Provider Success Manager - Dallas-Fort Worth, Texas Clover Health Investments CorpProvider Success Manager - Dallas-Fort Worth, TexasDallas-Fort Worth, TXRemote$107,700–$140,000 / yearSupport Provider Recruitment Activities as Product SME: Partner with CA GTM team to execute a provider onboarding and training best practices, with a focus on devising strong in-office workflows and working closely with practices (including clinical + non-clinical staff) to drive effective adoption of the platform. Proven ability to build collaborative relationships with clinicians and staff to drive operational change, and to translate operational data into actionable performance metrics and scorecards that help primary care physicians achieve improved clinical and financial outcomes.
Associate, Payment Integrity IBR Oscar HealthAssociate, Payment Integrity IBRDallas, TXRemote$82,717–$108,566 / yearThis is accomplished by leveraging a deep understanding of Oscar's claim infrastructure, workflows, workflow tooling, platform logic, data models, etc., to work cross-functionally to understand and translate friction from stakeholders into actionable opportunities for improvement. Proactively identify and document potential billing errors, including duplicate billing of items, services, or procedures as improper unbundling of services (e.g., separating components that should be billed together) and charges for non-covered or non-rendered services.
Charge Analysis Associate Sunrise GroupCharge Analysis AssociateDallas, TX$55,000–$60,000 / yearThe Charge Analysis Associate owns the front end of the claim lifecycle for the billing team — daily charge and coding audits, clean claim submission, and resolving claim system/clearinghouse rejections before they become timely-filing problems. This is one of the highest-leverage roles on the billing team: errors here cascade into the AR and denial-management workload for the rest of the team, while getting it right keeps claims moving cleanly from submission to payment.
Independent Dispute Resolution (IDR) Claims/OON Specialist Exceptional Healthcare Inc.Independent Dispute Resolution (IDR) Claims/OON SpecialistDallas, TXRequires visual acuity to inspect and analyze work close to the eyes and ability to hear sound with or without correction; Ability to climb, stoop, kneel, reach, stand, walk pull, push lift, and able to exert up to 40 pounds of force occasionally and/or up to 10 pounds of force constantly to move objects. As an IDR Representative, you will be responsible for managing disputes between healthcare providers and insurers, determining the appropriate payment amounts for out-of-network services, and working to resolve disputes efficiently and effectively.
TPR Finance Manager - Remote based in the US Tenet Healthcare CorpTPR Finance Manager - Remote based in the USDallas, TXRemote$100,000–$150,000 / yearThe ideal candidate needs to have the following: Preferably has advanced understanding of wRVU principles and concepts, physician reimbursement, accounts payable management, coding, physician practice key indicators and MGMA benchmarks. The month-end financial close responsibilities include managing the process with TPR and Global Business Center accounting teams to ensure the monthly financial statements are accurate, timely, and complete.
Outpatient Facility Auditor UnitedHealth Group IncOutpatient Facility AuditorDallas, TX$28.94–$51.63 / hourThe fraudulent LinkedIn messages and emails, which do not originate from any Executives LinkedIn account or of UnitedHealth Group's email domains, or those of any of its operating divisions, supposedly conducts an interview via a Zoom meeting, offers a work from home job at Optum, emails an application, sends a fake check by next day delivery through USPS and asks recipients to pay a vendor a large dollar amount. Requisition number: 2353481 Job category: Claims Primary location: Dallas, TX Additional locations: Phoenix, Arizona | Hartford, Connecticut | Tampa, Florida | Minneapolis, Minnesota Date posted: 04/21/2026 Overtime status: Non-exempt Travel: No.
Senior Consultant - Clinical Documentation Specialist Deloitte Touche Tohmatsu LtdSenior Consultant - Clinical Documentation SpecialistDallas, TX$110,700–$218,300 / yearOther skills include the ability to analyze, act and design action plans upon monthly and quarterly reports related to individual providers, facilities, MS-DRGs, APR, PSIs, severity of illness and risk of mortality, capture rates, quality metrics and can effectively prioritize their work activities. Clinical Payments Optimization: Assisting clients by validating that payments for clinical healthcare services comply with regulatory, clinical based evidence and contractual requirements while also determining that payments are appropriate for the type and level of care provided.
First Party Medical Claims Adjuster Gainsco IncFirst Party Medical Claims AdjusterRichardson, TXAs a First Party Medical Claims Adjuster to process first-party medical claims across multiple states, ensuring accurate and timely payments in accordance with company guidelines. You'll review medical bills and supporting documentation, respond to customer/provider inquiries, and help customers understand benefits and next steps throughout the medical claims process.
A/R Insurance Specialist Texas OncologyA/R Insurance SpecialistRichardson, TexasTexas Oncology is the largest community oncology provider in the country and has approximately 530 providers in 280+ sites across Texas, our founders pioneered community-based cancer care because they believed in making the best available cancer care accessible to all communities, allowing people to fight cancer at home with the critical support of family and friends nearby. Demonstrates positive interpersonal relations in dealing with fellow employees, supervisors, physicians, patients as well as outside contacts so that productivity and positive employee/patient relations are maximized.
