Clinical Revenue Integrity Specialist
1 month ago
UTMB Health is seeking a skilled Clinical Revenue Integrity Specialist to provide clinical/technical support for the department through investigating denials, responding to inquiries regarding revenue integrity, performing defense audits, and responding to procedural/cost inquiries.
Key Responsibilities:
- Reviews and investigates denials for payment from third-party payers that have clinical implications.
- Uses medical records and clinical expertise to appeal denials with payers for payment.
- Conducts defense audits of patient account charges with outside auditing firms to ensure revenue integrity.
- Responds to inquiries from patients, carriers, and departments within UTMB regarding explanation and validity of patient account charges.
- Responds to inquiries from patients, carriers, and departments within UTMB regarding expected charges for specific items and procedures using state-of-the-art computing system, contact with service areas of hospital, and department database.
- Adheres to internal controls established for the department.
Requirements:
- RN designation with current Texas license required.
- Minimum of two years experience in direct patient care in hospital setting.
Work Schedule:
8am to 5pm, and as needed on occasion.
Equal Employment Opportunity
UTMB Health strives to provide equal opportunity employment without regard to race, color, religion, age, national origin, sex, gender, sexual orientation, gender identity/expression, genetic information, disability, veteran status, or any other basis protected by institutional policy or by federal, state, or local laws unless such distinction is required by law.
As a VEVRAA Federal Contractor, UTMB Health takes affirmative action to hire and advance women, minorities, protected veterans, and individuals with disabilities.
-
Clinical Care Specialist
1 month ago
Galveston, Texas, United States UTMB Health Full timeJob SummaryUTMB Health seeks a skilled Clinical Care Specialist to provide responsible clinical care in collaboration with the unit physician and under approved protocols. The ideal candidate will manage the medical aspects of care, including observation, assessment, diagnosis, intervention, evaluation, rehabilitation, care, and counsel, as well as health...
-
Clinical Laboratory Specialist
4 weeks ago
Galveston, Texas, United States University of Texas Medical Branch Full timeJob Summary:A Clinical Laboratory Specialist at the University of Texas Medical Branch provides technical expertise in performing laboratory procedures. The ideal candidate will have a Bachelor's degree in a Clinical Laboratory Science or Basic Science and be qualified as Testing Personnel for high complexity testing under the Clinical Laboratory Improvement...
-
Clinical Nurse Specialist
1 month ago
Galveston, Texas, United States Traditions Health Full timeJob SummaryTraditions Health is seeking a highly skilled and compassionate Registered Nurse to join our team as a Clinical Nurse Specialist - Home Health. As a key member of our interdisciplinary team, you will provide high-quality, patient-centered care to individuals in their homes, promoting independence and improving health...
-
Clinical Nurse Specialist
1 month ago
Galveston, Texas, United States Traditions Health Full timeJob Title: Clinical Nurse Specialist - Home Health CareAbout the Role:Traditions Health is seeking a skilled Clinical Nurse Specialist to join our team of healthcare professionals. As a Clinical Nurse Specialist, you will play a vital role in providing high-quality care to patients in their homes, while also contributing to the development and implementation...
-
Recovery Counselor/COPSD Specialist
1 month ago
Galveston, Texas, United States Gulf Coast Center Full timeCOPSD Specialist Job DescriptionGulf Coast Center is seeking a highly skilled COPSD Specialist to join our team. As a COPSD Specialist, you will provide critical services to individuals with substance use disorders, working closely with our Recovery and Mental Health programs to ensure seamless integration of care.Key Responsibilities:Conduct initial...
-
Advanced Practice Provider
4 weeks ago
Galveston, Texas, United States University of Texas Medical Branch Full timeJob SummaryAs a Clinical Care Specialist at the University of Texas Medical Branch, you will be responsible for delivering high-quality patient care in a collaborative environment. You will work closely with physicians and other healthcare professionals to provide comprehensive care to patients with various medical conditions.Key Responsibilities: Perform...
-
Medical Specialist
4 weeks ago
Galveston, Texas, United States University of Texas Medical Branch Full timeJob DetailsWork with the University of Texas Medical BranchWe are seeking a highly skilled Medical Specialist to join our team. As a Medical Specialist, you will provide advanced practice health care services to our patients. This is a challenging and rewarding role that requires strong communication and clinical skills.ResponsibilitiesSome of the key...
-
Health Care Specialist
6 days ago
Galveston, Texas, United States UTMB Health Full timeAt UTMB Health, we are seeking a Health Care Specialist to provide advanced practice health care services. The successful candidate will collaborate with colleagues and clinical director, supervise support staff, and participate in quality assurance activities. Key responsibilities include providing advanced practice health care services, documenting...
