Account Manager jobs in the Medical & Health category in San Antonio, Texas

JOB DESCRIPTION:Coding Manager, Health Information POSITION CODE:3920 REVISED:09/12 POSITION SUMMARY/RESPONSIBILITIES Directly supervises the coding staff to include, Coding Specialists, Inpatient Coding Technicians I and II, Coding Telecommuters, Unbilled Clerk, and Dismissal Clerk. Maintains expert knowledge of all coding and classification systems used in health care (ICD, CPT, DRG, CMG, APC, a...
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The RN Case Manager II is responsible for health care management and coordination of Molina Healthcare memebers in order to achieve optimal clinical, financial and quality of life outcomes. Works with members to create and implement an integrated collaborative plan of care. Coordinates and monitiors Molina Member's progress and services to ensure consistent cost effective care that complies with M...
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JOB DESCRIPTION POSITION: PERIOPERATIVE STAFF NURSE SUMMARY: Perioperative Staff Nurse is responsible for the patient’s admission to the facility, comprehensive pre-operative care, procedural care, immediate post – operative care, and stabilization for return to the home environment. I. POSITION DUTIES A. To utilize specialized nursing knowledge and discriminative judgment while giving direct and ...
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POSITION SUMMARY: Manages submission, intervention and resolution of appeals, grievances, and/or complaints from Molina members and related outside agencies as a part of the integrated Healthcare Services Team. Conducts pertinent research, evaluates, responds and completes appeals and other inquiries accurately, timely and in accordance with all established regulatory guidelines. Prepares appeal s...
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JOB TITLE:Medical Records Representative, Imaging JOB CLASS NUMBER:PRN 1872 REVISED:10/08 POSITION SUMMARY/RESPONSIBILITIES: Under the direct supervision of the Imaging Manager, the Medical Records Representative, Imaging is responsible for a number of clerical functions of that office. Each of these functions maintains and distributes confidential health information, and follows strict confidenti...
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JOB DESCRIPTION:Medical Records Representative, Inpatient Records Processing POSITION CODE:1862 (PRN 1872) REVISED:10/08 POSITION SUMMARY/RESPONSIBILITIES: Under the direct supervision of the Inpatient Record Processing Manager and the Inpatient Medical Records Team Leader, the Medical Records Representative, Inpatient Records Processing is responsible for clerical functions to include ANALYSIS, A...
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Job Summary The Appeals/Denials Specialist II (job title) manages submission, intervention and resolution of appeals, grievances, and/or complaints from Molina members and related outside agencies as a part of the integrated Healthcare Services Team. Conducts pertinent research, evaluates, responds and completes appeals and other inquiries accurately, timely and in accordance with all established ...
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