Therapy Manager CommonSpirit HealthTherapy ManagerPasadena, TXThe facility includes 53 medical/surgical beds, eight ICU beds and three endoscopy rooms, and offers a range of primary and specialized services-wound care, general surgery, gastroenterology, occupational health, heart and vascular, women's services, diagnostic imaging, outpatient rehab services, and sleep disorders. Responsible for recruitment, hiring, training, scheduling, development, counseling, and performance evaluation of supervisors and staff, relative to areas supervised; responsible for leadership development of supervisors; oversees clinical development of therapy staff to include orientation, competency assessment, ongoing education and training.
Revenue Cycle Manager Wisdom Teeth GuysRevenue Cycle ManagerHouston, TX$120,000–$145,000End-to-end revenue cycle: verification, coding support, claim submission, payment posting, AR and denial management, and patient collections across all markets. You'll lead insurance verification, claims, and credentialing across all of our markets, own the metrics that drive our financial performance, and build the processes and team structure to scale as we open new markets and grow.
Director, RCM Operations TIS International (USA) IncDirector, RCM OperationsSpring, TXPrimary accountability includes translating contractual commitments and client expectations into executable operating models, validating workload and staffing assumptions, supporting operational readiness, resolving delivery challenges, and helping strategic engagements achieve defined service, quality, productivity, and financial outcomes. The Director - Revenue Cycle Operations serves as the Revenue Cycle Management domain lead within the Strategic Delivery function and is responsible for ensuring successful operational design, implementation, stabilization, and transition of strategic client engagements.
Care Manager Clinical Denials - Mon. - Friday / Telecommute / Hybrid. Harris Health SystemCare Manager Clinical Denials - Mon. - Friday / Telecommute / Hybrid.Houston, TXHarris Health is among an elite list of health systems in the U.S. achieving Magnet nursing excellence designation for its hospitals, the prestigious National Committee for Quality Assurance designation for its patient-centered clinics and health centers and its strong partnership with nationally recognized physician faculty, residents and researchers from Baylor College of Medicine; McGovern Medical School at The University of Texas Health Science Center at Houston (UTHealth); The University of Texas MD Anderson Cancer Center; and the Tilman J. Fertitta Family College of Medicine at the University of Houston. The CM-CD reviews patient medical records and all other pertinent patient information, and applies clinical and regulatory knowledge, screening criteria and judgment, as well as knowledge of payor requirements and denial reason codes/rationale, to determine why cases are denied and whether an appeal is required.
Director, RCM Operations InfinxDirector, RCM OperationsSpring, TXPrimary accountability includes translating contractual commitments and client expectations into executable operating models, validating workload and staffing assumptions, supporting operational readiness, resolving delivery challenges, and helping strategic engagements achieve defined service, quality, productivity, and financial outcomes. Revenue Cycle Domain Leadership Provide subject matter expertise across charge entry, claims submission and billing, payment posting, AR follow-up, denial management and appeals, collections, credit balances and refunds, payer follow-up, reimbursement workflows, and inventory management.
Wound Care Nurse - Lpn-Lvn - Full Time Project RestorixWound Care Nurse - Lpn-Lvn - Full TimeHouston, TXWhat You'll Do: Provide patient care based on scientific principles/nursing theory and evidence-based practiceImplement physician orders accurately within appropriate time framesRecognize change in the patient's condition and intervene appropriatelyPrioritize nursing actions including reflecting patient needs, acuity, and desired outcome. Qualifications: Valid LPN nursing license requiredValid CPR certification from the American Heart Association requiredPrior experience working with wound care patients preferred (Will train)Experience with billing and coding preferred.
Health Information Management Coordinator Memorial Hermann Health SystemHealth Information Management CoordinatorHouston, TXResponsible for developing and coordinating the educational and training elements of HIM compliance program, such as appropriate documentation and accurate coding to all appropriate personnel, including physicians, and office staff. Maintains records using multiple, complex filing systems to retrieve files, locate missing records, file/or scan new and updated information.
Revenue Cycle Manager, Mission Liaison GuidehouseRevenue Cycle Manager, Mission LiaisonHouston, TexasThe CommonSpirit Revenue Cycle Manager / Mission Liaison supports the Director in serving as an operational liaison between CommonSpirit revenue cycle leadership, market and facility leaders, Guidehouse Managed Services, Epic, CSI, and other vendor partners. Monitor revenue cycle KPIs and operational dashboards, including cash posted, A/R days, aged A/R, DNFB, CFB, clean claim rate, claim edits, denial trends, charge lag, registration quality, payment posting, and reconciliation metrics.
Epic Denials Management Operator DeloitteEpic Denials Management OperatorHouston, TX$70,000–$90,000 / yearJoin Deloitte's AI & Engineering practice to support hospital denials management to deliver back-end Revenue Cycle Management (RCM) services, including Billing and Claims Submission, A/R Follow-up, Denials Management, Payment Posting, and Credits and Refunds, for health care provider client. Review hospital account records and payer remittance records, communicate with relevant Client RCM and internal hospital stakeholders, and conduct outreach to payers through payer portals and phone calls to gather necessary information to understand denial reasons and root causes.
NewEpic Denials Management Coordinator DeloitteEpic Denials Management CoordinatorHouston, TX$50,000–$60,000 / yearJoin Deloitte's AI & Engineering practice to support hospital denials management to deliver back-end Revenue Cycle Management (RCM) services, including Billing and Claims Submission, A/R Follow-up, Denials Management, Payment Posting, and Credits and Refunds, for health care provider client. Review hospital account records and payer remittance records, communicate with relevant Client RCM and internal hospital stakeholders, and conduct outreach to payers through payer portals and phone calls to gather necessary information to understand denial reasons and root causes.
