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health information specialist

MD Anderson Cancer Center

<div>The Health Information Specialist at MD Anderson Cancer Center serves as a front-line customer service agent for referring physicians and consumers who contact the institution for referrals, services, or cancer-related information. This role provides timely and accurate information through telephone, email, and online communication channels, directly impacting the quality of service provided to patients, caregivers, medical professionals, and the community.<br>
<br>
The ideal candidate will have a Bachelor's degree, along with five years of healthcare experience in call-center operations, particularly in busy environments, with knowledge of insurance terminology, cancer basics, insurance authorization, social work, healthcare, patient access, patient education, patient advocacy, and/or helpline experience. Strong interpersonal skills and a commitment to integrity are essential. This role requires navigating challenging conversations with patients using empathy, patience, and professionalism.<br>
<br>
This position is fully remote, including the first 6-8 weeks of training, which will also be conducted remotely. The candidate must be able to work four 10-hour shifts per week on a rotating schedule from 8:00 a.m. to 7:00 p.m., including rotating Saturdays.<br>
<br>
Hourly breakdown of salary range:<br>
Minimum $29.09 | Midpoint $36.30 | Maximum $43.51<br>
<br>
MD Anderson Offers Our Employees:<br>
<ul><li>Paid employee medical benefits (zero premium) starting on the first day for employees working 30+ hours per week</li><li>Group Dental, Vision, Life, AD&amp;D, and Disability coverage</li><li>Paid Time Off (PTO) and Extended Illness Bank (EIB) paid leave accruals</li><li>Paid institutional holidays, wellness leave, childcare leave, and other paid leave programs</li><li>Tuition Assistance Program after six months of service</li><li>Teachers Retirement System defined-benefit pension plan and two voluntary retirement plans</li><li>Employer-paid life, AD&amp;D, and illness-related reduced salary pay program</li><li>Health Savings Account and Dependent Care Reimbursement flexible spending accounts</li><li>Fertility benefits</li><li>State of Texas longevity pay</li><li>Extensive wellness, recognition, fitness, employee health programs, and employee resource groups</li></ul><br>
Essential Job Functions:<br>
<ul><li>Serve up to 40 hours per week responding to consumer inquiries about all aspects of cancer and MD Anderson</li><li>Provide timely, accurate information regarding programs and services through calls, emails, work queues, and other channels</li><li>Help customers navigate and initiate the MD Anderson referral process</li><li>Apply strong interviewing and communication skills in accordance with institutional policies</li><li>Use medical and legal disclaimers appropriately</li><li>Translate technical information to the literacy level of each customer and verify understanding</li><li>Participate fully in customer service data management and documentation</li><li>Handle difficult inquiries, reduce caller anxiety, and de escalate frustration</li><li>Conduct follow-up procedures to assess customer satisfaction</li><li>Acquire and maintain core knowledge of cancer, MD Anderson services, and institutional resources</li><li>Successfully pass initial certification assessment with a score of 90%</li><li>Demonstrate mastery of ongoing education requirements</li><li>Maintain proficiency in computer and telephony systems</li><li>Read and integrate new materials daily</li><li>Identify resource gaps and conduct research as needed</li><li>Assist in new employee training</li><li>Use system generated data to assess performance and achieve departmental standards</li><li>Assess each caller's needs using active listening and interviewing</li><li>Tailor responses to the individual needs of each customer</li><li>Verify caller understanding and satisfaction before completing calls</li><li>Contribute to quality assurance efforts and incorporate new processes</li><li>Review documentation for quality and accuracy</li><li>Participate in inquiry-monitoring and apply performance feedback</li><li>Identify new processes to support quality and customer service goals</li><li>Other duties as assigned</li></ul><br>
Education Required: Bachelor's degree in Health, Social Science, Psychology, Nursing, Education, or related field.<br>
Experience Required: One year of experience in health care, social services, help line, counseling or teaching.<br>
Experience Preferred: Five years of healthcare experience in customer service, call center operations, patient navigation, patient advocacy, or insurance.<br>
<br>
This position may be responsible for maintaining the security and integrity of critical infrastructure, as defined in Section 113.001(2) of the Texas Business and Commerce Code, and therefore may require routine reviews and screening. The ability to satisfy and maintain all requirements necessary to ensure the continued security and integrity of such infrastructure is a condition of hire and continued employment.<br>
The University of Texas MD Anderson Cancer Center offers excellent benefits, including medical, dental, paid time off, retirement, tuition benefits, educational opportunities, and individual and team recognition.<br>
<br>
It is the policy of The University of Texas MD Anderson Cancer Center to provide equal employment opportunity without regard to race, color, religion, age, national origin, sex, gender, sexual orientation, gender identity/expression, disability, protected veteran status, genetic information, or any other basis protected by institutional policy or by federal, state, or local laws unless such distinction is required by law. http://www.mdanderson.org/about-us/legal-and-policy/legal-statements/eeo-affirmative-action.html<br>
<br>
Additional Information
<br>
<ul><li>Requisition ID: 179380
</li><li>Employment Status: Full-Time
</li><li>Employee Status: Regular
</li><li>Work Week: Days, Evenings, Rotating, Varied, Weekends
</li><li>Minimum Salary: US Dollar (USD) 60,500
</li><li>Midpoint Salary: US Dollar (USD) 75,500
</li><li>Maximum Salary : US Dollar (USD) 90,500
</li><li>FLSA: non-exempt and eligible for overtime pay
</li><li>Fund Type: Hard
</li><li>Work Location: Remote (within Texas only)
</li><li>Pivotal Position: No
</li><li>Referral Bonus Available?: No
</li><li>Relocation Assistance Available?: No
</li></ul><br>
#LI-Remote</div>

