NewSenior Member Services Specialist Maven ClinicSenior Member Services SpecialistHouston, TX$82,000–$96,000 / yearThrough Maven Enterprise, the company partners with more than 2,300 employers and health plans to provide end-to-end women's and family health programs spanning fertility and family building, maternity and newborn care, parenting and pediatrics, and menopause and midlife — improving clinical outcomes, reducing healthcare costs, and expanding equitable access to high-quality care at scale. Founded in 2014 by CEO Kate Ryder, Maven Clinic has raised more than $425 million from leading healthcare and technology investors including General Catalyst, Sequoia, Dragoneer Investment Group, Oak HC/FT, StepStone Group, Icon Ventures, and Lux Capital.
Payor Reimbursement Specialist Onco360Payor Reimbursement SpecialistHouston, TexasRemoteOnco360 Pharmacy is a unique oncology pharmacy model created to serve the needs of community, oncology and hematology physicians, patients, payers, and manufacturers. The Payor Reimbursement Specialist , reporting to the Reimbursement Manager, is responsible for the day-to-day tracking and managing of payor reimbursement processes, communications, escalations, and issues.
Pharmacy Claims Adjudication Specialist Onco360Pharmacy Claims Adjudication SpecialistHouston, TexasSkills/Knowledge Required: Pharmacy/NDC medication billing, Pharmacy claims resolution, PBM and Medical contracts, knowledge/understanding of Medicare, Medicaid, and commercial insurance, NCPDP claim rejection resolution, coordination of benefits, pharmacy or healthcare-related knowledge, knowledge of pharmacy terminology including sig codes, and Roman numerals, brand/generic names of medication, basic math and analytical skills, Intermediate typing/keyboarding skills. ensure prescription claims are adjudicated correctly according to the coordination of benefits, resolve any third-party rejections, obtain overrides if appropriate, and be responsible for patient outreach notification regarding any delay in medication delivery due to insurance claim rejections Pharmacy Adjudication Specialists at Onco360.
Patient Account Specialist Retina Consultants of TexasPatient Account SpecialistBellaire, TexasFull timeIn addition to being highly challenged professionally, in joining our practice, the following competitive benefits for full-time eligible employees after a 60-day introductory period: Employee Paid Benefits such as Medical, Dental, and Vision, short-term disability, voluntary life insurance, accident, critical illness, hospital indemnity, pet insurance, HSA pre-taxed contributions, 401 (k) retirement savings contributions both Roth and Traditional options from starting date of hire. Responsibilities: Job Summary: The Patient Account Specialist serves as a key liaison between patients, clinical teams, and revenue cycle operations, providing clear and thoughtful guidance on insurance coverage, billing practices, and available payment options.
NewMedical Records Specialist HCA Healthcare IncMedical Records SpecialistPasadena, TXJob Summary and Qualifications As a Medical Records Specialist, you would be responsible for assisting the HIM Director by routinely performing duties in support of the management of the Horizon Patient Folder (HPF)/McKesson Patient Folder (MPF) workflow queues, working applicable worklists within 3M 360 Encompass, the resolution of unbilled accounts, and the processing of physician suspensions. Apply share Share Email X Facebook LinkedIn bookmark_border Save Job bookmark Unsave Job // Save Jobs functionality detectsavedjob('1-INFOR-5012548','save-job','unsave-job');
Lead Bilingual Eligibility Specialist - Montrose Allen Parkway Legacy Community HealthLead Bilingual Eligibility Specialist - Montrose Allen ParkwayHouston, TXWhether improving patient outcomes, streamlining processes, or stepping up in times of need, we are always striving to drive healthy change-within ourselves, our teams, and the communities we serve. As the largest Federally Qualified Health Center (FQHC) in Southeast Texas, Legacy Community Health has been delivering comprehensive, high-quality, and affordable health care for nearly 40 years.
Bilingual Eligibility Specialist - Montrose Legacy Community HealthBilingual Eligibility Specialist - MontroseHouston, TXWhether improving patient outcomes, streamlining processes, or stepping up in times of need, we are always striving to drive healthy change—within ourselves, our teams, and the communities we serve. As the largest Federally Qualified Health Center (FQHC) in Southeast Texas, Legacy Community Health has been delivering comprehensive, high-quality, and affordable health care for nearly 40 years.
Bilingual Eligibility Specialist - Third Cleburne Legacy Community HealthBilingual Eligibility Specialist - Third CleburneHouston, TXFull timeWhether improving patient outcomes, streamlining processes, or stepping up in times of need, we are always striving to drive healthy change—within ourselves, our teams, and the communities we serve. As the largest Federally Qualified Health Center (FQHC) in Southeast Texas, Legacy Community Health has been delivering comprehensive, high-quality, and affordable health care for nearly 40 years.
NewBilingual Eligibility Specialist - Gulfton Dashwood Legacy Community HealthBilingual Eligibility Specialist - Gulfton DashwoodHouston, TXFull timeWhether improving patient outcomes, streamlining processes, or stepping up in times of need, we are always striving to drive healthy change—within ourselves, our teams, and the communities we serve. As the largest Federally Qualified Health Center (FQHC) in Southeast Texas, Legacy Community Health has been delivering comprehensive, high-quality, and affordable health care for nearly 40 years.
Bilingual Eligibility Specialist - Montrose Allen Parkway Legacy Community HealthBilingual Eligibility Specialist - Montrose Allen ParkwayHouston, TXAs an Bilingual Eligibility Specialist with Legacy Community Health, you will help connect patients with the health services they need by determining eligibility for third-party reimbursement, preparing admission data, supporting accurate insurance billing, and responding to questions from prospective applicants and patients. To fulfill this mission, every team member is expected to embody the following core attributes in their daily work, regardless of role or department: Approachable & Collaborative .
