FULL_TIME

FEED

UNKNOWN

Responsibilities: The Payor Relations Specialist is responsible for obtaining and maintaining service authorizations from third-party payors to ensure reimbursement for services provided, before, throughout, and after a patient stay. They will work directly with insurers, managed care organizations, and clinical staff to ensure the treatment needs of the patients are met, maximizing their overall outcomes and quality of life.

Ernest Health

Payor Relations Specialist

[AW]-iCims

Verifies or obtains patient eligibility and/or authorization for healthcare services performed by searching payer web sites or client eligibility systems, or by conducting phone conversations with the insurance carrier or healthcare providers. Performs duties as assigned which includes interacting with insurance plans, patients, physicians, attorney's and fellow Team Members as needed.

CorroHealth Inc

Medical AR Denials and Edits Specialist

Through our distinct clinical expertise, digital capabilities, and broad access to specialty medications across a wide range of conditions, we deliver an elevated experience, affordability, and personalized support throughout the consumer's treatment journey. How you will make an impact: Communicating with insurance providers, healthcare teams, and patients to gather and confirm benefit information such as coverage, copays, deductibles, and authorization requirements.

Elevance Health

Benefit Verification Specialist - Bioplus Specialty Pharmacy

ea_via_bold

The Insurance Specialist will be required to have extensive experience using Epic, hospital systems, and keen analytical skills to evaluate appropriate next steps to bring aged account receivables to resolution. The Insurance Specialist will be responsible to ensure cash recovery goals are met and assigned hospital receivables are appropriately addressed according to company, client and federal guidelines.

Insurance Specialist

Strong knowledge of healthcare compliance (HIPAA, PHI/PII handling), and experience with Salesforce Shield, Event Monitoring, Data Masking, OmniStudio (OmniScripts, Integration Procedures, DataRaptors), enterprise AI/ML services or external models, Agile/Scrum methodologies, strong problem-solving, communication, and stakeholder management skills preferred. Design and configure Agentforce agents, topics, instructions, actions, and escalation paths using Agentforce Builder, Flow, Apex, and APIs, and develop and test Prompt Builder templates and grounded AI experiences using Salesforce data, Data Cloud, knowledge, and retrieval-augmented generation (RAG) patterns.

YEAR

KPMG International Cooperative

Director, Salesforce AI Specialist

OTHER

Texas 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. The US Oncology Network is supported by McKesson Corporation focused on empowering a vibrant and sustainable community patient care delivery system to advance the science , technology, and quality of care.

Texas Oncology

Coding Specialist Sr - Colorectal Surgery

Coding Specialist Sr. - Team Lead

Each individual performing the above procedures must: 1) adhere to the laboratorys procedures for the collection, processing, analysis, and reporting of patient test results, 2) follow the laboratorys established quality control policies and procedures in documenting all corrective actions taken when test systems deviate from the laboratorys established performance specifications, 3) be capable of identifying problems that may adversely affect test performance and either correct the problem or immediately notify your immediate supervisor, Director, or Medical Director, 4) perform a wide variety of microbiology procedures requiring independent judgment in performing high complexity testing in both manual and automated methods, 5) perform testing procedures in other areas of the department for which licensed and competency demonstrated, 6) perform and document maintenance daily, weekly, monthly, or as needed on instruments and equipment as appropriate, 7) review the accuracy of patient results prior to releasing or reporting, 8) recognize age specific differences in expected results for newborns to geriatrics, 9) ensure that the testing of proficiency testing samples are tested in the same manner as patient samples and that collaboration with other laboratories is prohibited prior to the reporting of proficiency testing results to the appropriate agencies, 10) may be required to perform venipuncture or capillary puncture on various age groups from newborn to geriatrics, 11) assist in the development and maintenance of laboratory policies and procedures, 12) adheres to all department and hospital policies and procedures related to safety, infection control, emergency preparedness, and human resources, 13) may be assigned responsibility for the operation of the micro department during their shift, as Micro Tech in-charge if supervisor is unavailable, 14) other tasks or responsibilities may be assigned by the department manager/director. Possession of a current and valid state Clinical Laboratory Scientist license or limited state Clinical Laboratory Scientist license as a Microbiologist Specialist if the laboratory is located in a state where required.

