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.
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.
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.
NewRemote Patient Access Specialist, PAS MMC GroupRemote Patient Access Specialist, PASFrisco, TXRemote$18 / hourIf you have experience with patient access, insurance benefits, medical claims, prior authorizations, reimbursement, or healthcare customer service and are looking for an opportunity to work remotely while helping patients navigate complex healthcare processes, we want to hear from you. Because this position handles patient-sensitive information and requires frequent communication with patients and healthcare professionals, candidates should have a professional, quiet, and distraction-controlled workspace appropriate for handling confidential healthcare-related conversations.
Reimbursement Supervisor STONEBRIDGE INDEPENDENT COUNELING CENTERReimbursement SupervisorMcKinney, TXFull timeThis role oversees a team of specialists to ensure accurate claim submissions, payment collections, compliance with payer and regulatory requirements, and timely resolution of billing issues. The Reimbursement Manager also plays a key role in training, workflow optimization, and payer communication to ensure the financial health of the organization.
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.
Collections Specialist Surgery PartnersCollections SpecialistMckinney, TXContact patients, insurance companies, and third-party payers to collect overdue balances via phone, email, or written correspondence. QUALIFICATIONS: High school diploma or GED required; Associate degree in Accounting, Business, or Healthcare Administration preferred.
NewRemote Patient Access Services, PAS MMC GroupRemote Patient Access Services, PASFrisco, TXRemoteIf you have experience with patient access, insurance benefits, medical claims, prior authorizations, reimbursement, or healthcare customer service and are looking for an opportunity to work remotely while helping patients navigate complex healthcare processes, we want to hear from you. Because this position handles patient-sensitive information and requires frequent communication with patients and healthcare professionals, candidates should have a professional, quiet, and distraction-controlled workspace appropriate for handling confidential healthcare-related conversations.
Patient Service Specialist - Medical Front Office Baylor Scott & White Institute for Rehabilitation - OutpatientPatient Service Specialist - Medical Front OfficeFlower Mound, Texas$18–$25 / hourWe process referrals, schedule patients complete the intake process, data entry, insurance verification, authorizations, review of benefits with patients, copay collection, arriving and scheduling patients, billing reports, closing report and other task as needed. Must be flexible with hours and willing to help cover surrounding clinics if needed .
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.
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.
Temp - Administrative - Collector (Days) Dallas, TX ThreePDS IncTemp - Administrative - Collector (Days) Dallas, TXDallas, TX$23–$25 / hourThis position will help gather required documentation, update account information, communicate with patients and insurance carriers, and support the timely collection of outstanding balances. They communicate professionally with patients and payors, follow through on assigned tasks, and understand the importance of accuracy and timely updates within the collections process.
NewPatient Services Representative, PSR REMOTE MMC GroupPatient Services Representative, PSR REMOTEFrisco, TXRemote$18 / hourWe are seeking an experienced Patient Services Representative, PSR to provide high-level support to patients, healthcare providers, and caregivers participating in manufacturer-sponsored patient support programs. Throughout the past 35+ years, MMC, one of the most trusted names in workforce management services, has successfully delivered strategic solutions to large and small businesses in numerous industries.
NewPatient Services Rep (PSR) Remote MMC GroupPatient Services Rep (PSR) RemoteFrisco, TNRemote$18 / hourWe are seeking an experienced Patient Services Representative, PSR to provide high-level support to patients, healthcare providers, and caregivers participating in manufacturer-sponsored patient support programs. Throughout the past 35+ years, MMC, one of the most trusted names in workforce management services, has successfully delivered strategic solutions to large and small businesses in numerous industries.
Manager, Medicaid Financial Operations Capital Senior Living, IncManager, Medicaid Financial OperationsDallas, TX$85,500–$120,000 / yearPart timeThe Company operates 165 communities that are home to nearly 12,000 residents across 35 states providing comfortable, safe, affordable communities where residents can form friendships, enjoy new experiences and receive personalized care from dedicated team members who treat them family. The ideal candidate brings deep knowledge of state-specific Medicaid policy and a track record of managing provider enrollment, contracting, and regulatory compliance in a multi-site healthcare or senior living setting.
NewRemote Benefits Verification Specialist, BVS MMC GroupRemote Benefits Verification Specialist, BVSFrisco, TXRemote$17 / hourIn this remote role, you will communicate directly with insurance companies to obtain patient-specific benefit information, accurately document coverage details, and help identify potential barriers that could delay patient access to services. Because this role involves frequent communication with insurance companies and handling patient-related information, candidates should also have a professional, quiet, and distraction-controlled workspace suitable for confidential healthcare-related work.
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.