Job Purpose The position is responsible for the business analysis and process design/implementation for one or more end to end processes within SDO; documenting the detailed end to end process including its technological underpinnings; supporting operational process owners to modify, monitor, continually improve, and standardize in scope processes to achieve best in class

Responsible for performing all physician, hospital and ancillary provider orientation, training and ongoing educational activities for CCHP network providers and their staffs. Responsible for the tracking of concerns, complaints and issues raised by network providers, and results reporting. Facilitates resolution of all complaints/issues raised by network providers relate

Under the direction of the Branch Manager or Field Leader, the Mobile Examiner's primary responsibility is to provide coverage in the field ensuring that mobile exams are completed accurately and on time. Maintain a safe and professional environment for applicants, clients, and employees, perform with confidence all aspects of an insurance exam, including specimen collect

Interested in a career with both meaning and growth? Whether your abilities are in direct patient care or one of the many other areas of healthcare administration and support, everyone at Parkland works together to fulfill our mission the health and well being of individuals and communities entrusted to our care. By joining Parkland, you become part of a diverse healthcar

Behavioral Hospital of Bellaire is a freestanding, 122 bed facility specializing in general adult psych, adolescents, geriatric, and women's services. The hospital is located in southwest Houston serving the Houston and surrounding communities. Behavioral Hospital of Bellaire is conveniently located between the Galleria and Meyer land shopping districts, and is only minut

Processing of appraisal requests from various commercial lending groups and the Special Assets Group. Creating detailed Requests for Proposals (RFP's) to procure bids on each assignment from eligible vendors within established SLA's. Contractually engaging the selected vendor within established SLA's. Monitoring the progress through appraisal completion/delivery, while ad

Position will be responsible for answering of Health Plan phone lines and response to Provider inquiries relating to claims, benefits, and Health Plan policies. The position is also responsible for developing and maintaining working relationships with CCHP Providers. The position is responsible for meeting department production and quality goals. Dependable attendance is

The Account Specialist II, Insurance Follow Up & Denials Management is responsible for all insurance follow up responsibilities for Cook Childrens Physician Network. Primary duties are; follow up, analysis, and resolution of outstanding insurance claims; initiation of the appeals process on behalf of CCPN providers. The Account Specialist II, Insurance Follow Up & Denials

TMC Bonham Hospital is a 25 bed critical access hospital that includes both primary care and specialty physicians. The Critical Access Hospital, offering both inpatient and outpatient services along with 24 hour emergency services. The Critical Access Hospital (CAH) Program was established to assure access to healthcare services for rural residents. The program provides r

This position requires the ability to work independently researching and reviewing inquiries from members and providers. Also requires knowledge of benefit interpretation, claims reviews, CPT and ICD coding. Responsible for analyzing, researching, and managing appeal/grievance inventories from members and providers. Respond to inquiries using verbal and written forms of c

When you join Verizon Verizon is one of the world's leading providers of technology and communications services, transforming the way we connect around the world. We're a human network that reaches across the globe and works behind the scenes. We anticipate, lead, and believe that listening is where learning begins. In crisis and in celebration, we come together lifting u

When you join Verizon Verizon is one of the world's leading providers of technology and communications services, transforming the way we connect around the world. We're a human network that reaches across the globe and works behind the scenes. We anticipate, lead, and believe that listening is where learning begins. In crisis and in celebration, we come together lifting u