NewBilling & GA staff BTI SolutionsBilling & GA staffGrand Prairie, TexasExcellent presentation, communication, and organizational skills including effective written and verbal communication skills to communicate with various levels of the organization. Check with vendors for new invoices, keeping track of what day of each month each vendors sends in the invoices.
Billing Analyst (Richardson, TX) ARGOBilling Analyst (Richardson, TX)Richardson, TXARGO transforms business processes for financial service providers and healthcare organizations using proven business models and software innovation informed by real customer challenges, breakthrough technology, and rich analytics. EXPECTED WORK AND PERFORMANCE (ESSENTIAL FUNCTIONS) Prepare and compile final invoice packages for all billable projects, including necessary documentation for Finance Manager approval.
Credit Balance Resolution Specialist (Refunds/Overpayments) | Contract - Dallas, TX RPC CompanyCredit Balance Resolution Specialist (Refunds/Overpayments) | Contract - Dallas, TXFarmers Branch, TX$25 / hourAward-winning healthcare organization seeking an experienced Credit Balance Specialist in Medicare healthcare insurance/refunds of at least 2 years, to monitor credits, assist with overpayments on claims and insurance refunds, utilizing knowledge of government insurance, AR, credit, remittances, EOBs, and Medicare & Medicaid insurance guidelines. REQUIRED EXPERIENCE: Minimum of 2 years in a medical billing environment working with c laims, billing, & payment posting .
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.
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.
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.
NewPatient Service Specialist Medical Front Office Select Medical CorpPatient Service Specialist Medical Front OfficePlano, TX$19–$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 reports and other tasks as needed. Benefits of becoming a Patient Service Specialist with us: 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.
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.
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.
NewPatient Service Specialist - Medical Front Office Baylor Scott & White Institute for Rehabilitation - OutpatientPatient Service Specialist - Medical Front OfficePlano, Texas$19–$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 reports and other tasks 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.
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.
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.
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.
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.
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.
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.