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.
Coder Ernest HealthCoderMesquite, TexasFull timeOur hospitals are located in Arizona, California, Colorado, Idaho, Indiana, Montana, New Mexico, Ohio, South Carolina, Texas, Utah, Wisconsin, and Wyoming. Ernest Health hospitals provide specialized medical and rehabilitative services to patients recovering from disabilities caused by injuries or illnesses, or from chronic or complex medical conditions.
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.
NewRemote Patient Services Rep, PSR MMC GroupRemote Patient Services Rep, PSRFrisco, TXRemote$18 / hourWe are seeking an experienced Patient Services Representative, PSR , to provide advanced 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 Patient Access Services, PAS MMC GroupRemote Patient Access Services, 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.
Charge Master Analyst Sutter HealthCharge Master AnalystDallas, TX$106,745.60–$160,118.40 / yearPosition Overview: Serves as a subject matter expert for Charge Description Master (CDM) regulatory requirements and guidelines and payer contractual obligations in order to ensure CDM line items are aligned with current billing, coding regulations, guidelines, and contractual obligations. Maintains the CDM data elements (billing description, Current Procedural Terminology/Healthcare Procedure Coding System codes, revenue codes for Inpatient/Outpatient and appropriate modifiers) in the CDM software.
Senior Administrative Associate & Optometric Technician Eyes NowSenior Administrative Associate & Optometric TechnicianDallas, TX$18–$21 / hourThe ideal candidate for this role is someone that genuinely enjoys engaging in conversations with people, has the ability to connect with the patients, provides exceptional care, exhibits strong leadership skills, and builds strong relationships with not only the patients and staff, but with our partners. Patient Experience Management, and Marketing Administration - includes collaborating with marketing services to ensure the quality and completeness of marketing efforts; and ensuring the quality of patient experience as tracked by patient feedback.
Medical Office Manager Salma Mazhar MD PAMedical Office ManagerMesquite, TXFull timeInternal Medicine Primary care office in Mesquite is looking to hire a dynamic individual that wants an exciting role within a growing medical practice. Ensures staffing is appropriate for day-to-day operations working alongside the medical director.
Medical Coder - Remote YO AI LabsMedical Coder - RemoteDallas, TXRemoteWe are seeking experienced Medical Coders to contribute their healthcare coding expertise to an innovative project focused on improving next-generation AI systems. In this role, you will review and annotate medical records, evaluate coding accuracy, and provide expert feedback to support the development of high-quality medical datasets.
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.
NewMedical Authorization Specialist EnovisMedical Authorization SpecialistUSA, TXWe know that the power to create better - for our customers, our team members, and our shareholders - begins with having the best team, pursuing common goals, operating at the highest levels, and delivering extraordinary outcomes. Enovis Corporation (NYSE: ENOV) is an innovation-driven medical technology growth company dedicated to developing clinically differentiated solutions that generate measurably better patient outcomes and transform workflows.
NewMedical Authorization Specialist Enovis CorpMedical Authorization SpecialistDallas, TXWe know that the power to create better - for our customers, our team members, and our shareholders - begins with having the best team, pursuing common goals, operating at the highest levels, and delivering extraordinary outcomes. Enovis Corporation (NYSE: ENOV) is an innovation-driven medical technology growth company dedicated to developing clinically differentiated solutions that generate measurably better patient outcomes and transform workflows.
NewClinical Provider Auditor II - Payment Integrity SIU Elevance Health IncClinical Provider Auditor II - Payment Integrity SIUGrand Prairie, TX$58,400–$107,740 / yearMinimum Requirements: Requires a AA/AS and minimum of 3 years medical coding/auditing experience, including minimum of 1 year in fraud, waste abuse experience; or any combination of education and experience, which would provide an equivalent background. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
Remote Medical Billing Specialist TRC Talent SolutionsRemote Medical Billing SpecialistDallas, TXRemote$18–$22 / hourTemporaryIf you thrive in a fast-paced environment, enjoy problem solving, and have experience working insurance denials and unpaid claims, we'd love to hear from you. Our team partners with healthcare providers and hospital organizations to deliver revenue cycle and accounts receivable support services.
Coder 2 MMG - Cardiology Coder Methodist Health SystemCoder 2 MMG - Cardiology CoderDallas, TexasRemoteRead and interpret medical record documentation in support of surgical procedures, office encounters, diagnostic and pathological services and assign accurate and complete CPT®, HCPCS and ICD-10 codes, as well as modifiers and units to the source document for claim submission. This work queues contain charges that require a coder’s astute and detailed review to determine accuracy of assigned codes, missing codes, the need for modifiers and other coding-related deficiencies.
Collections Specialist - Revenue Cycle Management Vital Care Infusion ServicesCollections Specialist - Revenue Cycle ManagementDallas, TexasRemoteAnalyze denials, identify trends, and recommend process improvement opportunities that will result in DSO reduction, superior collection rate, intervals reduced bad debt and simplified processes that are responsive to the requirements of specific payers. Required Skills/Abilities: Excellent communications skills; listening, speaking, understanding, and writing English while influencing patients, caregivers, payer representatives, and others, answering questions, and advancing reimbursement and collection efforts.
Inpatient DRG Reviewer Zelis Healthcare, Inc.Inpatient DRG ReviewerTX$79,000–$99,750 / yearWhere the regrouped 'new DRG' differs from what was originally claimed by the provider, write a customer facing 'rationale' or 'findings' statement, highlighting the problems found and justifying the revised choices of new codes and DRG, based on the clinical evidence obtained during the review. This is a place for builders with a growth mindset who act with agility, embrace change, and use modern technology to shape smarter solutions, exceptional experiences, and the future of our industry for our clients, customers, and our culture.
Bilingual Referral Coordinator - Contract RPC CompanyBilingual Referral Coordinator - ContractDallas, TX$18–$19 / hourThe ideal candidate will possess strong organizational skills, medical office experience, and a comprehensive understanding of healthcare processes, including managed care and medical coding. Immediate Bilingual Referral Coordinator needing 1 year healthcare office, medical admin & referral management experience required onsite in Dallas, TX.
NewPatient Financial Advocate Firstsource Solutions LtdPatient Financial AdvocateDallas, TXThe Patient Financial Advocate is responsible for screening patients on-site at hospitals for eligibility assistance programs either bedside or in the ER. Essential Duties and Responsibilities: Review the hospital census or utilize established referral method to identify self-pay patients consistently throughout the day.
NewDepartmental Charge Specialist Parkland HospitalDepartmental Charge SpecialistTXStays abreast of the latest developments, advancements, and trends in the field by attending seminars/workshops, reading professional journals, actively participating in professional organizations, and/or maintaining certification or licensure. Assists in the management/reconciliation of patient accounts with charge discrepancies by researching issues and working with Patient Financial Services (PFS) to make account adjustments in a timely manner.