Health Information Specialist

Suvida Healthcare

<div><p><b>Who We Are</b></p><p></p><p><br>
At Suvida Healthcare, we are not just caregivers; we're compassionate advocates dedicated to enriching the lives of our cherished seniors. As a Team Member with us, you will embark on a fulfilling journey where your skills and empathy converge to make a meaningful impact on the well-being of an underserved community and their families. Our multi-disciplinary primary care program is built to address the physical, behavioral, social, and cultural needs of Medicare-eligible Hispanic seniors.</p><p></p><p><br>
Celebrate diversity and inclusivity in a workplace that attracts, engages, values, rewards, and recognizes the unique needs and backgrounds of both, our patients and our team. We believe that a rich tapestry of experiences, shared interests, and perspectives enhances the care we provide, making us a stronger, service-centered, and more compassionate healthcare family and Employer of Choice! Will you join us <i>Suvidanos</i>, to help achieve our Higher Purpose?</p><p></p><p><b><br>
What Makes Us Unique</b></p><p></p><p><br>
We are an empowered primary care, clinical operations, and support team creating health equity through an exceptional clinical and consumer experience that improves the quality of life for the people, families, and neighborhoods we serve. We tailor our primary care program to the culture, language, social, and overall well-being of the seniors we serve.</p><p></p><p><b><br>
How We Work</b></p><p><i>
Our Culture &amp; Core Beliefs</i></p><ul><li>
Earn Trust</li><li>
Building Relationships</li><li>
Creating Joy</li><li>
Doing Right</li><li>
Improving Every Day</li><li>
Moving Forward</li></ul><p><b><br>
What You&rsquo;ll Do</b></p><p></p><p><b><br>
Position Summary</b></p><p></p><p><br>
The Clinical Informatics Specialist (CIS) collaborates with Suvida Healthcare primary care providers and assumes a vital role within the Care Team. The primary focus is on ensuring the accuracy and efficiency of medical documentation during patient encounters. Working closely with primary care providers, the CIS scribes and records medical histories, physical examinations, diagnostic tests, treatment plans, and other pertinent information into electronic health record (EHR) systems. The CIS's support empowers healthcare professionals to allocate more time to patient care while maintaining comprehensive and precise patient records. Essential key responsibilities consist of but are not all inclusive:</p><p></p><p><b><br>
Responsibilities</b></p><p></p><ul><li><b><br>
Patient Encounter Documentation</b>: Accompany healthcare providers during patient visits and accurately document all relevant medical information, including medical histories, physical examinations, diagnostic tests, and treatment plans in real-time.</li><li><b>
EHR Management</b>: Navigate and proficiently utilize electronic health record (EHR) systems to input and manage patient data, ensuring that all documentation adheres to compliance and confidentiality standards.</li><li><b>
Chart Review</b>: Regularly review and organize patient charts, ensuring completeness and accuracy of information, and addressing inconsistencies or discrepancies.</li><li><b>
Effective Communication</b>: Act as a liaison between healthcare providers and other team members, facilitating the exchange of important information, requests, and follow-up instructions.</li><li><b>
Data Entry and Coding</b>: Enter accurate ICD-10 and CPT codes for diagnoses, procedures, and services provided during patient encounters.</li><li><b>
Liaison for Documentation Queries</b>: Serve as a liaison between the coding team and providers to ensure the timely resolution of documentation queries.</li><li><b>
Morning Huddle Preparation</b>: Conduct thorough research of patients' historical charts and external data to enhance the morning huddle presentation.</li><li><b>
Quality Metrics Management</b>: Oversee measurement, analysis, and reporting of healthcare quality metrics. Identify and close gaps in care to ensure optimal outcomes.</li><li><b>
Population Health Optimization</b>: Analyze population health and coding strategies to enhance patient stratification, identifying at-risk patients and assisting in enrolling them in chronic care management protocols.</li><li><b>
Evidence-Based Research</b>: Stay updated on evidence-based medical protocols and provide revised data to the care team.</li><li><b>
Maintain Confidentiality</b>: Adhere to strict patient privacy and confidentiality regulations (e.g., HIPAA) and ensure that all patient data is handled with the utmost discretion.</li></ul><p></p><p><b><br>
What You&rsquo;ll Bring</b></p><p></p><p><b><br>
Knowledge, Skills, and Abilities</b></p><ul><li>
Bachelor's degree in healthcare or related field, preferred.</li></ul><p></p><p><b><br>
Education, Experience, Licensure, or Certification Requirements</b></p><ul><li>
Minimum of 2 years of clinical experience.</li><li>
Familiarity with medical terminology, anatomy, and physiology is a plus.</li><li>
Prior experience as a Medical Scribe is preferred, though not obligatory.</li><li>
Ability to efficiently use electronic health record (EHR) systems.</li><li>
Strong typing skills and advanced computer proficiency.</li><li>
Effective written and verbal communication skills.</li><li>
Ability to thrive in a fast-paced clinical environment with a commitment to accuracy.</li><li>
Strong organizational skills, effective time management, and problem-solving capabilities.</li><li>
Willingness to move between Neighborhood Centers as needed.</li><li>
Proficiency in both English and Spanish is required.</li></ul><p></p><p><i><br>
Suvida Healthcare provides equal employment opportunities to all Team Members and applicants for employment and prohibits discrimination and harassment of any type with regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.</i></p><p><i>
This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.</i></p></div><p></p>

