Payor Relations Specialist - Optimize Reimbursements & Care
Ernest Health, Inc.
North Texas Rehabilitation Institute in Plano, TX is seeking a full-time Payor Relations Specialist to manage prior authorizations and payer communications, ensuring timely reimbursement and compliance. The role collaborates with insurers, managed care organizations, and clinical staff to optimize patient care while controlling costs. RN licensure preferred and Utilization Review experience is valued. This position offers stable benefits and opportunities for professional growth within Ernest #J-18808-Ljbffr Ernest Health, Inc.
- ...Institute We are seeking a full-time Payor Relations Specialist to join our team of passionate... ...Continuing education opportunities and reimbursement Qualifications Required Skills: Current... ...standards governing health plans and patient care. Demonstrates an understanding of...ReimbursementFull timeTemporary workWork experience placementFlexible hours
- ...seeking a Vice President of Payor Relations to lead the strategic... ...Join us in simplifying complex care! Soleo Health Perks:... ...President will lead efforts to optimize our Payor relations strategies... ...opportunities for new or expanded reimbursement in Payor agreements. Lead...ReimbursementWork at officeImmediate start
$84.9k - $113.19k
...manufacturing process from the Remote Optimization Center, based in Dallas, Texas. Review... ...vocational training in process operations or a related field may be substituted for a degree.... .... Health Savings Account (HSA), Health Reimbursement Account (HRA), and Flexible Spending...ReimbursementTemporary workRemote workWorldwideFlexible hoursNight shiftRotating shift- Empower Services seeks an OASIS Coding Specialist PRN to ensure accurate CMS-compliant OASIS reviews... ..., nurses, and physicians to align plan of care with assessments, support appropriate visit utilization, and optimize reimbursement. The role requires experience in OASIS...ReimbursementRelief
- U.S. Renal Care in Plano, Texas, is seeking a Reimbursement Representative to join our billing team. You will reconcile Medicare/Commercial balances, review... ...familiarity with HIPAA. You will communicate with payors, perform appeals, and support credit balance resolution...Reimbursement
- ...Coding Specialist The US Oncology Network is looking for a Coding... ...high-quality, evidence-based care to patients close to home. Texas... ..., thoracic surgery, and related clinic services. Assigns diagnoses... ...with payer-specific reimbursement requirements. Identifies documentation...ReimbursementFull timeLive inWork at officeRemote workMonday to Friday
- Admissions Specialist PAS - PRN Bring your passion to Texas Health so... ...compassionate member of the care team will welcome patients and... ...procedures. These efforts maximize reimbursement for services rendered a {... ...balances. Ensures all payor and government required elements...ReimbursementReliefWork at officeLocal areaMonday to Friday
$23 - $27 per hour
...is seeking a Clearance Specialist to support our Specialty... ...in Simplifying Complex Care! At least 2 years of... ...administration supplies, and related infusion services... ...Medicaid, and managed care reimbursement guidelines including ability to interpret payor contract fee schedules...ReimbursementHourly payFull timeContract workImmediate startRemote workMonday to Friday$23 per hour
...As an Inbound Patient Access Specialist you will advocate for... ...of multiple tasks to ensure optimal productivity in a fast paced... ...insurance plans and medication reimbursement processes is preferred ~ Understanding... ...work location job level job-related knowledge skills and...ReimbursementHourly payTemporary workWork from homeFlexible hours- ...Scheduling Specialist Scheduling Specialist Bring your passion... ...One year of health care experience including customer relations required. Two years of professional... ...with applicable payor guidelines. Participates... ...flex spending, tuition reimbursement, student loan repayment...Full timeWork at officeMonday to Friday
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- ERISA Recovery, Inc. in Plano, TX, seeks an experienced Registered Nurse (RN) to move beyond bedside care into utilization management and clinical review. You will analyze denied claims, perform medical necessity reviews for inpatient and outpatient cases, and develop...Reimbursement
- ...seeking an Acute Clearance Specialist to support our... ...in Simplifying Complex Care! Acute home infusion... ...supplies, and related infusion services Responsible... .../or medical intake/reimbursement experience preferred... ...ability to interpret payor contract fee schedules...ReimbursementRemote jobFull timeContract workImmediate startMonday to Friday
- ...& Specialty Area: Education Specialist Department: Family... ...patient transition plans and care plans for all inpatient and day... ...* At least 4 years related experience Required * At least... ...Leave • Adoption and surrogacy reimbursement As an equal opportunity...ReimbursementWork experience placementMonday to FridayShift work
$26 - $28 per hour
