- Insight Global (Dallas, TX)
- Job Description Insight Global is seeking a Medical Only Claims Specialist to join our client's team. This candidate will be responsible for managing ... non-complex and non-problematic, medical only claims and minor lost-time workers' compensation claims under close supervision. We are a company committed to… more
- TEKsystems (Addison, TX)
- Description The Claims Reconciliation Specialist is responsible for comprehensive billing procedures and verification prior to coding for anesthesia services. ... during regular business hours. Skills Customer service, medical , medical billing, medical records, intake, claims , Tricare, Medicare, Medicaid Job Type… more
- Sedgwick (Dallas, TX)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Sr. Claims Specialist , E&O, D&O | Professional Liabilty **ESSENTIAL FUNCTIONS and ... + Extensive knowledge and comprehension of insurance coverage + Claims expertise in medical malpractice, errors and...of insurance coverage + Claims expertise in medical malpractice, errors and omissions, directors and officers, life… more
- Baylor Scott & White Health (Dallas, TX)
- …for the approval of lost wages for payroll and for all approvals of medical bills per claim file.Pay and process claims within designated authority levelPerforms ... **JOB SUMMARY** Under the direct supervision of the Safe Choice Claims Manager the Claims Adjuster is responsible for the review, analysis and processing of… more
- Molina Healthcare (Dallas, TX)
- …combination of education and experience **PREFERRED EXPERIENCE:** 3+ years healthcare Medical claims auditing **PHYSICAL DEMANDS:** Working environment is ... clear and concise to ensure accuracy in auditing of critical information on claims ensuring adherence to business and system requirements of customers as it pertains… more
- Deloitte (Dallas, TX)
- …environment. As an experienced Epic Resolute Hospital Billing Analyst Project Delivery Specialist , you will have the ability to share new ideas and collaborate ... you'll do/Responsibilities + Support Epic enterprise implementation for a large academic medical center and health system in the Southeast region. + Conduct Epic… more
- Urology Clinics of North Texas (Mesquite, TX)
- …billing, office-administered medications, infusion cycles, and chemotherapy regimen cycles. The specialist will ensure timely follow-up on claims , accurate ... including office-administered medications and infusion services. + Strong knowledge of medical terminology, insurance plans, claims , and billing processes. +… more
- HCA Healthcare (Plano, TX)
- …Do you have the career opportunities as a Clinical Denial Coding Review Specialist you want with your current employer? We have an exciting opportunity for ... and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low… more
- Robert Half Accountemps (Dallas, TX)
- Description We are seeking a skilled Medical Biller/Collections Specialist to join our team in Dallas, Texas. In this Contract to permanent position, you will ... Monitor aging reports and determine the status of unpaid claims starting from the 45th workday after the date...service. * Submit appeals using approved templates and forward medical or coding denials to the QA Department for… more
- Aston Carter (Mckinney, TX)
- Job Title: Deductions Specialist Job Description We are seeking a dedicated Deductions Specialist to manage a specified territory categorized by Independent ... Sales Representatives. This role involves resolving pricing claims and deductions by validating customer debit memos against...for this temporary role may include the following: * Medical , dental & vision * Critical Illness, Accident, and… more
- Molina Healthcare (Dallas, TX)
- JOB DESCRIPTION Job Summary Provides support for claims activities including reviewing and resolving member and provider complaints, and communicating resolution to ... to ensure that internal and/or regulatory timelines are met. * Researches claims appeals and grievances using support systems to determine appropriate appeals and… more
- Elevance Health (Plano, TX)
- **Credit & Collections Specialist Senior** **Location:** This role requires associates to be in-office **1 - 2** days per week, fostering collaboration and ... granted as required by law._ The **Credit & Collections Specialist Senior** will be responsible for complex collection activities...due health insurance premiums and/or past due health insurance claims . A proud member of the Elevance Health family… more
- Sedgwick (Dallas, TX)
- …Fortune Best Workplaces in Financial Services & Insurance IT Project Management Specialist Sr **PRIMARY PURPOSE OF THE ROLE** : Manages software development projects ... application development projects preferred. Skills & Knowledge + Knowledge of claims management business and technology + Excellent oral and written communication… more
- TEKsystems (Addison, TX)
- Description - Review and analyze denied claims , payment discrepancies, and reimbursement issues to identify the root causes. - Initiate and manage the appeals and ... arbitration process for denied or underpaid claims , ensuring timely and accurate submissions. - Prepare compelling appeal letters, supporting documentation, and… more
- Elevance Health (Plano, TX)
- **Credit and Collections Specialist Senior** **Location:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and ... our infusion centers, and the home setting. The **Credit and Collections Specialist Senior** is responsible for complex collection activities related to past due… more
- CDM Smith (Dallas, TX)
- …40509BR **Business Unit:** FSU **Job Description:** The Disaster Program Delivery Specialist : * Collects, coordinates and/or reviews applicant data to determine ... expertise may be needed throughout the program delivery process. * Supports the claims process by reviewing and validating damage details, scopes of work, and costs… more
- Baylor Scott & White Health (Garland, TX)
- …and tactful. Knowledge of patient registration procedures and documentation. Knowledge of medical insurance claims procedures and documentation. Needs to have ... **JOB SUMMARY** The Patient Services Specialist 2 provides administrative support in a physician...and verifies cash drawer against report. Provides accurate patient, medical , financial or procedural information to patients or approved… more
- Baylor Scott & White Health (Dallas, TX)
- …+ Knowledge of patient registration procedures and documentation. + Knowledge of medical insurance claims procedures and documentation. Needs to have thorough ... vary based upon position type and/or level **Job Summary** The Patient Services Specialist 2 provides administrative help in a physician's office, clinic, or other… more
- System One (Frisco, TX)
- Job Title: Revenue Cycle Specialist Location: Frisco & Carrollton, Texas (Onsite) Hours/Schedule: Full-time, Monday-Friday Type: Direct Hire Overview A growing ... and Carrollton areas is seeking an experienced Revenue Cycle Specialist to join their team. This role plays a...documentation. + Prepare, submit, and track electronic and paper claims to insurance carriers; post payments, adjustments, and refunds… more
- Baylor Scott & White Health (Dallas, TX)
- …+ Knowledge of patient registration procedures and documentation. + Knowledge of medical insurance claims procedures and documentation. Needs to have thorough ... vary based on position type and/or level **Job Summary** The Patient Services Specialist 3 offers advanced administrative support in a physician's office, clinic, or… more