Medical Scribe

Texas Health and Human Services Commission

<div><div><div><div><div><p>CPI Investigation Worker Trainee
</p></div></div></div></div><div><div><div><div><b>Date: </b>Mar 19, 2026
</div></div></div></div><div><div><div><div><b>Location:
</b>HOUSTON, TX
</div></div></div></div><div><div><div><div><div>The Texas Department of Family and Protective Services (DFPS) works to build on strengths of families and communities to keep children and vulnerable adults safe, so they thrive. We do this through investigations, services, and referrals.</div><br>
<div></div>
<div><b>
What You Get Beyond Your Paycheck</b></div>
<div>
When you join the State of Texas, your monthly paycheck is just one part of your real income. Our benefits provide extra value that many private employers simply don&rsquo;t match&mdash;often adding hundreds of dollars each month to what you take home or save.</div><br>
<div></div>
<div>
Here&rsquo;s what you get as a full-time employee:</div>
<ul>
<li><b>100% paid health insurance</b> for you, and 50% paid for eligible family members&mdash;saving you hundreds every month in out-of-pocket medical costs</li>
<li><b>Retirement plans</b> with lifetime monthly payments after five years of state service, plus options to save even more with 401(k) and 457 plans</li>
<li><b>Paid vacation, holidays, and sick leave</b> so you can recharge and take care of life outside work (that&rsquo;s time off you&rsquo;re actually paid for)</li>
<li><b>Optional dental, vision, and life insurance</b>&mdash;at rates much lower than most private plans</li>
<li><b>Flexible spending accounts</b> for added tax savings on health and dependent care</li>
<li><b>Employee discounts</b> on things like gym memberships, electronics, and entertainment</li></ul><br>
<div></div>
<div>
You also might qualify for Public Service Loan Forgiveness, which could help you pay off federal student loans faster.</div>
<div>
You can see all the details here: ERS recruitment brochure</div><br>
<div></div>
<div><b>
Functional Title: </b>CPI Investigation Worker Trainee<br>
<b>Job Title: </b>CPI Investigator II<br>
<b>Agency: </b>Dept of Family &amp; Protectve Svc<br>
<b>Department: </b>CPS Investigations Region 6A<br>
<b>Posting Number: </b>15134<br>
<b>Closing Date: </b>04/02/2026<br>
<b>Posting Audience: </b>Internal and External<br>
<b>Occupational Category: </b>Protective Services<br>
<b>Salary Range: </b>$3,816.65<b> </b>- $5,921.25<br>
<b>Pay Frequency: </b>Monthly<br>
<b>Salary Group: </b>TEXAS-B-18<br>
<b>Shift: </b>Day<br>
<b>Additional Shift: </b>Days (First)<br>
<b>Telework: </b>Not Eligible for Telework<br>
<b>Travel: </b>Up to 75%<br>
<b>Regular/Temporary: </b>Regular<br>
<b>Full Time/Part Time: </b>Full time<br>
<b>FLSA Exempt/Non-Exempt:</b> Nonexempt<br>
<b>Facility Location:</b><br>
<b>Job Location City:</b> HOUSTON<br>
<b>Job Location Address:</b> 9702 BISSONNET ST 2200W<br>
<b>Other Locations:</b><br>
<b>MOS Codes:</b> 0149,5805,5821,5822,5832,14N,14NX,183X,1N0X1,230X,311A,31D,351L,351M,35L,35M,42SX,43HX,4C0X1,4E0X1<br>
5IX,683X,68X,71SX,73A,783X,HM,INV,IS,ISS,IV,MST,NC,OAP12</div><div><b><br>
Brief Job Description:</b></div>
<div>
Child Protective Investigations (CPI) Investigators investigate claims of child abuse and neglect. They have the difficult task of figuring out what happened and predicting what will happen in the future. CPI receives and investigates reports of abuse and neglect 24 hours per day, every day of the year.</div>
<div>
A CPI investigation includes interviewing and gathering information to see if abuse or neglect happened and if intervention is necessary. The investigator considers both risk and safety issues and may recommend services for the child and family to reduce the risk of further abuse or neglect.</div>
<div>
HELP US MAKE A DIFFERENCE:</div>
<div>
To explore more of what Investigation Specialists do, click here.</div>
<div>
For a realistic job preview of this position and to learn more DFPS, please click here. You will also have access to a self-assessment that will help you determine if this type of work is something that is a good fit for you.</div>
<div>
DFPS is committed to its employees' professional development and ongoing success and offers the DFPS Certification Program to enhance skills and advance careers within our organization. The program is tailored specifically for DFPS employees, provides the opportunity to earn additional compensation through a supportive learning environment that fosters growth and innovation, and equips participants with the knowledge and skills needed to deepen their expertise in their respective role.</div>
<div><b>
Essential Job Functions (EJFs):</b></div>
<ul>
<li>Responds quickly in crisis situations involving children who may be in an abusive or neglectful situation. Sometimes these situations can be dangerous.</li>
<li>Conducts forensic investigations of reports of abuse/neglect to children to determine if abuse or neglect occurred and conducts assessments to determine the current or future risk of harm to children.</li>
<li>Observes children for signs of any harm and assess the signs to determine if they are the result of abuse or neglect. This could involve children with serious injuries and child fatalities.</li>
<li>Interviews people in the case such as the parents, caregivers, person who reports the concern, family members, and others familiar with the family situation. This may include medical staff, teachers, law enforcement, etc.</li>
<li>Assesses child safety and takes the necessary actions to protect the child as appropriate. This could include removing a child from their family.</li>
<li>Talks frankly and objectively with families about matters they may consider personal and private, such as parenting decisions and actions, sexual abuse, income, money management, and personal relationships.</li>
<li>Determines action to be taken to remove or to reduce an immediate threat to the safety of a child to include working with families to identify family members who can assist with keeping the child safe, testifying in court to seek emergency protective services, placing children in substitute care, referring family for immediate crisis intervention therapy or other community resources.</li>
