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.
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.
Specialist, Appeals & Grievances (Must live in TX and Medicaid experience) Molina Healthcare IncSpecialist, Appeals & Grievances (Must live in TX and Medicaid experience)Dallas, TXRequests and reviews medical records, notes, and/or detailed bills as appropriate; formulates conclusions per protocol and other business partners to determine response; assures timeliness and appropriateness of responses per state, federal and Molina guidelines. Facilitates comprehensive research and resolution of appeals, disputes, grievances, and/or complaints from Molina members, providers, and related outside agencies to ensure that internal and/or regulatory timelines are met.
NewPatient Financial Specialist - Financial Services CHRISTUS HealthPatient Financial Specialist - Financial ServicesIrving, TXActs as liaison between external vendors and Revenue Cycle departments to monitor external vendor activities and ensures accounts placed for collection are received timely and acknowledged as received by the vendor. Audits all vendor remittances and ensures all fees billed to CHRISTUS Health are in accordance with the contract and include supporting documentation of payments posted to the account on the patient accounting systems.
Collections Specialist Greenberg TraurigCollections SpecialistDallas, TexasResponsible for daily functions of collection efforts, including inventory review, regular consultation with the Billing Attorneys to review issues related to A/R and determine best strategy for collection. Familiarity with, or willingness to learn, firm-approved AI tools (e.g., Copilot, ChatGPT, or similar platforms) to support daily workflow and/or improve work quality.
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.
Revenue Cycle Collections Specialist Behavioral InnovationsRevenue Cycle Collections SpecialistPlano, TexasFull timeResponsibilities include, but are not limited to: addressing payer denials, zero payments, submitting corrected claims, providing medical records, locating missing payments, initiating claim appeals, correcting posting errors, processing claim adjustments and write-offs, resolving credit balances, navigating payer and clearinghouse portals, and managing payer correspondence. For more than 25 years , Behavioral Innovations (BI) has been a leading provider committed to transforming lives by providing compassionate, center-based Applied Behavioral Analysis (ABA) therapy for children with autism , ages 18 months to 10 years.
Patient Service Specialist Baylor Scott & White Institute for Rehabilitation - OutpatientPatient Service SpecialistDallas, Texas$18–$25 / hourWe 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. Verifies patient insurance, obtaining required authorizations before patient visit and explains benefits, financial responsibilities, billing, and outpatient policies.
Patient Service Specialist - Float Baylor Scott & White Institute for Rehabilitation - OutpatientPatient Service Specialist - FloatDallas, 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. Compensation depends upon candidate’s years of experience and internal equity.
Benefit Verification Specialist - DFW Urology Partners of North TexasBenefit Verification Specialist - DFWArlington, TXIn this dynamic position, you’ll handle essential day-to-day administrative functions such as patient registration, insurance verification, prior authorizations, and managing key tasks like scanning, faxing, and financial reconciliation of deductibles, copayments, and coinsurance. Accurately utilizes cost estimate technology to create cost estimates for services and communicates estimated costs to patients and other affected parties.
NewCredentialing Specialist Behavioral InnovationsCredentialing SpecialistPlano, TexasFull timeSince 2000, Behavioral Innovations (BI) has been a leading provider committed to transforming lives by providing compassionate, center-based Applied Behavioral Analysis (ABA) therapy for children with autism , ages 18 months to 10 years. Minimum of 3 years of direct experience managing provider credentialing and enrollment processes within a healthcare environment, including payer enrollment, recredentialing, and compliance with applicable regulatory requirements.
NewSenior Compliance Auditor Elara CaringSenior Compliance AuditorDallas, 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.
Manager - Arbitration Operations MaximusManager - Arbitration OperationsDallas, TXFull timeMaximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. - Frequent interaction with subordinate employees, customers, and/or functional peer group managers, normally involving matters between functional areas, other company divisions or units, or customers and the company.
Provider Research & Resolution Specialist - Remote NTT DATAProvider Research & Resolution Specialist - RemoteDallas, TXRemote2+ years of experience in a role requiring analysis, critical thinking, independent research, with the ability to investigate issues and resolve discrepancies in complex information (Strong attention to detail and accuracy) . Our services include business and technology consulting, data and artificial intelligence, industry solutions, as well as the development, implementation and management of applications, infrastructure, and connectivity.
Data Entry Specialist (Dental Insurance Verification) Dentalogic IncData Entry Specialist (Dental Insurance Verification)Denton, TX$16–$16.50 / hourYou'll be pulling insurance plan information from carrier portals and entering it accurately into practice management software so that dental offices and their patients have what they need before treatment happens. We handle insurance verification, billing, and PPO optimization for dental practices across the country, and we're looking to add a detail-oriented Data Entry Specialist to our verification team.
NewCorrespondence Escalation Specialist Ventra Health, Inc.Correspondence Escalation SpecialistFort Worth, TexasFull timeFocused on Revenue Cycle Management, Ventra partners with private practices, hospitals, health systems, and ambulatory surgery centers to deliver transparent and data-driven solutions that solve the most complex revenue and reimbursement issues, enabling clinicians to focus on providing outstanding care to their patients and communities. Please be aware that there have been reports of individuals falsely claiming to represent Ventra Health or one of our affiliated entities Ventra Health Private Limited and Ventra Health Global Services.
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.
Senior Clinical Research Finance Specialist Iterative HealthSenior Clinical Research Finance SpecialistSouthlake, TX$85,000–$105,000 / yearThe Senior Clinical Research Finance Specialist is a critical member of Iterative Health's growing Finance team, partnering closely with the Research Finance Manager to own end-to-end accounts receivable operations across sponsor-funded clinical studies and internal research sites. We built a leading performance-driven network of 100+ sites across the US, Europe, India, and Australia, conducting research directly in the communities where care is delivered across gastrointestinal, hepatology, obesity, and cardiology.