Clinical Appeals Reviewer - Dallas, TX

This position allows you to telecommute from anywhere in the U.S., working on challenging tasks. · You'll enjoy flexibility while taking on some tough challenges. · At UnitedHealthcare,we're simplifying the health care experience,creating healthier communities,and removing barrie ...

This position is National Remote. You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. · At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality ...

The USPI Utilization Review/Appeals RN facilitates effective resource coordination for patients. · Manages medical necessity process for accurate payment · Covers utilization management services and denial prevention · ...

Description · The USPI Utilization Review/Appeals RN is responsible to facilitate effective resource coordination to help patients achieve optimal health, access to care and appropriate utilization of resources, balanced with the patient's resources and right to self-determinatio ...

The USPI Utilization Review/Appeals RN is responsible to facilitate effective resource coordination to help patients achieve optimal health, access to care and appropriate utilization of resources. · ...

RN working in the insurance or managed care industry using medically accepted criteria to validate the medical necessity and appropriateness of the treatment plan. · ...

Job Title: · Utilization Review Nurse · Location: · Richardson, TX · Contract Duration: · 7 months · Description: · RN working in the insurance or managed care industry using medically accepted criteria to validate the medical necessity and appropriateness of the treatment plan. ...

Physician/Surgeon - Orthopedics · We are seeking a Board Certified/Eligible Surgeon with expertise in orthopedic surgery to join our team as an Associate Medical Director. · About the Role: · Provide timely expert medical review for services not meeting utilization review criteri ...

We are hiring 2 Healthcare Appeals Specialists to join a leading healthcare system in Dallas. If you have experience in denial management, medical claims appeals or revenue cycle operations this is a great opportunity to grow your career. · Submit complete and accurate appeals fo ...

Associate Medical Director Job · A physician with leadership skills is required to oversee clinical operations and medical policies. · Review prior authorization & appeals for medical necessity · Peer-to-peer provider reviews · Clinical oversight includes UM, disease management, ...

We · ’re looking for a detail-oriented professional to support insurance appeal submissions and help drive reimbursement accuracy. ...

The Associate Medical Director role at med-ninjas takes a hands-on approach to overseeing clinical activities and delivering comprehensive care. This position will be remote initially but transition to a hybrid model later. · Responsibilities: · Reviews prior authorization and ap ...

Location: · Dallas, Texas (In-Office / Remote – as applicable) · Reports To: · Partner/Managing Partner · Department: · Property Tax Consulting · Position Overview · The Manager is a leadership role responsible for conducting real estate property tax appeal strategy, execution, a ...

This is a work from home (WFH) opportunity reviewing Explanation of Benefits (EOB) from payors to determine how the claims were managed. Contacting insurance carriers to check on the status of claims appeals and insurance verification. · ...

+Job summary · A/R collector responsible for resolving outstanding surgical claims. · +ResponsibilitiesTimely follow-up and resolution on all outstanding A/R including unpaid/underpaid/denied claims. · Manage daily work queues to prioritize high dollar claim balances. · ...

Job Title: · Obstetrics & Gynecology Physician · About the Opportunity: · We are seeking a Board Certified - OB/GYN Associate Medical Director to join our team at Bas Healthcare in Dallas, TX. · Key Responsibilities: · Reviews prior authorization and appeals requests based on med ...

Locums- A great group in Dallas, TX is looking for an Associate Medical Director who specializes in OBGYN for a Locums assignment into a perm rollover · Board Certified OB/GYN · Start ASAP for 3 months then perm rollover · Monday- Friday 8am-5pm · Duties include: Clinical utiliza ...

Description · The Utilization Management Coordinator supports Insurance Verification (IV) by securing pre-certification for patients requiring authorizations. This role performs telephonic and concurrent reviews of inpatient hospitalizations and extended outpatient services. The ...

· A leading U.S. real estate management company, unique for its focus on commercial real estate, is looking to hire a Senior Manager, Real Estate Tax to their corporate tax team. The Senior Manager, Real Estate Tax, will be responsible for all aspects of property taxes across a ...

The Presti Law Firm is a Texas-based law firm dedicated primarily to the practice of U.S. Immigration Law. · Representing clients in removal proceedings before Immigration Court and the Board of Immigration Appeals · ...