Must be able to handle potentially stressful situations and multiple tasks simultaneously.
Must understand managed care and insurance contractual arrangements.
Bilingual skills preferred.
Must be able to exercise good judgment in responding to simple requests from government and/or non-government agencies.
Must be detail oriented, possess basic mathematical skills, and have sharp analytical skills to recognize financial issues as they relate to multiple groups including third party payors, physicians, patients and the system.
Basic medical terminology knowledge preferred.
Must have a High School diploma or GED.
Must demonstrate a positive demeanor, good verbal and written communication skills, and be professional in both appearance and approach.
Must have three (3) years of experience in accounts receivable, medical or insurance billing and/or collections
Must be able to communicate effectively with patients, families, government entities, insurance companies, and Parkland staff.
Must be able to solve problems within the guidelines of established policies and procedures.
Must be able to demonstrate a working knowledge of personal computers and other standard office equipment.
Must have basic knowledge of medical software.

Licensed Clinical Social Worker (Remote)

Headway

Plano, TX 75086

Senior Clinical Research Associate

Digital Prospectors

Dallas, TX 75215

Medical City Plano

Plano, TX 75075

AHWONN must be obtained within 90 days of employment start date
ACLS must be obtained within 30 days of employment start date
Neonate Resuscitate must be obtained within 90 days of employment start date
Days of employment start date
Basic Cardiac Life Support must be obtained within 30 days of employment start date
1+ yrs of Antepartum experience required
Texas State RN License or compact license required

Molina Healthcare

Dallas, TX 75209

At least 2 years clinical nursing experience, including at least 1 year of utilization review, medical claims review, long-term services and supports (LTSS), claims auditing, medical necessity review and/or coding experience, or equivalent combination of relevant education and experience.
Registered Nurse (RN). License must be active and unrestricted in state of practice.
Microsoft Office suite and applicable software program(s) proficiency.
Effective verbal and written communication skills.
Organizational and time-management skills.
Attention to detail.
Critical-thinking and active listening skills.
Experience demonstrating knowledge of ICD-10, Current Procedural Technology (CPT) coding and Healthcare Common Procedure Coding (HCPC).
Analytic, problem-solving, and decision-making skills.
Common look proficiency.
Experience working within applicable state, federal, and third-party regulations.