Prime Healthcare Services Inc

Microbiology Specialist I

EDUCATION AND EXPERIENCE: Bachelors Degree or Masters degree from an accredited college or university in psychology, social work, medicine, nursing, rehabilitation, counseling, sociology, human growth and development, physician assistant, gerontology, special education, educational psychology, early childhood education, or early childhood intervention; or is a registered nurse. Services may include, but are not limited to, providing psychosocial support to patients in vocational environments, providing supported employment skills training, monitoring symptoms & side effects relative to vocational performance and communication to the providers & CSC Team about vocational issues.

Metrocare Services

Specialist Supported Employment Educational CSC

Clinic Coding Specialist

Texas 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. The US Oncology Network is supported by McKesson Corporation focused on empowering a vibrant and sustainable community patient care delivery system to advance the science, technology, and quality of care.

GYN Clinic Coding Specialist

Conduct discovery and develop scalable service capabilities for new and evolving solutions by evaluating product deployment and utilization within customer environments, gathering insights on workflows and support requirements, and translate product and customer needs into best practices, deployment strategies, support models, documentation, training, tools, and operational processes. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information.

Stryker Corp

ProAssure Enablement Specialist, Advanced Ops (Remote)

Cookies are used on this site to assist in continually improving the candidate experience and all the interaction data we store of our visitors is anonymous. We're sorry, but it looks like this job may be no longer available or does not exist.

<p>The US Oncology Network believes local cancer care is better care. We empower the delivery of advanced integrated cancer care through our network of independent physicians who share expertise and resources to provide quality, value-based care close to home.</p>

<p>Our clinical and business support capabilities, expertise and industry-leading technologies keep local practices at the forefront of high quality, efficient care delivery while enabling practice success, quality of life and financial security for physicians.</p>
<ul>
<li>25 years of oncology practice management expertise</li>
<li>Leader in value-based cancer care with over 900 physicians participating in the Center for Medicaid and Medicare Innovation Oncology Care Model – one fourth of the entire population of physicians nationwide</li>
<li>Over 1,400 affiliated physicians</li>
<li>More than 450 cancer treatment center locations across the United States</li>
<li>Over 995,000 patients treated annually</li>
</ul>

US Oncology Inc

Insurance Specialist II

Patient Assistance Support Insurance Specialist

Texas A&M AgriLife’s Institute for Advancing Health Through Agriculture (IHA) Healthy Living program, based at the AgriLife Center at Dallas, seeks a skilled and experienced Research Specialist IV to work in close collaboration and coordination with the Healthy Living team, led by IHA Associate Director, Dr. Rebecca Seguin-Fowler, whose work focuses on community-engaged research to promote health and reduce chronic disease. Overseen by the Office of the Vice Chancellor and Dean for the College of Agriculture and Life Sciences, Texas A&M AgriLife includes the Texas A&M AgriLife Extension Service, Texas A&M AgriLife Research, the College of Agriculture & Life Sciences at Texas A&M University, Texas A&M Forest Service, and Texas A&M Veterinary Medical Diagnostic Laboratory.

Clinical Specialist Jobs in Dallas, TX

Payor Relations Specialist Ernest Health

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Insurance Specialist CorroHealth Inc

Director, Salesforce AI Specialist KPMG International Cooperative

Coding Specialist Sr - Colorectal Surgery Texas Oncology

Coding Specialist Sr. - Team Lead Texas Oncology

Microbiology Specialist I Prime Healthcare Services Inc

Specialist Supported Employment Educational CSC Metrocare Services

Clinic Coding Specialist Texas Oncology

GYN Clinic Coding Specialist Texas Oncology

ProAssure Enablement Specialist, Advanced Ops (Remote) Stryker Corp

Insurance Specialist II US Oncology Inc

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Clinic Coding Specialist US Oncology Inc

GYN Clinic Coding Specialist US Oncology Inc

Patient Assistance Support Insurance Specialist US Oncology Inc

Coding Specialist Sr - Colorectal Surgery US Oncology Inc

Bilingual Research Specialist IV Texas A&M

Bilingual Research Specialist IV Texas A&M AgriLife Research

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