Clinical Manager- Payment Integrity SmartLight AnalyticsClinical Manager- Payment IntegrityPLANO, TXFull timeThis role evaluates payment integrity processes as it relates to carrier reimbursements, supports operational decision‑making, ensures quality and compliance, and partners with internal and external stakeholders to improve outcomes, efficiency, and experience. The Manager of Payment Integrity uses clinical knowledge, data insights, and process thinking to guide program strategy, resolve escalations, and support continuous improvement across the organization.
NewAppeals Manager - AI Trainer MercorAppeals Manager - AI TrainerDallas, TexasRemote$70–$93 / hourDeep knowledge of CARC/RARC denial codes, payer denial patterns, and appeal strategies across commercial, Medicare, and Medicaid payers. 5+ years of experience in denials management, appeals, or revenue cycle operations, with at least 2 years in a management role.
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.
Radiation Oncology Coder Outpatient Speciality Sutter HealthRadiation Oncology Coder Outpatient SpecialityDallas, TX$47.58–$66.60 / hourTotal compensation considers multiple factors, including, but not limited to a candidate's experience, education, skills, licensure, certifications, departmental equity, training, and organizational needs. Accurately assigns ICD-10 diagnosis and CPT procedure codes for outpatient specialty services in the hospital or office setting.
Senior Consultant, Revenue Cycle Alvarez & Marsal Healthcare Industry Group, LLCSenior Consultant, Revenue CycleDallas, TXFull timeRevenue cycle projects may include, but are not limited to: due diligences, performance assessments, enterprise performance improvement, full-scale implementations, and interim management for a broad range of healthcare providers and supporting services companies. Working as a partner to our clients by building consultative relationships you will develop an in-depth understanding of the client's processes, financial positions, and key operational performance drivers in order to surface and address key issues, from the big picture to the smallest details.
Home Health Coder II HCA HealthcareHome Health Coder IIDallas, TXMaintain accurate and timely review of OASIS time points and all related interdisciplinary documentation via the workflow in electronic medical record (EMR) for timely OASIS locks and submission to Center for Medicare and Medicaid Services (CMS). Addresses edits from Strategic Healthcare Programs (SHP) alerts, and SHP reports for specific outcomes, adverse events and utilization reports in conjunction with Quality Support Specialist (QSS) and/or Team Lead.
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.
Manager, US Market Access LivaNovaManager, US Market AccessDallas, TX$110,000–$160,000 / yearA major focus of this role involves supporting and educating providers on billing and coding and engaging commercial and governmental payers of healthcare in the US for comprehensive coverage and adequate payment of LivaNova technologies and procedures. POSITION RESPONSIBILITIES: Support advocacy efforts with commercial and governmental payers for a defined region or assigned payers on the coverage and payment adequacy of LivaNova associated procedures and technologies.
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.
Clinical Review Auditor I CorVel Healthcare CorporationClinical Review Auditor IFort Worth, TXRemote$70,143–$107,253 / yearPart timePay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role.
Director, Revenue, Finance & Accounting Operations (SaaS/TPRM) Aravo Solutions, Inc.Director, Revenue, Finance & Accounting Operations (SaaS/TPRM)Irving, TXOperating in a lean SaaS environment, this leader is expected to use enterprise-approved ChatGPT, Codex, workflow automation, and data tools to improve speed, quality, scalability, and decision support while preserving human judgment, confidentiality, auditability, and internal control. Aravo Solutions, Inc., provides leading third-party risk management (TPRM), ESG, and vendor lifecycle management solutions powered by intelligent automation software and designed to meet the needs of TPRM teams at Global 2000 enterprises.
Team Lead - Healthcare - Hospital PFS GuidehouseTeam Lead - Healthcare - Hospital PFSLewisville, Texas$59,000–$98,000 / yearCompensation decisions depend on a wide range of factors, including but not limited to skill sets, experience and training, security clearances, licensure and certifications, and other business and organizational needs. The Team Lead will and may work closely with their team, project supervisors, operations managers, and the client to work on opportunities with new and emerging approaches to our clients’ business processes.
Business Office Rep Full Time Redbird Surgery CenterBusiness Office Rep Full TimeDallas, TXFull timeVisual and auditory acuity and manual dexterity essential to performing designated duties required: optimal auditory acuity required; manual dexterity involving the handling of equipment and computers is essential to performing assigned duties. The Business Office employee, under the supervision of the Business Office Manager or Director of Business Operations, is responsible for the financial success of the facility in regards to revenue cycle management.
Palliative Care Nurse Practitioner- PPV CompassusPalliative Care Nurse Practitioner- PPVDallas, TXThe Nurse Practitioner, if providing hospice care, functions as an extension of the interdisciplinary team (IDT) and hospice physician to provide routine recertification and emergency assessments, educational, and evaluative services to meet the needs of patients and their families. If providing Hospice Face to Face Visits: Performs routine and emergency assessments: Completes routine and emergency recertification visits on each patient entering their 3rd benefit period or beyond (including admissions and transfers).
Senior Consultant - Clinical Documentation Specialist Deloitte Touche Tohmatsu LtdSenior Consultant - Clinical Documentation SpecialistDallas, TX$110,700–$218,300 / yearOther skills include the ability to analyze, act and design action plans upon monthly and quarterly reports related to individual providers, facilities, MS-DRGs, APR, PSIs, severity of illness and risk of mortality, capture rates, quality metrics and can effectively prioritize their work activities. Clinical Payments Optimization: Assisting clients by validating that payments for clinical healthcare services comply with regulatory, clinical based evidence and contractual requirements while also determining that payments are appropriate for the type and level of care provided.
Revenue Cycle Supervisor Plano Orthopedic & Sports Medicine CenterRevenue Cycle SupervisorPlano, TexasThe Revenue Cycle Supervisor works closely with the Revenue Cycle Manager to support departmental goals while promoting exceptional customer service, regulatory compliance, and operational excellence. The Revenue Cycle Supervisor is responsible for the daily supervision and coordination of the medical billing team to ensure accurate, timely, and efficient revenue cycle operations.
NewMgr, Rev Cycle Analytics/Int Cook Children's Health Care SystemMgr, Rev Cycle Analytics/IntFort Worth, TexasDevelop best practices for reporting and other analytics to identify opportunities or problems, process improvements, and other system changes; Assist as needed in ongoing review and process audits including compliance with third party and Government payors, proper coding, billing and denials. Work closely with Compliance Office and provides expertise to leadership and analysts in developing on-going analytic tools including ad-hoc queries and reports for members of the Revenue Cycle and Finance teams.
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.
Patient Financial Representative Senior - Financial Services CHRISTUS HealthPatient Financial Representative Senior - Financial ServicesIrving, TXProvide continuous updates and information to the PFS Leadership Team regarding errors, issues, and trends related to activities affecting productivity, reimbursement, payment delays, and/or patient experience. Monitor and performs cash reconciliation to identify cash posting errors and ensures all receipts are applied and reconciles to daily bank deposit and monthly bank statements.
NewPatient Financial Rep Senior - Financial Services CHRISTUS HealthPatient Financial Rep Senior - Financial ServicesIrving, TXProvide continuous updates and information to the PFS Leadership Team regarding errors, issues, and trends related to activities affecting productivity, reimbursement, payment delays, and/or patient experience. Monitor and performs cash reconciliation to identify cash posting errors and ensures all receipts are applied and reconciles to daily bank deposit and monthly bank statements.