Jobs near Dallas: 12,567
RS
Relevance Score ranked on: QUALITY ANALYST
Clinical Quality Analyst - National Remote
Dallas
Independently use discretion and judgment to evaluate subjective clinical documentation of member records and call engagements to assess performance of nursing skill. Analyze current clinical quality processes and identify gaps to improve overall effectiveness. Consults with Medical Directors to cali...
Search Terms: Quality Analyst, Clinical, Medical Director, Analyst, Quality
92
0mi
Updated: September 19
Senior Customer Service Quality Analyst - National Remote
Dallas
Perform Quality audits and analyze results to determine process improvement opportunities Analyze current customer service processes and identify gaps or defects to improve overall effectiveness Define / recommend process improvements to meet current and future customer service needs/standards Ensure...
Search Terms: Quality Analyst, Customer Service, Quality, Analyst, Microsoft
89.3
0mi
Updated: September 05
Coding Quality Analyst - National Remote
Dallas
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions: Accurately read and analyze CMS as well as client specific coding guidelines for peer-to-peer and vendor over-reads Responsible for reviewing medical records previously coded by peer to d...
Search Terms: Quality Analyst, Quality, Analyst, Microsoft, Remote
89.3
0mi
Updated: September 05
Coding Quality Analyst - National Remote
Dallas
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions: Accurately read and analyze CMS as well as client specific coding guidelines for peer-to-peer and vendor over-reads Responsible for reviewing medical records previously coded by peer to d...
Search Terms: Quality Analyst, Quality, Analyst, Microsoft, Remote
89.3
0mi
Updated: September 05
Physician Claims Quality Analyst - National Remote
Dallas
Work with Management and Quality to assess and interpret team needs and requirements Identifies solutions to non-standard requests and problems Solves moderately complex problems and/or conducts moderately complex analysis Works with minimal guidance Translates concepts into practice Understand the b...
Search Terms: Quality Analyst, Physician, Claims, Quality, Analyst
88.7
0mi
Updated: August 28
Billing Supervisor - National Remote
Dallas
Supervise a staff of 16-20 consisting of Sr. Billers and Billers Monitor performance and quality of work for the team Provide support (answering questions, handle escalations) as needed Run reports via Microsoft Excel to review revenue Lead team meetings daily and ensure review of process changes wit...
Search Terms: Billing, Supervisor, Remote, Microsoft, Business
0
0mi
Updated: September 20
Supervisor Customer Service - National Remote
Dallas
Coordinate and supervise daily/weekly/monthly activities of a team members Set priorities for the team to ensure task completion and performance goals are met Coordinate work activities with other supervisors, managers, departments, etc. Identify and resolve operational problems using defined process...
Search Terms: Customer Service, Supervisor, Remote, Health, Service
0
0mi
Updated: September 20
Claims Business Process Consultant (SME) - National Remote
Dallas
Perform deep-dive analyses to identify root cause failures and develop remediation action plans for escalated provider issues Collaborate with internal and external business partners to resolve escalated provider issues, including identifying innovative solutions for resolving ongoing issues Particip...
Search Terms: Claims, Business, Consultant, Microsoft, Remote
0
0mi
Updated: September 20
Senior Customer Service Representative - National Remote
Dallas
Answer a high volume of calls from patients or their representative, regarding patient bill balances, payment plans, credit card payments, patient pricing, re billing insurance companies and general customer concerns. Process adjustments, refunds, transfer bills, mail returns and perform manual sales...
Search Terms: Customer Service Representative, Customer Service, Representative, Remote, Senior
0
0mi
Updated: September 20
Associate Clinical Administrative Coordinator - National Remote
Dallas
Manage the intake of members or the admission/discharge information post notification Work with hospitals, clinics, facilities and the clinical team to manage requests for services from members and/or providers Manage the referral process, processing incoming and outgoing referrals and prior authoriz...
Search Terms: Clinical, Administrative, Associate, Coordinator, Clinic
0
0mi
Updated: September 20
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