Pharmacy Claims Adjudication Specialist Onco360Pharmacy Claims Adjudication SpecialistHouston, TexasSkills/Knowledge 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. 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 Pharmacy Adjudication Specialists at Onco360.
AR Resolution Specialist Corps TeamAR Resolution SpecialistHouston, TX$19.31–$20 / hourThis role investigates past-due invoices, corrects billing discrepancies, coordinates issue resolution, and partners with internal collectors to ensure timely payment with outstanding unpaid invoices. Works directly with customers, Sales, Operations, and collections teams to identify and resolve issues preventing invoice payment.
Risk Adjustment Coding Specialist II - Houston Astrana Health, Inc.Risk Adjustment Coding Specialist II - HoustonHouston, Texas$66,000–$78,000 / yearPerform code abstraction and/or coding quality audits of medical records to ensure ICD-10- CM codes are accurately assigned and supported by clinical documentation to ensure adherence with CMS Risk Adjustment guidelines. Maintain current knowledge of coding regulations, compliance guidelines, and updates to the ICD-10 and HCC codes, Stay informed about changes in Medicare, Medicaid, and private payer requirements.
Medical Biller & Coder Woodlands Primary HealthcareMedical Biller & CoderSpring, TexasRemoteWoodlands Primary Healthcare is seeking an experienced Medical Biller and Coder to join our growing family medicine practice. Our family medicine practice combines the personalized attention of concierge-level medicine with the convenience of using your existing medical benefits.
Accounts Receivable Manager Gryphon HealthcareAccounts Receivable ManagerHouston, TexasActively collaborate with RCM operations to analyze reimbursement from all sources, including carrier reimbursement exception reporting, unbilled analysis and follow up pending claims analysis and denials management, billing activity for monthly financial reporting. The Accounts Receivable (AR) Manager will lead and manage a team of AR Specialists who are responsible for submitting claims, appeals of denied claims and working with commercial insurance carriers to ensure prompt payment.
NewRetinal Camera Operator - Eye Exam Specialist GuidehealthRetinal Camera Operator - Eye Exam SpecialistHouston, TXRemoteWorking in a field-based role, traveling to provider practices and patient homes for scheduled eye exam appointments, while engaging virtually with team members, internal partners, customers, providers, payers, and care teams on non-appointment days. Success in this role requires comfort operating specialized retinal imaging equipment (full training and camera provided), strong attention to detail, and a willingness to travel daily to provider practices for scheduled eye exam appointments.
Lead Bilingual Eligibility Specialist - Montrose Allen Parkway Legacy Community HealthLead Bilingual Eligibility Specialist - Montrose Allen ParkwayHouston, TXWhether improving patient outcomes, streamlining processes, or stepping up in times of need, we are always striving to drive healthy change—within ourselves, our teams, and the communities we serve. As the largest Federally Qualified Health Center (FQHC) in Southeast Texas, Legacy Community Health has been delivering comprehensive, high-quality, and affordable health care for nearly 40 years.
Bilingual Eligibility Specialist - Montrose Clinic Legacy Community HealthBilingual Eligibility Specialist - Montrose ClinicHouston, TXWhether improving patient outcomes, streamlining processes, or stepping up in times of need, we are always striving to drive healthy change—within ourselves, our teams, and the communities we serve. As the largest Federally Qualified Health Center (FQHC) in Southeast Texas, Legacy Community Health has been delivering comprehensive, high-quality, and affordable health care for nearly 40 years.
Bilingual Eligibility Specialist - Gulfton Dashwood Legacy Community HealthBilingual Eligibility Specialist - Gulfton DashwoodHouston, TXWhether improving patient outcomes, streamlining processes, or stepping up in times of need, we are always striving to drive healthy change—within ourselves, our teams, and the communities we serve. As the largest Federally Qualified Health Center (FQHC) in Southeast Texas, Legacy Community Health has been delivering comprehensive, high-quality, and affordable health care for nearly 40 years.
Bilingual Eligibility Specialist - Third Cleburne Legacy Community HealthBilingual Eligibility Specialist - Third CleburneHouston, TXWhether improving patient outcomes, streamlining processes, or stepping up in times of need, we are always striving to drive healthy change—within ourselves, our teams, and the communities we serve. As the largest Federally Qualified Health Center (FQHC) in Southeast Texas, Legacy Community Health has been delivering comprehensive, high-quality, and affordable health care for nearly 40 years.
Experienced Personal Injury Paralegal Daniels & Tredennick PLLCExperienced Personal Injury ParalegalHouston, TXFull timeIn this role, you will assist attorneys through all phases of personal injury litigation, including case intake, medical records review, drafting pleadings and discovery, coordinating treatment documentation, communicating with clients, and preparing cases for settlement or trial. The ideal candidate will have a strong background supporting attorneys in personal injury matters, exceptional organizational skills, and the ability to manage a high-volume caseload with attention to detail and professionalism.