IDR Claim Specialist - RCM Gryphon HealthcareIDR Claim Specialist - RCMHouston, TexasFederal IDR Claim Specialist is responsible for analyzing, organizing, and preparing documentation for eligible claims to be filed with Federal IDR in effort to promptly resolve billing disputes between out of network providers, facilities, and health plans. Computer Skills - Understands and fully utilizes computer systems used in the technological stream of researching and entering claim information including but not limited to: Centricity, Microsoft Office Suite, Smartsheets.
Audit & Onboarding Specialist - Hybrid (Museum District) Houston Methodist HospitalAudit & Onboarding Specialist - Hybrid (Museum District)Houston, TXMust have one of the following: • CPC - Certified Professional Coder (AAPC) • CPC-H - Certified Professional Coder - Hospital (AAPC) • CPC-I - Certified Professional Coder Instructor (AAPC) • CCS - Certified Coding Specialist (AHIMA) • CCS-P - Certified Coding Specialist Physician-based (AHIMA). Must have one of the following: •CPC - Certified Professional Coder (AAPC) •CPC-H - Certified Professional Coder - Hospital (AAPC) •CPC-I - Certified Professional Coder Instructor (AAPC) •CCS - Certified Coding Specialist (AHIMA) •CCS-P - Certified Coding Specialist Physician-based (AHIMA).
NewPatient Account Specialist Senior-Onsite Sigma SystemsPatient Account Specialist Senior-OnsiteHouston, TexasThis involves performing collection activities related to follow-up and account resolution and includes communication with patients, clients, reimbursement vendors, and other external entities while adhering to all client, state, and federal guidelines. 9212099 Patient Account Specialist Senior-Onsite, Houston, TX, 3 Months temp to permanent Sigma Inc. is currently looking for a Patient Account Specialist Senior to work onsite with our team in Houston, TX.
Sr Clinical Coding Specialist -Evaluation and Management Coder University of Texas MD Anderson Cancer CenterSr Clinical Coding Specialist -Evaluation and Management CoderHouston, TXRemoteThe Senior Clinical Coding Specialist plays a critical role in ensuring accurate and compliant coding of patient encounters, supporting timely billing and reimbursement processes, and maintaining the integrity of clinical data across systems. The Senior Clinical Coding Specialist at UT MD Anderson is responsible for reviewing medical records, assigning appropriate clinical codes, and supporting departmental goals for accuracy, compliance, and operational efficiency.
NewAR Specialist COMPUCYCLE, INCAR SpecialistHOUSTON, TXThe AR Billing Specialist is responsible for accurate and timely customer billing, maintaining accounts receivable records, monitoring outstanding balances, and resolving billing and payment discrepancies. This position works closely with Sales, Operations, Shipping, and Accounting to ensure invoices are properly supported, submitted, and collected.
Coding Quality Assurance Specialist II Texas Children's HospitalCoding Quality Assurance Specialist IIHouston, TXIn this position, you will assign and audit the accuracy of the ICD-10-CM and CPT codes to ambulatory, emergency center, observation, and day surgery records for purposes of billing, research, and providing information to government and regulatory agencies. Ascertains the accuracy of the physicians'' E/M and procedure coding to their documentation, completes the auditing reporting tool, and provides feedback to the education team and/or provider.
Patient Account Specialist - RCO HB Follow Up University of Texas Medical Branch at GalvestonPatient Account Specialist - RCO HB Follow UpGalveston, TXJOB SUMMARY: The Patient Account Specialist will be responsible for billing all third-party payers through a claims processing vendor and/or for appeal of denied professional and/or hospital claims. Identifies billing issues affecting hospital and/or physicians claims/accounts and takes necessary action to ensure timely and appropriate claim filing.
Patient Services Specialist I - Adult Medical Specialties (Clear Lake) University of Texas Medical Branch at GalvestonPatient Services Specialist I - Adult Medical Specialties (Clear Lake)Texas City, TXJOB SUMMARY: The Patient Services Specialist I creates a positive patient experience by consistently exceeding expectations in customer service and patient care, by coordinating clerical and medical activities of a healthcare team, patient registration activities, and facilitating access to UTMB services for new and returning patients. LICENSES, REGISTRATIONS OR CERTIFICATIONS: Required: For departments reporting under Health System Ambulatory Operations, a valid Basic Life Support (BLS) certification must be obtained within 90 days of hire.
Retinal Camera Operator - Eye Exam Specialist (Ophthalmology GuidehealthRetinal Camera Operator - Eye Exam Specialist (OphthalmologyHouston, TXRemoteWorking in a field-based role, traveling to provider practices and patient homes for scheduled eye exam appointments, while engaging virtually with team members, internal partners, customers, providers, payers, and care teams on non-appointment days. Success in this role requires comfort operating specialized retinal imaging equipment (full training and camera provided), strong attention to detail, and a willingness to travel daily to provider practices for scheduled eye exam appointments.
Patient Services Specialist Float American Oncology Network IncPatient Services Specialist FloatHouston, TX$15.60–$26.58 / hourPosition Summary: The Patient Services Specialist (PSS) provides high-quality front-end patient support by managing patient intake, scheduling, medical records, and financial transactions while ensuring accurate documentation and exceptional customer service. Schedule and manage patient appointments, including new patients, follow-ups, treatments, referrals, outside testing, and hospital admissions per physician orders.