Temp - Administrative - Credentialing Specialist (Days) Dallas, TX ThreePDS IncTemp - Administrative - Credentialing Specialist (Days) Dallas, TXDallas, TXRemoteParkland Community Health Plan s (PCHP s) Credentialing Analyst supports the credentialing program that implements federal, state and local regulatory and NCQA accreditation requirements. Administrates reports in external database portals & analyze data, confirm accuracy, and present to internal department.
Temp - Administrative - Credentialing Specialist (Days) Dallas, TX IMCS Group IncTemp - Administrative - Credentialing Specialist (Days) Dallas, TXDallas, TXRemoteStays 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. Parkland Community Health Plan s (PCHP s) Credentialing Analyst supports the credentialing program that implements federal, state and local regulatory and NCQA accreditation requirements.
Account Resolutions Specialist, Collections Wheeler Staffing PartnersAccount Resolutions Specialist, CollectionsDallas, CARemoteThe ideal candidate has prior collections experience within a credit union environment, strong organizational skills, and the ability to manage multiple priorities while maintaining a high level of accuracy and professionalism. Wheeler Staffing Partners is seeking a detail-oriented Account Resolution Specialist to support consumer and real estate loan servicing operations.
Patient Accounts Specialist Emergicon LLCPatient Accounts SpecialistTerrell, TX$17–$18 / hourThis role handles patient and vendor inquiries related to insurance billing and account balances, provides clear and professional communication to resolve payment concerns, and maintains accurate documentation of all interactions and account activity. This position is responsible for managing patient accounts, including negotiating payment plans and supporting the timely collection of outstanding balances.
Accounts Receivable Specialist Cherry CoatingsAccounts Receivable SpecialistDallas, TexasPurpose of the Role The Accounts Receivable Specialist plays a critical role in the full accounts receivable cycle, including project billing, cash application, collections, and customer account management. Our strong emphasis on high-quality service and client satisfaction has made us the select partner for general contractors, property management firms, and facility managers.
Remote Medical Biller SYDIERA Healthcare StaffingRemote Medical BillerDallas, TexasRemoteQualified candidates without prior medical billing experience may be considered for additional training and development opportunities designed to help them build the skills needed for success in the field. This opportunity is open to both experienced medical billing professionals and individuals looking to enter the field and develop new skills.
Reconsideration Specialist ConcentraReconsideration SpecialistAddison, TexasThe Central Billing Office (CBO) Reconsideration Specialist performs a variety of basic tasks to moderately complex tasks to effectively process various billing adjustments and reconsideration payments according to Concentra and Central Billing Office policies and procedures. Ability to make decisions or solve problems by using logic to identify key facts, explore alternatives, and propose quality solutions.
NewPrior Authorization & Insurance Verification Specialist Rose InternationalPrior Authorization & Insurance Verification SpecialistPlano, Texas$20–$21 / hourTemporaryIn addition, this position will provide in-servicing to new patient providers surrounding the pre-authorization process • Responsible for managing multiple cases simultaneously within specific time frames • Follow all policies and procedures related to performing the job role adhering to all data use, storage and privacy policies as outlined by Client • Verify benefits, complete authorization requests promptly • Timely follow up for requested authorizations • For each procedure, audit required clinical documents for completeness and accuracy • Obtain authorization for the facility, equipment and physician to perform various procedures from the insurance carrier • Work with key provider contacts to obtain required clinical information for authorizations • Work with respective carrier's utilization review department to obtain appropriate authorizations • Work within established guidelines when necessary to process appeal for denied requests • Train patients and their designated providers on pre-authorization processes and requirements, in person or by phone • Work individually and in a team environment to educate assigned Field Territory Managers and Clinical Specialists. • Experience in medical device or DME Billing a plus • Proficient with Microsoft Office (Word & Excel specifically) • Medical billing software experience a plus • Knowledge of current CPT codes and familiarity with ICD-10CM (diagnosis coding) • Ability to accurately meet required time frames/deadlines • Ability to work as a team player and share workloads with other team members • Excellent verbal and written communication skills • Ability to train/present concepts to others.
Director Revenue Cycle Management Vital Care Infusion ServicesDirector Revenue Cycle ManagementDallas, TexasJob Summary: Perform functions to manage the reimbursement activities of multiple infusion and specialty pharmacy business units, focusing on account management, authorizations, intake, billing, collections, payment posting, and medical records. Income protection programs include company-sponsored basic life insurance and long-term disability insurance, as well as employee-paid voluntary life, accident, critical illness, and short-term disability insurance.
Patient Account Representative FT (In Person) Exceptional Healthcare Inc.Patient Account Representative FT (In Person)Dallas, TXFull timeWe are on the cutting edge of the micro hospital trend in health care, a combination of ER, diagnostic and inpatient services that brings large health care services to the communities it serves. Your responsibilities will span the entire account lifecycle - from processing claims and collecting payments to resolving issues and addressing patient inquiries with empathy and clarity.
Multichannel Member Support Specialist SmithRxMultichannel Member Support SpecialistPlano, TXOur mission is to disrupt the expensive and inefficient Pharmacy Benefit Management (PBM) sector by building a next-generation drug acquisition platform driven by cutting-edge technology, innovative cost-saving tools, and best-in-class customer service. What will you do: Answer inbound calls and make outbound phone calls to and from members, physicians, and pharmacies while delivering a world-class member experience.