<li>Documents all relevant and appropriate information gathered during the investigation and completes all required forms accurately and in a timely manner.</li>
<li>Gathers family and kinship information to support the child in a placement, should the child be placed in DFPS custody.</li>
<li>Participates in a regular on-call rotation that requires response to situations of abuse/neglect after normal business hours including overnight and weekend.</li>
<li>Develops and maintains effective working relationships with law enforcement officials, judicial officials, legal resources, medical professionals, and the community.</li>
<li>Works under constant deadlines that require prioritizing tasks and the ability to work flexible hours.</li>
<li>Maintains a balance of objectivity and empathy for families living in stressful and crisis situations.</li>
<li>Attends and participates in training/meetings/staffings.</li>
<li>Performs other duties as assigned and required to maintain unit operations.</li>
<li>Promotes and demonstrates appropriate respect for cultural diversity and competency among coworkers and all work-related contacts.</li>
<li>Attends work regularly in accordance with agency leave policy.</li>
</ul>
<div><b>Knowledge, Skills and Abilities (KSAs):</b></div>
<ul>
<li>Knowledge of child development</li>
<li>Knowledge of family dynamics</li>
<li>Skill in effective verbal and written communication</li>
<li>Skill in establishing and maintaining effective working relationships</li>
<li>Skill in problem solving techniques</li>
</ul><ul><li>Ability to operate a personal computer</li>
<li>Ability to travel and attend child and family visits as well as other work related appointments and meetings after 5pm</li>
<li>Ability to be on call on a rotating basis and work irregular hours</li>
<li>Ability to work in an emotion-filled environment and which may require conducting home visits in isolated or high crime areas and may involve exposure to substandard and unsanitary living conditions</li>
</ul>
<div><b>Registrations, Licensure Requirements or Certifications:</b></div>
<div>
This position requires use of the applicant's personal motor vehicle to complete job functions.</div>
<div>
Applicants for positions must have a reliable motor vehicle and acceptable driving record for the past five years, and a current, valid Texas driver's license appropriate for the vehicle and passenger or cargo load. Applicants must provide proof of driving record, insurance and license.</div>
<div><b>
Initial Screening Criteria:</b></div>
<div>
Child Protective Investigations Specialist I: An accredited Bachelor's degree <b>OR</b> accredited Associate's degree plus two (2) years of relevant work experience <b>OR</b> 60 accredited college credit hours plus two (2) years relevant work experience <b>OR</b> 90 accredited college credit hours plus one (1) year of relevant work experience.</div>
<div>
Examples of relevant work experience in social, human, or protective services include paid or volunteer work within social service agencies or communities providing services to families or other at-risk populations.</div>
<div>
Child Protective Investigations Specialist II: An accredited Bachelor's degree <b>OR</b> accredited Associate's degree plus two (2) years of relevant work experience <b>OR</b> 60 accredited college credit hours plus two (2) years relevant work experience <b>OR</b> 90 accredited college credit hours plus one (1) year of relevant work experience. Examples of relevant work experience in social, human, or protective services include paid or volunteer work within social service agencies or communities providing services to families or other at-risk populations. Employed as a Child Protective Investigations Specialist I for 9 months AND have received Child Protective Services Specialist Certification OR currently employed as a Child Protective Investigations Specialist II or Child Protective Services Specialist II in Texas Department of Family and Protective Services OR previously employed as a Child Protective Investigations Specialist II or Child Protective Services</div>
<div>
Specialist II in Texas Department of Family and Protective Services.</div>
<div>
Child Investigations Specialist III: An accredited Bachelor's degree <b>OR</b> accredited Associate's degree plus two (2) years of relevant work experience <b>OR</b> 60 accredited college credit hours plus two (2) years relevant work experience <b>OR</b> 90 accredited college credit hours plus one (1) year of relevant work experience. Examples of relevant work experience in social, human, or protective services include paid or volunteer work within social service agencies or communities providing services to families or other at-risk populations. Employed as a Child Protective Investigations Specialist II for 9 months AND have received Advanced Child Protective Services Specialist Certification OR currently employed as a Child Protective Investigations Specialist III or Child Protective Services Specialist III in Texas Department of Family and Protective Services OR previously employed as a Child Protective Investigations Specialist III or Child Protective Services Specialist III in Texas Department of Family and Protective Services.</div>
<div>
Child Investigations Specialist IV: An accredited Bachelor's degree <b>OR</b> accredited Associate's degree plus two (2) years of relevant work experience <b>OR</b> 60 accredited college credit hours plus two (2) years relevant work experience <b>OR</b> 90 accredited college credit hours plus one (1) year of relevant work experience. Examples of relevant work experience in social, human, or protective services include paid or volunteer work within social service agencies or communities providing services to families or other at-risk populations. Employed as a Child Protective Investigations Specialist III for 24 months AND have received Senior Advanced Child Protective Services Specialist Certification OR currently employed as a Child Protective Investigations Specialist IV or Child Protective Services Specialist IV in Texas Department of Family and Protective Services OR previously employed as a Child Protective Investigations Specialist IV or Child Protective Services Specialist IV in Texas Department of Family and Protective Services.</div>
