First Party Medical Claims Adjuster Gainsco IncFirst Party Medical Claims AdjusterRichardson, TXAs a First Party Medical Claims Adjuster to process first-party medical claims across multiple states, ensuring accurate and timely payments in accordance with company guidelines. You'll review medical bills and supporting documentation, respond to customer/provider inquiries, and help customers understand benefits and next steps throughout the medical claims process.
Home Health Billing Specialist Reliant at HomeHome Health Billing SpecialistPlano, TXJoin Reliant at Home's winning culture - named on the Fortune Best Workplaces for Aging Services in the USA in 2020 (#10), 2022 (#15), and 2023 (#11) and a certified Great Place to Work 2020, 2021, 2022, 2023, 2024, 2025, and 2026! About Reliant at Home Reliant at Home is a multi-site Home Health, Hospice, Caregivers, and Rehab company with 14 locations in Texas – including five Hospice locations (Fort Worth, Plano, Teague, The Woodlands, and San Antonio).
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.
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.
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.
Medical Auditor - Remote YO AI LabsMedical Auditor - RemoteDallas, TXRemoteWe are seeking experienced Medical Auditors to contribute their specialized expertise to an innovative healthcare AI project. This opportunity is ideal for professionals with strong experience in outpatient professional fee coding, auditing, and academic medical center environments.
Medical Office Manager General AccountsMedical Office ManagerMesquite, TexasFull Job Description Medical Office Manager Internal 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 Promotes excellent customer service by all levels of the staff.
Remote 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.
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.
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.
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 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.
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.
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.
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.
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.
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.