Prov Cardiopulmonary Perfusion Jobs in Texas

Skills / Knowledge / Abilities

Does this position have supervisory responsibilities?

1-2 years of direct experience monitoring and interpreting cardiac physiological data preferred.

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Required 2 years Managed care, provider data configuration, and/or claims processing with preferred TX Medicaid experience

A bachelor's degree may substitute for the required work experience.

Performs provider configuration in adherence to business rules.

Maintains thorough and precise documentation for tracking all provider changes and/or issues for audit purposes.

Identifies claims impacted by configuration changes done in the system and sends reports to the claims administration department for reprocessing.

Handles fluctuating volumes of work and prioritizes work to meet deadlines and needs of the Health Plan.

Senior Youth Detention Worker, prov.

Human Services (Children’s Detention Center)

Graduation from high school or possession of an equivalency diploma plus EITHER:

(B) Successful completion of thirty (30) college semester credit hours; OR,