<div><b>
Preferred Criteria</b></div>
<ul>
<li>Degree in Social Work, Human Services (Psychology, Sociology, Child &amp; Family Studies, or Counseling), or Criminal Justice.</li>
<li>Prior work experience in human services, social work, mental health, legal, or criminal justice such as parole/probation or related fields.</li>
<li>Bilingual (English/Spanish) preferred.</li>
<li>Typing and writing proficiency or writing-related experience/education.</li>
</ul>
<div><b> </b><b>Additional Information:</b></div>
<div><b>
 </b>This position may be filled at any level from a Child Protective Investigations Specialist I to a Child Protective Investigations Specialist IV. Factors such as education and experience may be considered when establishing the starting salary.</div>
<div>
Applicants selected for this position are also eligible to receive a $416.66 monthly increase in addition to the base salary. Applicants hired into an investigative position will receive this increase the first of the month following 120 days of tenure. Once employed, the incumbent must remain in an investigative position to continue to receive the additional pay. If you leave Family Investigations or AR and return within the last 12-months, the INV stipend is given immediately. All other situations must wait the 120 days to receive the INV stipend.</div>
<div>
This position will be in a mobile unit which means the majority of the work will be conducted using mobile technology, such as a tablet, while away from the office. Being mobile requires working independently yet still being responsive to supervision and your assigned unit.</div>
<div>
Newly hired DFPS employees in eligible positions will be assigned a DFPS cellular phone.</div>
<div>
Learn about the essential COMPETENCIES required/acquired during the first few months of employment here: DFPS - CPS Practice Guides &amp; Core Competencies</div>
<div>
PHYSICAL REQUIREMENTS:</div>
<div>
These requirements are not exhaustive, and additional job related physical requirements may be added to these by individual agencies on an as needed basis. Corrective devices may be used to meet physical requirements. These are typical requirements; however, reasonable accommodations are possible.</div>
<div>
Physical Activities: He/she is frequently asked to stand, hear and talk; he/she is occasionally asked to climb.</div>
<div>
Physical Demands: The incumbent typically performs work that requires him/her to exert up to 20 pounds occasionally, and/or up to 10 pounds of force frequently, and/or a negligible amount of force constantly to move objects.</div>
<div>
Visual Requirements: The incumbent must be able to see objects clearly at 20 inches or less, and at 20 or more feet. In addition, he/she must be able to adjust his/her eyes to bring objects into focus, distinguish colors, see objects in his/her peripheral vision, and see objects in three dimensions.</div>
<div>
Working Conditions: He/she typically works in a mobile environment (the majority of work is performed outside of the office environment) and is exposed occasionally to adverse environmental conditions including, but not necessarily limited to, extreme heat, wetness and humidity, chemicals, close quarters, gases and heights.</div><br>
<p></p>
<p>
Review our Tips for Success when applying for jobs at DFPS, DSHS and HHSC.</p>
<p>
Military occupation(s) that relate to the initial selection criteria and registration or licensure requirements for this position may include, but not limited to those listed in this posting. All active-duty military, reservists, guardsmen, and veterans are encouraged to apply if qualified to fill this position. For more information please see the Texas State Auditor&rsquo;s Job Descriptions, Military Crosswalk and Military Crosswalk Guide at Texas State Auditor's Office - Job Descriptions. You may also contact the DFPS Military Liaison at dfpsmilvets@dfps.texas.gov with additional questions.</p>
<p>
Applicants selected for hire must pass a background check and if applicable a driver&rsquo;s record check.</p>
<p>
State of Texas employees are required to maintain the security and integrity of critical infrastructure as defined in Section 117.001(2), State of Texas Business and Commerce Code. Applicants selected for hire comply with this code by completing related training and abiding by agency cybersecurity and communications system usage policies.</p>
<p>
As a state agency, DFPS is required by Texas Administrative Code (TAC 206 and 213) to ensure all Electronic Information Resources (EIR) follow accessibility standards. The staff must be familiar with the WCAG 2.1 AA and Section 508 to create accessible content including but not limited to; Microsoft Office documents, Adobe PDFs, webpages, software, training guides, video, and audio files.</p>
<p>
DFPS uses E-Verify. You must bring your I-9 documentation with you on your first day of work. Employees must provide documentation to DFPS to show their identity and authorization to work in the US. Please review the following link for authorized documents: https://www.uscis.gov/i-9-central/form-i-9-acceptable-documents .</p>
<p>
In compliance with the Americans with Disabilities Act (ADA), HHS/DFPS agencies will provide reasonable accommodation during the hiring and selection process for qualified individuals with a disability. If you need assistance completing the on-line application, contact the HHS/DFPS Employee Service Center at 1-888-894-4747. If you are contacted for an interview and need accommodation to participate in the interview process, please notify the person scheduling the interview.</p><br>
</div></div></div></div><p><br>
<b>Nearest Major Market: </b>Houston</p></div>