NewSpecialist, Records Houston Community CollegeSpecialist, RecordsHouston, TXHouston Community College (HCC) is composed of 14 Centers of Excellence and numerous satellite centers that serve the diverse communities in the Greater Houston area by preparing individuals to live and work in an increasingly international and technological society. The Records Specialist coordinates and maintains all Continuing Education and Corporate Training related courses per class to ensure proper compliance with internal and external agency procedures for all non-credit courses.
Associate, Process Manager Capital OneAssociate, Process ManagerHouston, TexasNetwork & Gateway Fee Auditing: Review, reconcile, and audit complex monthly invoices from payment gateways, acquiring banks, and card networks (interchange fees, assessment fees, gateway processing fees). In this role, you will be responsible for tracking, auditing, and processing complex transaction fee structures from major card networks (Visa, Mastercard) and payment gateways (e.g., Stripe, Adyen, Authorize.net).
Operations Specialist Crane Cartage LLCOperations SpecialistHouston, TXPart timeCommunicate with clients regarding disposition of Freight (i.e. tracking & tracing, routing & dispatching, and rate quotations). Wellness Incentives that can go up to $100 per year for completing challenges, in addition to a discount on contribution rates.
Clinic Director HealthSource ChiropracticClinic DirectorCypress, TexasAccess ongoing support and join a community of chiropractors, rehab specialists, billing specialist, and front desk specialists to enhance your skills and advance your career. Be a part of the ever-growing team focused on blending personalized and customized chiropractic and wellness care– in order to provide each patient with a unique treatment care plan!
Associate Chiropractor HealthSource ChiropracticAssociate ChiropractorConroe, TexasWe are a fast-paced, upbeat Chiropractic and Progressive Rehab clinic dedicated to helping patients get out of pain and back to doing what they love through chiropractic, progressive rehab, spinal decompression, sports therapy, laser therapy, massage, orthotics, nutrition, and wellness products. We practice a variety of therapeutic modalities including chiropractic, progressive rehab, spinal decompression, Class IV laser therapy, nutritional support, and custom orthotics; all with the focus of providing better patient outcomes.
A/R Specialist GpacA/R SpecialistHouston, TX25–35This position will be responsible for managing day-to-day accounts receivable functions, supporting accurate and timely billing and collections, and assisting with general administrative responsibilities as needed. The right person will be comfortable following up on outstanding invoices, researching discrepancies, communicating across departments, and keeping accounts organized and current.
NewMobile Integrated Health Paramedic Allegiance Mobile HealthMobile Integrated Health ParamedicHouston, TXObtain thorough medical history, advanced assessments and medication reconciliationMaster and perform advanced Point-of-Care DiagnosticsAdminister IV/IM medications and perform proper blood collectionResponds to emergency and non-emergency calls 24 hours per day, drive a variety of emergency vehicles in all road conditions including inclement weather, dense traffic, and rural off-road settings. SUMMARY:Mobile Integrated Health Paramedics work under the supervision and oversight of an EMS Physician and/or designee, providing off-line and online medical direction via clinical operating guidelines and telemedicine consultation.
Medical Payments Poster Gryphon HealthcareMedical Payments PosterHouston, TexasEDUCATION REQUIREMENTS High School Diploma Medical Billing Certification preferred EXPERIENCE REQUIREMENTS 2 years medical payments posting SPECIAL KNOWLEDGE, SKILLS AND ABILITIES REQUIRED Strong experience with all major insurance carriers including in network/out of network services Knowledge of medical billing and collection practices Knowledge of understanding and interpreting insurance Explanation of Benefits Knowledge of basic medical coding and third-party operating procedures and practices Experience posting insurance, patient, EFT, ACH, check, and credit-card payments Maintains confidentiality of patient data and medical records in compliance with HIPAA guidelines and regulations EMR, EDI and Commercial Insurance Company systems Detail oriented and accurate data entry skills Strong organizational skills and the ability to prioritize workload Must be able to work well in a team environment Strong Microsoft suite experience, advanced in excel Basic computer literacy including keyboarding skills, ability to utilize Outlook, and the ability to navigate in a Windows environment Must be able to write and speak effectively in English Bi-lingual is helpful but not required WORKING ENVIRONMENT Ability to work in a fast-paced, high volume and dynamic environment. Teamwork - Balances team and individual responsibilities; Exhibits objectivity and openness to others' views; Gives and welcomes feedback; Contributes to building a positive team spirit; Puts success of team above own interests; Able to build morale and group commitments to goals and objectives; Supports everyone's efforts to succeed.
Healthcare Collections Specialist Firstsource SolutionsHealthcare Collections SpecialistLa Porte, TXDaily commitment and agree to remain up to date with all aspects of the collection laws and company compliance requirements to ensure that all steps are taken while working with patients is in full compliance and within the regulations of the Fair Debt Collection Practices Act (FDCPA). Work virtually in a highly incented environment; contests and incentives are run weekly to ensure that all Collectors are motivated to work closely with patients and collect available monies.