NewRevenue Management Supervisor Enhabit Home Health & HospiceRevenue Management SupervisorDallas, TexasFull timeReview claims in the attention required list in eSolutions – home health / hospice claims editor and home health/hospice analytic to identify claim related problems with payor and/or HCHB. Overview: The revenue management supervisor provides guidance, instruction, direction, and leadership to the billing and collections reimbursement team.
Coding Specialist Chesapeake Regional HealthcareCoding SpecialistDallas, TexasThe Coding Specialist is responsible for accurately assigning and sequencing ICD diagnostic and procedural codes and/or CPT procedural codes to inpatient and outpatient records. Abstract medical data from the record to complete a discharge abstract on each inpatient, ambulatory surgery, emergency room, outpatient, and ancillary visit, completing and verifying diagnostic and demographic information.
Accounts Receivable Specialist (SaaS) Aravo Solutions, Inc.Accounts Receivable Specialist (SaaS)Irving, TXAravo 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. Trusted by millions of third-party users in 195+ countries, Aravo provides guidance for the most complex third-party networks in the world, helping them mitigate risk, build business resilience, and protect their reputations.
MBR Client Support Injury Management Organization, IncMBR Client SupportPlano, TXFull timeKnowledge and skills required for the position are:Excellent oral and written communication skillsProficient with Microsoft Suite of programsMedical terminologyCPT and ICD-10 codesHCPCS codesCommonly used concepts and practices in workers' compensation medical bill review preferred10-key by touchAre you ready for an exciting opportunity? For over three decades our goal has been to provide industry leading customer service to our industry partners and their injured employees - a goal that has allowed IMO to grow from Texas into multiple other states including Arkansas, Florida, Illinois, Colorado, Louisiana, Oklahoma, Arizona, and New Mexico.
Compliance Manager DozeeCompliance ManagerDallas, TexasVideos Science Behind Dozee: Ballistocardiography & Artificial Intelligence 100 Dozee deliver 144 life saving alerts and INR 2.7 Cr of saving- Sattva Study Dozee saves life of a mother at home Leading Healthcare Game changers work with Dozee Introducing Dozee VS Dozee Shravan- A clinical grade RPM service Dozee in News: Bloomberg- Oct 21, 2024 From AI Beds to Remote ICUs, Startups are plugging India's health Gaps News18- Oct 26, 2024 Now, You Can Remotely Monitor Your Loved Ones in Hospital With Bengaluru Start-Up's 'Shravan' Analytics India Magazine- Oct 29, 2024 Dozee Harness AI for Personalised Patient Care ET HealthWorld- Sep 16, 2024 We trust AI everyday- From Google Maps to Smartphones, So why not use it to enhance patient safety in healthcare? As a part of our dynamic team, you’ll have the opportunity to collaborate with top healthcare providers in the country, applying AI-powered RPM solutions to tackle some of the most pressing challenges in healthcare - enhancing staff efficiency, improving patient outcomes, and pioneering the next generation of care models Position Summary: The Compliance Manager is responsible for building, executing, and continuously improving Dozee'shealthcare compliance program across all regulatory domains — Medicare RPM billing, HIPAA privacy andsecurity, FDA device compliance, and Anti-Kickback Statute adherence.
Analyst, ROC Product PDS HealthAnalyst, ROC ProductIrving, Texas$59,000–$75,000 / yearFull timeOverview: The Analyst, ROC Product is responsible for supporting the ROC team through obtaining, analyzing and communicating information that provides insight in the development of new products. Analyze and communicate key insights for existing projects and act as a thought leader and subject matter expert for specific business problems.
Patient Account Specialist United Surgical Partners InternationalPatient Account SpecialistDallas, TXUnder the direction of the Director of Business Office or Revenue Cycle Management (RCM) team, the Patient Account Specialist is responsible for performing follow-up functions to ensure timely and accurate collection of patient accounts. We are conveniently Located at Walnut Hill & 75 in the prestigious NorthPark area Specialties include: Orthopedics, Spine, General Surgery, Pain Management, Urology, GI/Endoscopy, Plastic, and Podiatry surgeries.
Director of Clinical Reimbursement & Revenue Optimization Buckner InternationalDirector of Clinical Reimbursement & Revenue OptimizationDallas, TXEducation and Training Lead enterprise reimbursement education, talent development, and performance improvement initiatives by delivering training and coaching, establishing competency programs and succession pathways, developing reimbursement dashboards and KPI reporting, and driving data-informed operational improvements across the organization. Clinical Reimbursement Leadership Provide enterprise leadership for skilled nursing reimbursement programs by developing reimbursement strategies, ensuring compliance and revenue integrity, monitoring regulatory and payer changes, and serving as the primary reimbursement resource for BRS communities.
NewFlex Phlebotomist / Administrative Assistant (Preston) One MedicalFlex Phlebotomist / Administrative Assistant (Preston)Dallas, TXWhat you'll likely work on: Use impeccable C-I-CARE (a framework containing the key elements of a great interaction and effective communication that we use with patients and each other) in all patient interactions, both clinical and administrative, and ensure a fluid and positive in-office experience through patient intake, same day schedule management, appropriate follow up scheduling, strong knowledge of billing and insurance, monitoring patient feedback and assisting with outreach as necessary. As a One Medical Flex Phlebotomist/Administrative Assistant (internally known as Lab Services Specialist/Member Support Specialist) at one of our offices, you'll provide an exceptional experience for our patients and help them accomplish an important part of their care journey by providing venipuncture as well as other clinical support services.