CPI Investigation Worker Trainee

Senior Psych Care

<div><p><b>Senior PsychCare</b> has an immediate opportunity for a<b> Revenue Cycle Specialist II </b>to support our Billing Team in Houston.</p><p><b>
ABOUT US:</b></p><p>
Senior Psych Care provides fully integrative behavioral health services to the long-term care patient, at their facility. Services include individual, family, and group therapies, along with diagnostic evaluation and collaborative intervention between the therapy team and the psychiatric team.</p><p><b>
Job Description</b></p><p><b>
Revenue Cycle Specialist II</b> is responsible for processing follow-up actions on claims denied for eligibility-related reasons and responding to health plan correspondence. In this role, you would identify billing issues affecting the provider&rsquo;s claims and take necessary action to ensure timely and appropriate claim filing. In addition, perform follow-up activities and identifies reimbursement issues affecting these claims. The Revenue Cycle Specialist also takes necessary actions to insure accurate reimbursement and account resolution.</p><p><b>
Responsibilities :</b></p><ul><li>
Responsible for managing and maintaining a workload of approximately seventy (70) accounts or higher per day to ensure claim(s) resolution.</li><li>
Leverage knowledge of Medicare, state Medicaid, and local coverage determinations (LCD&rsquo;s) for claim resolution.</li><li>
Review and attach appropriate documentation to resolve denied claims and submit appeals.</li><li>
Call payers to determine the true reason for denial and inquire on what corrections need to be made.</li><li>
Follow-up with payers to ensure timely resolution of all outstanding claims, via phone, emails, fax or payer portals.</li><li>
Review underpayments and overpayments, work with management to prepare spreadsheet and summarize findings; escalate as appropriate.</li><li>
Prepare and submit denied claims targeted project files to payers, track reprocessing of project files.</li><li>
Identify problematic claim trends and contract violations and report findings to the Manager and Director.</li><li>
Contact insurers regarding recoupment payments, double debits, overpaid accounts, and missing checks; initiate dispute process as needed.</li><li>
Update insurance information in the system as necessary, initiate and support primary, secondary and tertiary billing.</li><li>
Perform other duties assigned by Revenue Cycle Manger.</li></ul><p><b><i>
This is a full-time, in-person opportunity. Our work week is from Monday-Friday 8am-5pm (NO WEEKENDS Required).</i></b></p><p><b>
Qualifications-Required Experience: 3+ years of recent Healthcare experience, specifically in a claims, Denials, billing, EOB and insurance verification.</b></p><ul><li><b>
Minimum 1+ years&rsquo; experience in Government Payor follow- up (Required)</b></li><li><b>
Ability to work independently and prioritize monthly workflow (Required)</b></li><li><b>
Knowledge of Medical Terminology, CPT Codes, HCPCS, Revenue Codes, Modifiers and Diagnosis Codes (Required)</b></li><li><b>
Payer portal and clearinghouse experience (Required)</b></li><li><b>
Ability to work independently and prioritize monthly workflow (Required)</b></li><li><b>
Mental Health experience (Preferred)</b></li></ul><p><b>
What we offer:</b></p><ul><li>
Paid Time Off and Paid Holidays</li><li>
Comprehensive benefits packages including Medical, Dental, Vision, 401k, Long Term and Short-Term Disability, Life Insurance</li><li>
Healthcare coverage available 1st day of the month following full-time employment.</li></ul><p><b><i><br>
All interested candidates are encouraged to apply. Apply today and START NEXT WEEK!!!</i></b></p></div>

