeDallas, TexasRemoteWe are a collection of independent, locally led healthcare companies united by a shared purpose and the CAPLICO values-Celebration, Accountability, Passion, Love, Intelligence, Customer Second, and Ownership. The Pennant Group, Inc. is a holding company of independent operating subsidiaries that provide healthcare services through home health and hospice agencies and senior living communities located throughout the US.
ENT AR Rep Career StrategiesENT AR RepIrving, Texas1–3 years of experience in medical billing, AR, or revenue cycle management (ENT or specialty practice experience preferred). High school diploma or GED required; Associate’s degree in business, healthcare administration, or related field preferred.
Quality Assurance Coordinator Palm Medical CentersQuality Assurance CoordinatorFort Worth, TXFull timeThe QA Coordinator uses their knowledge of ICD-9/ICD-10, CPT, and documentation guidelines as well as billing knowledge to assist in any and all coding and documentation audits and/or billing functions as determined by the Compliance, Operations, and/or Quality department(s). Works all Gap reports for 5 STAR and assists with the ACO GPRO quality measures projects as they become relevant and assists with all quality initiatives as needed.
Director of Clinical Reimbursement & Revenue Optimization Buckner InternationalDirector of Clinical Reimbursement & Revenue OptimizationDallas, TXEducation and Training Lead enterprise reimbursement education, talent development, and performance improvement initiatives by delivering training and coaching, establishing competency programs and succession pathways, developing reimbursement dashboards and KPI reporting, and driving data-informed operational improvements across the organization. Clinical Reimbursement Leadership Provide enterprise leadership for skilled nursing reimbursement programs by developing reimbursement strategies, ensuring compliance and revenue integrity, monitoring regulatory and payer changes, and serving as the primary reimbursement resource for BRS communities.