Patient Account Representative/Collector Universal Health ServicesPatient Account Representative/CollectorHouston, TX$25–$28 / hourHeadquartered in King of Prussia, PA, UHS has 89,000 employees and through its subsidiaries operates 26 acute care hospitals, 334 behavioral health facilities, 39 outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located in 38 U.S. states, Washington, D.C., Puerto Rico and the United Kingdom. To encourage pay transparency, promote pay equity, and proactively address regulations, UHS and all our subsidiaries will comply with all applicable state or local laws or regulations which require employers to provide wage or salary range information to job applicants and employees.
Remote Care Navigator Seamless AssistRemote Care NavigatorTexas City, TexasRemote$21–$24 / hourOur client — a cardiac care management MSO — is hiring full-time virtual Care Navigators to support a growing population of medically complex patients with cardiac conditions, primarily congestive heart failure (CHF). Support Transitional Care Management (TCM) follow-up within 48 hours post-discharge — medication reconciliation, red-flag symptom screening, appointment scheduling.
Patient Services Associate Pediatrix Medical Group IncPatient Services AssociateKingwood, TXThe Patient Services Associate prepares the daily clinic schedule, completes the prep chart for upcoming appointments, and supports the practice care team and staff deliver high-quality care to every patient, every day. Pediatrix-affiliated clinicians are committed to providing coordinated, compassionate and clinically excellent services to women, babies and children across the continuum of care, both in hospital settings and office-based practices.
Cost Accounting Manager- Financial Information Systems & Business Intelligence Harris Health SystemCost Accounting Manager- Financial Information Systems & Business IntelligenceBellaire, TXHarris Health is among an elite list of health systems in the U.S. achieving Magnet nursing excellence designation for its hospitals, the prestigious National Committee for Quality Assurance designation for its patient-centered clinics and health centers and its strong partnership with nationally recognized physician faculty, residents and researchers from Baylor College of Medicine; McGovern Medical School at The University of Texas Health Science Center at Houston (UTHealth); and The University of Texas MD Anderson Cancer Center. As an essential healthcare system, Harris Health champions better health for the entire community, with a focus on low-income uninsured and underinsured patients, through acute and primary care, wellness, disease management and population health services.
Viiv Healthcare (Gsk) Field Reimbursement Director, Central Region GSK, Plc.Viiv Healthcare (Gsk) Field Reimbursement Director, Central RegionHouston, TX$180,000–$300,000 / yearEstablish and lead cohesive and comprehensive Patient Access and Affordability Strategy based on key coverage, coding, payment, product acquisition and affordability dynamics for ViiV Healthcare products in assigned geography and provide leadership support for case escalations to deliver an exceptional implementation experience. This will be achieved through driving a culture of employee engagement and accountability against post prescribing business objectives and enabling the team to work within an integrated account management framework to support implementation and delivery of long acting injectable therapies across evolving acquisition, reimbursement, and site of care models.
Project Manager - Interior Design Stantec IncProject Manager - Interior DesignHouston, TXAs Project Manager, this individual will be responsible for managing the overall performance of the interior design team, sometimes in coordination with an Architecture Project Manager, ensuring projects are delivered on time, within budget and aligned with client expectations. Participate in business development opportunities for the firm including assisting in responses to RFPs, making project presentations, calling on prospects, networking, writing articles and participating in professional seminars.
Revenue Integrity Consultant The Wilshire GroupRevenue Integrity ConsultantHouston, TexasRemote$60–$65 / hourThis is a highly collaborative, client-facing role requiring strong hospital revenue cycle experience, a deep understanding of Epic, and the ability to identify opportunities that improve financial performance, operational efficiency, and revenue integrity. Our consultants work directly with clients across a variety of engagements, including assessments, implementations, post-live stabilization, optimization initiatives, strategic projects, and ongoing support.
ViiV Healthcare (GSK) Field Reimbursement Director, Central Region GSK plcViiV Healthcare (GSK) Field Reimbursement Director, Central RegionHouston, TX$180,000–$300,000 / yearEstablish and lead cohesive and comprehensive Patient Access and Affordability Strategy based on key coverage, coding, payment, product acquisition and affordability dynamics for ViiV Healthcare products in assigned geography and provide leadership support for case escalations to deliver an exceptional implementation experience. This will be achieved through driving a culture of employee engagement and accountability against post prescribing business objectives and enabling the team to work within an integrated account management framework to support implementation and delivery of long acting injectable therapies across evolving acquisition, reimbursement, and site of care models.
Collector St. Josephs Medical CenterCollectorHouston, TXFull timeJoseph Medical Center (SJMC), Houston's first and only downtown hospital delivering world-class care for the last 137 years and looking forward to the next century of exceptional care to Houstonians when they need us most. Update the patient account record to identify actions taken on the accountWork with patients and guarantors to secure payment on outstanding account balances.
Advanced Practice Provider, Integrated Hospital Medicine - Sugar Land, TX Memorial Hermann Health SystemAdvanced Practice Provider, Integrated Hospital Medicine - Sugar Land, TXSugar Land, TexasObtains medical histories; performs physical examinations/ reviews/orders/interprets diagnostic tests and radiographic results; formulates and manages patient treatment plan and outcomes; provides interventions and performs procedures within legal cope and authority that the APRN or PA is approved, delegated to and credentialed to perform including but not limited to incision and drainage, pelvic exams, lesion removal/destruction, suturing, and casting/splinting. Accept transfers of care from other clinical service lines if the patient is deemed appropriate for the hospitalist service provided there is a physician to physician hand off communication related to the patient’s clinical course and the hospitalist attending accepts the patient in transfer.