Revenue Cycle Specialist II – Appeals and Denials

Onco360

<div><div>We are seeking a Pharmacy Adjudication Specialist at our Specialty pharmacy in<b> Houston, TX. </b>This will be a Full-Time position.<b> This position must be located within driving distance to our pharmacy, with a hybrid work style.</b></div>
<div></div><div>Onco360 Pharmacy is a unique oncology pharmacy model created to serve the needs of community, oncology and hematology physicians, patients, payers, and manufacturers.</div>
<div></div><div><b>Starting salary from $21.00 an hour and up</b></div>
<div></div><div>We offer a variety of benefits including:</div>
<ul><li>Medical; Dental; Vision</li>
<li>401k with a match</li>
<li>Paid Time Off and Paid Holidays</li>
<li>Tuition Reimbursement</li>
<li>Company paid benefits &ndash; life; and short and long-term disability</li>
</ul><div><b>Pharmacy Adjudication </b><b>Specialist Major Responsibilities:</b></div>
<div>The Pharmacy Adjudication Specialist will adjudicate pharmacy claims, review claim responses for accuracy. ensure prescription claims are adjudicated correctly according to the coordination of benefits, resolve any third-party rejections, obtain overrides if appropriate, and be responsible for patient outreach notification regarding any delay in medication delivery due to insurance claim rejections</div>
<div></div><div>Pharmacy Adjudication Specialists at Onco360...</div>
<ul><li>Practices first call resolution to help health care providers and patients with their pharmacy needs, answering questions and requests.</li>
<li>Provides thorough, accurate and timely responses to requests from pharmacy operations, providers and/or patients regarding active claims information..</li>
<li>Ensures complete and accurate patient setup in CPR+ system including patient demographic and insurance information.</li>
<li>Adjudicates pharmacy claims for prescriptions in active workflow for primary, secondary, and tertiary pharmacy plans and reviews claim responses for accuracy before accepting the claim.</li>
<li>Contacts insurance companies to resolve third-party rejections and ensures pharmacy claim rejections are resolved to allow for timely shipping of medications. Performs outreach calls to patients or providers to reschedule their medication deliveries if claim resolution cannot be completed by ship date and causes shipment delays</li>
<li>Ensures copay cards are only applied to claims for eligible patients based on set criteria such as insurance type (Government beneficiaries not eligible)</li>
<li>Manages all funding related adjudications and works as a liaison to Onco360 Advocate team.</li>
<li>Assists pharmacy team with all management of electronically adjudicated claims to ensure all prescription delivery assessments are reconciled and copay payments are charged prior to shipment.</li>
<li>Serves as customer service liaison to patients regarding financial responsibility prior to shipments, contacts patients to communicate any copay discrepancy between quoted amount and claim and collects payment if applicable.</li>
<li>Document and submit requests for Patient Refunds when appropriate.</li>
</ul><div>Pharmacy Adjudication Specialist Qualifications and Responsibilities...</div>
<div><ul><li>Education/Learning Experience
<ul><li>Required: High School Diploma or GED. Previous Experience in Pharmacy, Medical Billing, or Benefits Verification, Pharmacy Claims Adjudication</li>
<li>Desired: Associate degree or equivalent program from a 2 year program or technical school, Certified Pharmacy Technician, Specialty pharmacy experience</li>
</ul></li></ul><ul><li>Work Experience
<ul><li>Required: 1+ years experience in Pharmacy/Healthcare Setting or pharmacy claims experience</li>
<li>Desired: 3+ years experience in Pharmacy/Healthcare Setting or pharmacy claims experience</li>
</ul></li></ul><ul><li>Skills/Knowledge
<ul><li>Required: Pharmacy/NDC medication billing, Pharmacy claims resolution, PBM and Medical contracts, knowledge/understanding of Medicare, Medicaid, and commercial insurance, NCPDP claim rejection resolution, coordination of benefits, pharmacy or healthcare-related knowledge, knowledge of pharmacy terminology including sig codes, and Roman numerals, brand/generic names of medication, basic math and analytical skills, Intermediate typing/keyboarding skills</li>
<li>Desired: Knowledge of Foundation Funding, Specialty pharmacy experience</li>
</ul></li></ul><ul><li>Licenses/Certifications
<ul><li>Required: Registration with Board of Pharmacy as required by state law</li>
<li>Desired: Certified Pharmacy Technician (PTCB)</li>
</ul></li></ul><ul><li>Behavior Competencies
<ul><li>Required: Independent worker, good interpersonal skills, excellent verbal and written communications skills, ability to work independently, work efficiently to meet deadlines and be flexible, detail-oriented, great time-management skills</li></ul></li></ul></div></div>

Pharmacy Adjudication Specialist

<div>
 <strong>
  Job Summary And Responsibilities
  <br/>
  <br/>
 </strong>
 As a Coder, you will ensure precise communication with insurance companies so that services are documented correctly and payments are processed efficiently.
 <br/>
 <br/>
 Every day you will accurately translate patients&rsquo; medical records into standardized codes for diagnoses and treatments. Using your expertise and training, you will ensure compliance with legal, regulatory, and organizational standards.
 <br/>
 <br/>
 To be successful in this role, you must combine accuracy and attention to detail with a strong knowledge of coding standards and healthcare regulations. Clear communication with providers and staff, along with efficient management of records, ensures claims are processed correctly and on time.
 <br/>
 <br/>
 <ul>
  <li>
   The Coder I is responsible for abstracting and assigning valid CPT ICD-9/10 and HCPCS codes to ensure appropriate reimbursement in accordance with federal state and private health plans as well as organization and regulatory guidance. This roles typically responsible for less complex coding with oversight.
  </li>
  <li>
   Accurately abstracts information from the service documentation assigns and sequences appropriate CPT ICD-9/10 and HCPCScodes into the appropriate billing systems ensuring compliance with established guidelines.
  </li>
  <li>
   Communicates professionally with providers practice management and other stake holders either verbally or in writing.
  </li>
  <li>
   Responsible for working encounters in the coding work queue or task lists in a timely manner.
  </li>
  <li>
   Meets or exceeds organizational coding production and quality standards.
  </li>
  <li>
   Understands and applies regulatory changes and stays current with coding updates for example NCCI and MUE edits.
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  Required
  <br/>
  <br/>
 </strong>
 <strong>
  Job Requirements
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   High School Graduate General Studies and 1-3 years One (1) year of physician coding experience, upon hire or
  </li>
  <li>
   High School GED General Studies and 1-3 years One (1) year of physician coding experience, upon hire and
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  Preferred
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Previous Electronic Health Record experience, upon hire
  </li>
  <li>
   Certified Coding Specialist, upon hire or
  </li>
  <li>
   Certified Coding Specialist - Physician Based, upon hire or
  </li>
  <li>
   Certified Professional Coder, upon hire
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  Where You'll Work
  <br/>
  <br/>
 </strong>
 CommonSpirit Health was formed by the alignment of Catholic Health Initiatives (CHI) and Dignity Health. With more than 700 care sites across the U.S. &amp; from clinics and hospitals to home-based care and virtual care services CommonSpirit is accessible to nearly one out of every four U.S. residents. Our world needs compassion like never before. Our communities need caring and our families need protection. With our combined resources CommonSpirit is committed to building healthy communities advocating for those who are poor and vulnerable and innovating how and where healing can happen both inside our hospitals and out in the community.
 <br/>
 <br/>
 <strong>
  Pay Range
  <br/>
  <br/>
 </strong>
 $24.15 - $34.12 /hour
</div>