Insurance Specialist II Texas OncologyInsurance Specialist IIRichardson, TexasTexas Oncology is the largest community oncology provider in the country and has approximately 530 providers in 280+ sites across Texas, our founders pioneered community-based cancer care because they believed in making the best available cancer care accessible to all communities, allowing people to fight cancer at home with the critical support of family and friends nearby. Demonstrates positive interpersonal relations in dealing with fellow employees, supervisors, physicians, patients as well as outside contacts so that productivity and positive employee/patient relations are maximized.
Facility Clinical Investigator \- Fort Worth On Time Talent SolutionsFacility Clinical Investigator \- Fort WorthFort Worth, TexasRHIT (registered health information technician), RHIA (registered health information administrator), CDIP (certified documentation improvement practitioner) OR current certified facility in - patient coder. Performs clinical coding review to ensure accuracy of medical coding and utilizes clinical expertise and judgment to determine correct coding and billing.
Medical Auditor - Remote YO AI LabsMedical Auditor - RemoteDallas, TXRemoteWe are seeking experienced Medical Auditors to contribute their specialized expertise to an innovative healthcare AI project. This opportunity is ideal for professionals with strong experience in outpatient professional fee coding, auditing, and academic medical center environments.
Medical Claim Review Nurse Integrated Resources, IncMedical Claim Review NurseDallas, TXRemoteRequired Years of Experience: · Requires a minimum of 2 years of experience in inpatient payment integrity medical claim review including DRG Validation or Itemized Bill Review, including 2 years’ experience working with ICD-10, MS-DRG, AP-DRG and APR-DRG, CPT, HCPCS; or any combination of education and experience, which would provide an equivalent background. Clinical Validation Reviewer: Performs focused clinical reviews of inpatient and outpatient claims to verify that coded diagnoses, procedures, revenue codes, and corresponding reimbursement methodologies accurately reflect the patient’s documented clinical condition, services rendered, and billed charges.
Director of Billing \/ Revenue Cycle \- Fort Worth On Time Talent SolutionsDirector of Billing \/ Revenue Cycle \- Fort WorthFort Worth, TexasThe Director of Revenue Cycle and Billing is an integral member of the leadership team and is responsible for the overall performance of the centralized business operations. Assist in identifying, recommending, and implementing operational changes that will improve service, productivity, quality, and/or financial performance of the organization.
NewFront Desk Float Texas Health Care PLLCFront Desk FloatFort Worth, TXAdditionally, you will be responsible for maintaining accurate patient records and traveling between various office locations to support patient and physician needs. In this role, your key responsibilities will include greeting patients, managing the check-in process, scheduling appointments, and handling phone communications.
Charge Master Analyst Sutter HealthCharge Master AnalystDallas, TX$106,745.60–$160,118.40 / yearPosition Overview: Serves as a subject matter expert for Charge Description Master (CDM) regulatory requirements and guidelines and payer contractual obligations in order to ensure CDM line items are aligned with current billing, coding regulations, guidelines, and contractual obligations. Maintains the CDM data elements (billing description, Current Procedural Terminology/Healthcare Procedure Coding System codes, revenue codes for Inpatient/Outpatient and appropriate modifiers) in the CDM software.
Senior Administrative Associate & Optometric Technician Eyes NowSenior Administrative Associate & Optometric TechnicianDallas, TX$18–$21 / hourThe ideal candidate for this role is someone that genuinely enjoys engaging in conversations with people, has the ability to connect with the patients, provides exceptional care, exhibits strong leadership skills, and builds strong relationships with not only the patients and staff, but with our partners. Patient Experience Management, and Marketing Administration - includes collaborating with marketing services to ensure the quality and completeness of marketing efforts; and ensuring the quality of patient experience as tracked by patient feedback.
Patient Financial Counselor Fulgent Genetics IncPatient Financial CounselorCoppell, TXSearch firms or agencies without an applicable contract and/or express approval to recruit for the role in question - that choose to submit a resume or client information to our career page or to any employee of Fulgent - will not be eligible for payment of any fee(s), and any associated shared data will become the property of Fulgent. Reviews physician referrals for completeness and accuracy, ensuring the referral includes required patient information, diagnosis code, type of service, physician signature, date and authorization number; Faxes referral to referring physician if information is incomplete.
Medical Coder - Remote YO AI LabsMedical Coder - RemoteDallas, TXRemoteWe are seeking experienced Medical Coders to contribute their healthcare coding expertise to an innovative project focused on improving next-generation AI systems. In this role, you will review and annotate medical records, evaluate coding accuracy, and provide expert feedback to support the development of high-quality medical datasets.
Medical Authorization Specialist Enovis CorpMedical Authorization SpecialistDallas, TXWe know that the power to create better - for our customers, our team members, and our shareholders - begins with having the best team, pursuing common goals, operating at the highest levels, and delivering extraordinary outcomes. Enovis Corporation (NYSE: ENOV) is an innovation-driven medical technology growth company dedicated to developing clinically differentiated solutions that generate measurably better patient outcomes and transform workflows.