-
Audiology Specialist
4 weeks ago
Galveston, Texas, United States University of Texas Medical Branch Full timeJob Summary:The University of Texas Medical Branch seeks a skilled Audiologist II, Speech to provide advanced professional skills in audiological diagnosis and evaluation, and to provide habilitative and rehabilitative treatment services.Key Responsibilities: Administers a variety of routine and complex audiometric tests to determine patients' hearing...
-
Medical Support Specialist
1 month ago
Galveston, Texas, United States University of Texas Medical Branch Full timeJob Summary:We are seeking a skilled Medical Support Specialist to provide high-quality patient care and technical assistance in our healthcare setting. As a key member of our team, you will be responsible for delivering exceptional patient care, working collaboratively with healthcare professionals, and contributing to a positive and supportive work...
-
Environmental Health Specialist
4 weeks ago
Galveston, Texas, United States University of Texas Medical Branch Full timeJob Summary:As an Environmental Health Specialist at the University of Texas Medical Branch, you will provide technical assistance in the administration of policies, standards, and regulations relating to environmental health and safety. This role involves performing quantitative and qualitative respirator fit testing, calibration of industrial hygiene and...
-
Galveston, Texas, United States DirectEmployers Full timeWe are seeking an experienced Cardiac Catheterization Nurse Specialist to join our team at UTMB Health in Galveston, Texas. As a key member of our interdisciplinary team, you will be responsible for providing high-quality patient care through skilled nursing practices.**Job Summary:**This is a leadership role that requires a competent clinician with...
-
Facilities Operations Specialist
4 weeks ago
Galveston, Texas, United States UTMB Health Full timeJob Summary:UTMB Health is seeking a skilled Facilities Operations Specialist to join our team. As a Facilities Operations Specialist, you will be responsible for performing at a journeyman level in at least one distinct industrial/commercial trade craft, including plumbing, mechanical, electrical, HVAC, structural, instrumentation/electronics,...
-
Nurse Residency Program Clinical Specialist
4 weeks ago
Galveston, Texas, United States UTMB Health Full timeJob Summary:The UTMB Health Nurse Residency Program provides novice clinicians with the resources and support needed to transition into independent practice. As a Nurse Clinician I, you will be precepted, guided, and mentored to develop your knowledge and skills. You will provide safe, basic nursing care in routine and predictable situations, with...
-
Spiritual Care Specialist
4 weeks ago
Galveston, Texas, United States UTMB Health Full timeJob Summary:UTMB Health is seeking a skilled Spiritual Care Specialist to provide comprehensive religious, spiritual, and pastoral care services to patients, families, and staff. The ideal candidate will have a graduate theological education and experience in a healthcare setting as a chaplain. The successful candidate will assess spiritual strengths and...
-
Galveston, Texas, United States UTMB Health Full timeJob SummaryAs a Clinical Care Specialist at UTMB Health, you will be responsible for providing responsible clinical care in collaboration with the unit physician and under approved protocols. You will manage the medical aspects of care in the observation, assessment, diagnosis, intervention, evaluation, rehabilitation, care and counsel, and health teachings...
-
Galveston, Texas, United States UTMB Health Full timeJob Summary:UTMB Health is seeking a highly motivated and enthusiastic Pediatric Speech Pathologist I, Speech and Communication Specialist to join our team in the Clear Lake/Webster Outpatient clinic. As a key member of our Speech Pathology program, you will provide professional skills in the comprehensive evaluation of patients with speech and language...
-
Nurse Clinician III, Outpatient Specialist
4 weeks ago
Galveston, Texas, United States UTMB Health Full timeJob Summary:As a skilled Nurse Clinician III, Outpatient Specialist at UTMB Health, you will possess the knowledge and skill to meet standards for competent professional nursing practice as specified in the Texas Nurse Practice Act. With two years of clinical RN experience, you will be able to manage unexpected or emergency situations that are commonly seen...
-
Galveston, Texas, United States University of Texas Medical Branch Full timeJob Summary:As a skilled Cardiac Catheterization Laboratory Nurse Specialist at the University of Texas Medical Branch, you will play a vital role in providing exceptional patient care and contributing to the success of our cardiovascular team. Key Responsibilities:Assist in cardiac catheterization and electrophysiology procedures, demonstrating expertise in...
-
Maternal and Child Health Care Specialist
4 weeks ago
Galveston, Texas, United States UTMB Health Full timeJob Summary:UTMB Health is seeking a highly skilled Maternal and Child Specialist, Ob/Gyn to join our team. The ideal candidate will have a strong background in providing age-specific health care to women and children in a regional maternal and child health care program.Key Responsibilities:Provide primary health care to patients and families throughout the...