Medical Collections Specialist SCP HealthMedical Collections SpecialistDallas, TexasWith a portfolio of over 8 million patients, 7500 providers, 30 states, and 400 healthcare facilities, SCP Health is a leader in clinical practice management spanning the entire continuum of care, including emergency medicine, hospital medicine, wellness, telemedicine, intensive care, and ambulatory care. Identify the root cause of the non-payment and resolve the claim denial issue, including coding and billing errors, documentation issues and compliance discrepancies.
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.
Intake Specialist - Revenue Cycle Management Vital Care Infusion ServicesIntake Specialist - Revenue Cycle ManagementDallas, TexasRemoteRequired Skills/Abilities: Excellent communication skills: listening, speaking, understanding, and writing English while influencing patients, caregivers, and payer representatives, answering questions, and advancing reimbursement and collection efforts. Obtain prior authorizations; initiate requests, follow up to provide the additional required information, track progress, expedite responses from insurance carriers and other payers, and maintain contact with customers to keep them continuously informed.
NewProvider Enrolment Specialist Macpower Digital Assets Edge Private LimitedProvider Enrolment SpecialistIrving, TX$20–$24.13 / hourPrepares and submits applications to Medicare and Medicaid for new provider enrollments and existing provider updates; follows up by telephone or in writing with carriers regarding application status. 3+ years of experience required in Medicare and Medicaid enrollment/re-enrollment and managed care credentialing and contracting processes for providers.
NewEnrollment Specialist - Seasonal OneShare HealthEnrollment Specialist - SeasonalIrving, TexasAreas of Accountability / Main Activities/ Expected Results: Area No. 1: Sales Main Activities: Receive inbound and outbound phone calls from potential members on a national level who are interested in joining OSH programs. OneShare Health, LLC based in Irving, Texas, is a growing community founded with the purpose to help individuals who share a common set of ethical and religious beliefs to voluntarily share medical expenses in accordance with those beliefs and demonstrate the love of God to the entire community.
A/R Collections Specialist KidsCare Home HealthA/R Collections SpecialistDallas, TexasFull timeIn this role, you’ll play a key part in ensuring accurate claims processing, tackling denials, managing resubmissions, and driving successful collections for home health services across multiple payer sources. Communicate with payers to track and resolve balances, correct and reprocess claims, and appeal discrepancies.
NewAssociate, 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.
Patient Service Specialist - Medical Front Office Baylor Scott & White Institute for Rehabilitation - OutpatientPatient Service Specialist - Medical Front OfficeGrapevine, Texas$18–$25 / hourWe process referrals, schedule patients complete the intake process & data entry, insurance verification, authorizations and review of benefits with patients, copay collection, arriving and scheduling patients, billing reports, closing report and other task as needed. We strive to provide our employees with a solid work-life balance, as we understand that happy employees have both fulfilling careers and fulfilling lives beyond our doors.
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.
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.
NewInsurance Specialist (Hospital Accounts & EPIC) CorroHealthInsurance Specialist (Hospital Accounts & EPIC)Plano, TexasRemoteThe Insurance Specialist will be required to have extensive experience using Epic, hospital systems, and keen analytical skills to evaluate appropriate next steps to bring aged account receivables to resolution. The Insurance Specialist will be responsible to ensure cash recovery goals are met and assigned hospital receivables are appropriately addressed according to company, client and federal guidelines ESSENTIAL DUTIES AND RESPONSIBILITIES:
NewAR Specialist 2 - Hybrid Position Methodist Health SystemAR Specialist 2 - Hybrid PositionDallas, TexasNamed one of the fastest-growing health systems in America by Modern Healthcare , Methodist has a network of 12 hospitals (through ownership and affiliation) with nationally recognized medical services, such as a Level I Trauma Center, multi-organ transplantation, Level III Neonatal Intensive Care, neurosurgery, robotic surgical programs, oncology, gastroenterology, and orthopedics, among others. Named one of the fastest-growing health systems in America by Modern Healthcare, Methodist has a network of 12 hospitals (through ownership and affiliation) with nationally recognized medical services, such as a Level I Trauma Center, multi-organ transplantation, Level III Neonatal Intensive Care, neurosurgery, robotic surgical programs, oncology, gastroenterology, and orthopedics, among others.
AR II Specialist - Hybrid Position Methodist Health SystemAR II Specialist - Hybrid PositionDallas, TexasNamed one of the fastest-growing health systems in America by Modern Healthcare , Methodist has a network of 12 hospitals (through ownership and affiliation) with nationally recognized medical services, such as a Level I Trauma Center, multi-organ transplantation, Level III Neonatal Intensive Care, neurosurgery, robotic surgical programs, oncology, gastroenterology, and orthopedics, among others. Named one of the fastest-growing health systems in America by Modern Healthcare, Methodist has a network of 12 hospitals (through ownership and affiliation) with nationally recognized medical services, such as a Level I Trauma Center, multi-organ transplantation, Level III Neonatal Intensive Care, neurosurgery, robotic surgical programs, oncology, gastroenterology, and orthopedics, among others.
Accounts Receivable Specialist Royal ElectricAccounts Receivable SpecialistDallas, TX$27–$30 / hourAt Royal Electric Company we provide expert electrical design, construction, and service with builders, contractors and facility owners who value relationships, trust, expertise, and a commitment to each other towards achieving exceptional results. Flex Spending Accounts: Healthcare, Dependent care (Daycare children & elderly – work related), & Transit.
Refund Specialist (Credit Balance Reconciliation) RPC CompanyRefund Specialist (Credit Balance Reconciliation)Dallas, TX$20–$22 / hourAward-winning Radiology clinic hiring a full-time Refund Specialist at our Dallas, TX 75231 location off Walnut Hill Lane to handle the timely & thorough reconciliation of line-item credit balances. Maintain a high level of accuracy and efficiency regarding data input & account balance determinations while achieving minimum goal of 50 (fifty) account reviews daily.
Senior Compliance Auditor - RN Elara CaringSenior Compliance Auditor - RNDallas, TexasAttends audit findings calls, as needed, and assists in the development of corrective action plans, ensuring implementation of corrective actions in a timely fashion including corrective actions relating to internal compliance reviews, oversight audits and regulatory audits. Escalates and reports serious compliance, billing, or other business risks timely to the Director of Compliance Audit and Governmental Review and other functional leadership by demonstrating the ability to exercise good independent judgment in assessing the significance and relevance of identified issues.
Project Manager Moss UtilitiesProject ManagerDallas, TXThe Project Manager ensures budgets are met, schedules stay on track, materials are procured, subcontractors are coordinated, risks are managed, and all regulatory requirements are satisfied. Founded in 2016, Moss Utilities carries forward a family legacy in Dallas-Fort Worth utility construction dating back to the early 1900s.
NewCharge 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.
Payment Poster Specialist I RPC CompanyPayment Poster Specialist IDallas, TX$23–$25 / hourAward-winning Dental organization with an opportunity for experienced Payment Posting Specialists of 2+ years to join our team onsite in Dallas, TX 75251 to process payments, post to patient accounts, recognize & identify patterns in insurance payments, and contact insurance companies for resolution. Identify patterns of over payments and bring them to the attention of appropriate supervisory personnel; identify billing errors, inaccurate payments, posting errors and resolve accordingly.