Utilization Operational Supervisor Regular Exempt GENERAL DESCRIPTION: Oversees and monitors the administrative operations of the Utilization Management unit, ensuring effective management of the precertification process in accordance with organizational standards. Provides direct supervision to Utilization Management Coordinators,
Payroll Specialist Payroll Specialist is an exempt position reporting to the Payroll Supervisor with a pay grade of AM 2. The role is within the Business, Finance & Administrative Services department and was initiated in February 2026.
Claims Processor Analyzes claims and/or adjustments submitted in Centers for Medicare and Medicaid Services Form 1500 (CMS-1500) and Uniform Billing Form 04 (UB-04) formats, as well as member reimbursements, by applying payment rules to determine appropriate
Health Profile Evaluator Regular Non-Exempt General Description: Responsible for evaluating CHRA (Comprehensive Health Risk Assessment) forms received from Classicare policyholders and coding the documented clinical information according to the guidelines established by the unit. Essential Functions: Performs
Secondary Migrant Recruiter Clerk The Secondary Migrant Recruiter Clerk is responsible for understanding all areas in the Texas Data Management Requirements and proper coding in the NEW TX-NGS (Texas-New Generation System) of all eligible migrant students in
Job Title Responsible for evaluating CHRA (Comprehensive Health Risk Assessment) forms received from Classicare policyholders and coding the documented clinical information according to the guidelines established by the unit. Essential Functions Performs coding of diagnoses documented in the
Shipping Dock Lead The Shipping Dock Lead is responsible for overseeing outbound operations in a fast-paced produce warehouse. This role ensures accurate order fulfillment, proper loading of temperature-sensitive products, and on-time shipment to customers. The Lead
Job Title Performs the functions of all services of IP coding. Responsible and accountable for coding and DRG accuracy, timeliness of coding, and utilization of systems used to perform coding functions. Maintains relationship with Coding Manager/Supervisor, CDI team, Business Office and Case
JOB DESCRIPTION Job Description Overview Join our dedicated healthcare team at Advance Medical Lab as a Medical Billing Assistant, where your skills will play a key role in keeping our billing operations running smoothly. In this