Coder I - Clinic

<div><div><b>Are you someone looking for professional career growth? </b>Onco360 Pharmacy is looking for <b>Pharmacy Benefit Verification Specialists</b> for our Pharmacy located in <b>Houston, TX.</b></div>
<div></div><div><div><b>Work Hours: Monday-Friday shifts available; </b><b>some weekends as needed.</b></div><br>
<div></div>
</div><div></div><div><b>**Starting salary at $24.00/hr and up** </b>We also offer quarterly incentive bonuses.</div><br>
<div></div>
<div></div><div><div>We offer a variety of benefits including:</div>
<div></div><ul><li>Medical, Dental &amp; Vision insurance</li>
<li>401k with a match</li>
<li>Paid Time Off and Paid Holidays</li>
<li>Tuition Reimbursement</li>
<li>Paid Volunteer Day</li>
<li>Floating Holiday</li>
<li>Referral Incentive</li>
<li>Paid Life, and short &amp; long-term disability insurance</li>
</ul>
</div><div></div><div><div><b>Pharmacy </b><b>Benefit Verification</b><b> Summary</b></div>
<div>The Benefit Verification Specialist will investigate, review, and load accurate patient insurances, including medical and pharmacy coverage, assign coordination of benefits, run test claims to obtain a valid insurance response on patient medications, investigate/identify authorization requirements needed to obtain medication coverage, and enroll eligible patients in copay card assistance programs. They will ensure accurate benefit documentation is made for all prescription orders.</div>
<div></div><div><b>Pharmacy </b><b>Benefit Verification</b><b> Specialist Major Responsibilities:</b></div>
<ul><li>Practices first call resolution to help health care providers and patients with their pharmacy needs, answering questions and requests.</li>
<li>Provides thorough, accurate and timely responses to requests from pharmacy operations, providers and/or patients regarding benefit information.</li>
<li>Ensures complete and accurate patient setup in CPR+ system including patient demographic and insurance information.</li>
<li>Performs full benefits verification on patients for pharmacy benefits and/or medical benefit utilizing electronic resources and E1 check to load primary, secondary, tertiary, etc. insurances and medical insurances to patient profile.</li>
<li>Run test claims at each licensed pharmacy site to obtain a valid claim response and determine optimal reimbursement, then document outcome of benefits review in CPR+ system to be used by operations and ensure the order is assigned to the appropriate dispensing pharmacy.</li>
<li>Facilitate process for requesting medical authorizations, LOAs, and TOAs for applicable commercial, Medicaid, and Medicare, or facility medication claims.</li>
<li>Maintain a safe and clean pharmacy by complying with procedures, rules, and regulations and compliance with professional practice and patient confidentiality laws</li>
<li>Contributes to team effort by accomplishing related tasks as needed and other duties as assigned.</li>
<li>Conducts job responsibilities in accordance with the standards set out in the Company&rsquo;s Code of Business Conduct and Ethics, its policies and procedures, the Corporate Compliance Agreement, applicable federal and state laws, and applicable professional standards.</li>
</ul><div><b>Pharmacy </b><b>Benefit Verification</b><b> Specialist Qualifications:</b></div>
</div><ul><li>Education/Learning Experience
<ul><li>Required: High School Diploma or GED. Previous Experience in Pharmacy, Medical Billing, or Benefits Verification</li>
<li>Desired: Associate degree or equivalent program from a 2 year program or technical school, Certified Pharmacy Technician (PTCB), Specialty pharmacy experience</li>
</ul></li><li>Work Experience
<ul><li>Required: 1+ years pharmacy or benefit verification experience</li>
<li>Desired: 3+ years pharmacy or benefit verification experience</li>
</ul></li><li>Skills/Knowledge:
<ul><li>Required: Pharmacy insurance and benefit verification, PBM and Medical contracts, knowledge/understanding of Medicare, Medicaid, and commercial insurance, pharmacy test claim and NCPDP claim rejection resolution, coordination of benefits, NDC medication billing, pharmacy or healthcare-related knowledge, knowledge of pharmacy terminology including sig codes, and Roman numerals, brand/generic names of medication, basic math and analytical skills, Intermediate typing/keyboarding skills.</li>
</ul></li><li>Behavior Competencies
<ul><li>Required: Independent worker, good interpersonal skills, excellent verbal and written communications skills, ability to work independently, work efficiently to meet deadlines and be flexible, detail-oriented, great time-management skill</li>
</ul></li></ul><div>Onco360 is a Closed door specialty pharmacy that focuses on patients who are currently undergoing cancer treatment. Our patients are important to us, so we always strive to meet and exceed their needs. We are seeking <b>Pharmacy Benefit Verification Specialists</b> who go above and beyond for our patients, and also passionate about helping others.</div></div><div></div>

Pharmacy Benefits Verification Specialist

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