...and communicates all relative information and... ...applicable) and referring specialist to coordinate... ...specialist offices and care team as set forth... ...with pharmacy payors and medical payors... ...partners, and strategic reimbursement experts. Our goal is to optimize patient outcomes while...ReimbursementWork at officeMonday to Friday- ...Position, You Will Serve As a Victim Witness Specialist For The United States Attorney's Office... ...the following types of education in a related field (e.g., Criminal Justice): a... ...Additional information You may qualify for reimbursement of relocation expenses in accordance...ReimbursementFull timePart timeWork at officeRemote workRelocation
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...Lawn Specialist 1500 10th St, Plano, Texas 75074 TruGreen accepts applications on an ongoing... ...every team member. As a Residential Lawn Care Specialist, you'll be both a skilled... ...horticulture, landscaping, customer service, or related fields preferred Valid driver's...Hourly payLocal area- ...Solutions Specialist The Solutions Specialist should have strong... ...well as provide input on sales-related activities Provide RFP/RFI... ...years experience in home health care setting ~ Strong... ...home health and hospice and reimbursement for such services ~ Ability...ReimbursementWork at office
- ...here as they become available. Reimbursement Specialist (Home Health exp. Preferred)... ...and other health-related documentation Conducts medical... ...for commercial and government payors Communicates with insurance... ...facilitate coordination of care Maintains a high degree of confidentiality...ReimbursementRemote workMonday to FridayFlexible hours
- Certified Medical Assistant/CMA - Heart & Vascular Specialists Clinic - Full-Time, Days Bring your passion to Texas Health so we are Better... ...:00pm Travel: 50% to surrounding clinics as needed (mileage reimbursement provided) Heart & Vascular Specialists Clinic Highlights:...ReimbursementFull timeMonday to Friday
$23 per hour
...schedule! The Loss Mitigation Specialist will be responsible for... ...Provide information to borrowers’ relating to Title issues that may be... ...exceptional customer care and programs that support borrowers... ...and Vylla grow. Educational Reimbursement. Carrington Charitable...ReimbursementHourly payFull timeTemporary work$35.36k - $52k
...of ethics and integrity by implementing related action plans; using the Open Door Policy... ...benefits include PTO, parental leave, family care leave, bereavement, jury duty, and... ...Leave Pay, adoption and surrogacy expense reimbursement, and more. Live Better U is a...ReimbursementHourly payMinimum wageFull timeTemporary workPart time- ...Nuclear Medicine Specialist PRN Days Bring your passion to Texas... ...providing independent patient care and maintained quarterly required... ...procedures including age related criteria and developmental considerations... ...Leave flex spending tuition reimbursement student loan repayment...Relief
- ...payments include wages and expense reimbursement, are based on information... ...vary depending on factors related to the facility or applicant.... ...Level ICharting system: Commure (Care), Dell, GE Healthcare (... ...interdisciplinary healthcare teams to optimize patient careMaintain...ReimbursementTemporary work
- Come care with us at West Coast University! As a Nursing Academic Specialist for a certified Great Place to Work, you willguide nursing students to do more than change... ...with state, federal and local laws/regulations relating to programs, governmental compliance, and other...Local area
$1,319 - $1,404 per week
...payments include wages and expense reimbursement, are based on information... ...vary depending on factors related to the facility or applicant.... ...Charting system Commure (Care), Dell, GE Healthcare (Centricity... ...healthcare teams to optimize patient care Maintain proficiency...ReimbursementTemporary workShift workNight shift- Insight Global is seeking an Associate LIMS Scientist to support LabVantage LIMS expansion and optimization within a top food and beverage client. You will work with lab users, business stakeholders, and IT to implement enhancements and drive adoption of digital laboratory...
- SAGE is seeking a People Relations Generalist to support the full employee lifecycle, including recruiting, onboarding, benefits administration, and employee relations. The role requires effective communication, discretion, and the ability to handle routine matters within...
- ...creating connected ecosystems, optimizing operations, and delivering superior care across all touchpoints. Join us... ...DisabilityHealth and Dependent Care Reimbursement AccountsInsurance (Accident,... ...origin; pregnancy, childbirth, or related medical conditions; status as a...ReimbursementFull timeTemporary workRelocation
- ...affiliates, which include the care of funds and other financial... ...covenants and state laws relating to the investment of public... ...projected cash needs while optimizing interest income in accordance... ...debt obligations to include reimbursement requisitions from project funds...ReimbursementContract work
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