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Driscoll Children's Hospital
Full Time
 
Claims & Appeals Specialist II
Driscoll Children's Hospital Corpus Christi, TX
Candidates must be able to work on-site. This position is not remote. GENERAL PURPOSE OF JOB: The Claims and Appeals Specialist II is a certified medical coder that performs audits for correct coding and claims payments and oversees the claims appeal process for provider and member appeals. This position also investigates Coordination of Benefit (COB) claims. The Claims and Appeals Specialist II reports to the Director of Claims Oversight. ESSENTIAL DUTIES AND RESPONSIBILITIES: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. This job description is not intended to be all-inclusive; employees will perform other reasonably related business duties as assigned by the immediate...

Jun 30, 2026
KF
Full Time
 
Account Specialist II
Korn Ferry Fort Worth, TX
Account Specialist II Locations: Fort Worth, TX Time type: Full time Job requisition id: JR-114239 Location: Calmont Operations Building Department: CBO/Patient Financial Services Shift: First Shift (United States of America) Standard Weekly Hours: 40 Summary: Under the leadership of Patient Financial Services (PFS) management, the Account Specialist II is responsible for accounts receivable through claim follow up, cash collection, and denial management for services rendered by Cook Children's Medical Center (CCMC). This position requires extensive knowledge of Federal, State, and payor regulations, reimbursement methodologies, and communication with third party payers to facilitate timely and accurate reimbursement. Perform root cause analysis and resolution of denial and variance records. Triage and resolve payor denials. Review and adjudicate insurance credit balances. Qualifications: High School Diploma or...

May 25, 2026
PreMedSys
Full Time
 
Medical Billing Supervisor
PreMedSys Remote (San Antonio, TX)
Key Responsibilities Oversee and support remote billing team members to ensure productivity, accuracy, and timely claim submission Review and verify medical documentation for completeness and billing accuracy Enter and maintain patient demographic and insurance information in the EMR/billing system Generate, submit, and track insurance claims Follow up on unpaid, rejected, or denied claims to ensure maximum reimbursement Post insurance and patient payments and reconcile accounts Resolve billing discrepancies and respond to patient inquiries regarding balances and statements Serve as a primary point of contact for assigned clients, addressing questions related to billing performance, processes, and EMR workflows Provide support to Spanish-speaking patients regarding billing questions Maintain strict compliance with HIPAA and all healthcare privacy regulations Qualifications & Requirements Fluent in English and Spanish (required) High school...

Apr 15, 2026
CF
Medical Billing Specialist — Claims, Denials & Reconciliation
Curis Functional Health, LLC. Farmers Branch, TX
Curis Functional Health, LLC. in Farmers Branch, Texas is searching for a dedicated Billing Specialist to enhance our financial operations. The ideal candidate will have a strong background in medical billing, manage insurance communications, and ensure compliance with healthcare regulations. This role demands exceptional problem-solving skills and attention to detail. You will be responsible for submitting claims, managing denials, and ensuring quality standards are met in a fast-paced environment. Join our team and contribute to exceptional patient care! #J-18808-Ljbffr

Jul 08, 2026
EP
Outpatient Coder/Abstractor, FT Days (55384)
El Paso Children's Hospital El Paso, TX
Outpatient Coder/Abstractor, FT Days Fully Remote El Paso Childrens Hospital - El Paso, TX 79905 Overview Level: Experienced Position Type: Full Time Job Shift: Day Education Level: High School Travel Percentage: None Category: Health Care Description Position Summary The Outpatient Coder/Abstractor accurately codes, sequences and abstracts outpatient medical records according to ICD-9-CM and CPT coding guidelines to achieve accurate and timely reimbursement and populate statistical databases. Queries physicians for clarification on documentation. Perform duties within approved practices, exercising independent judgment within pre-determined guidelines. Qualifications Minimum Position Requirements Work Experience: One (1) year outpatient coding experience required. License/Registration/Certification: None. Education and Training: High School diploma or GED equivalent. Knowledge of Health Information Systems practices, procedures, and guidelines. Ability to...

Jul 08, 2026
UH
CODER PRN
Universal Health Services El Paso, TX
Health Information Management Specialist One of the nation's largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500 corporation, annual revenues were $11.6 billion in 2020. In 2021, UHS was again recognized as one of the World's Most Admired Companies by Fortune; in 2020, ranked #281 on the Fortune 500; and listed #330 in Forbes ranking of U.S.' Largest Public Companies. Headquartered in King of Prussia, PA, UHS has 89,000 employees and through its subsidiaries operates 26 acute care hospitals, 334 behavioral health facilities, 39 outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located in 38 U.S. states, Washington, D.C., Puerto Rico and the United Kingdom. At UHS and all its subsidiaries, our Human Resources departments...

Jul 08, 2026
Hu
IPA Consultative Coder
Humana El Paso, TX
Join Our Caring Community Humana's Primary Care Organization is a leading senior-focused, value-based care provider with 400+ centers across 15 states under the CenterWell and Conviva brands. As an IPA Consultative Coder, you will collaborate with a multidisciplinary team to support the delivery of high-quality, cost-effective care in the communities we serve. In this role, you will work closely with providers and clinic teams to enhance documentation accuracy, identify opportunities for improvement, and reinforce coding and documentation best practices. This is a hybrid position that requires occasional travel within the assigned market. Responsibilities Deliver coding and documentation education to providers and clinic staff within IPA clinics. Be a consultative resource and ongoing support for providers in assigned clinics. Conduct documentation audits to identify gaps, trends, and opportunities for improvement. Perform quarterly chart reviews to support coding accuracy...

Jul 08, 2026
GJ
Remote Senior/Supervisor Accountant - Employee Benefit Plan Auditor
GrabJobs Laredo, TX
Description At BLS, we pride ourselves on providing high-quality financial services with a focus on supporting our clients’ unique needs. We are currently seeking an experienced Employee Benefit Plan Accountant to join our growing team. This position offers the opportunity to work with a dynamic group of professionals in an engaging and fast-paced environment. Job Responsibilities: Assist in the preparation and review of financial statements of employee benefit plans (including defined contribution (401(k), 403(b), etc.), defined benefit, and health & welfare plans) Assist in the preparation of Form 5500 and related filings Manage the audits of employee benefit plans and coordinate with clients and their service providers Ensure compliance with ERISA regulations and other applicable laws Perform related testing procedures including reconciliation of reports, analysis of certifications and trust reports, sample selection procedures, participant data, contribution,...

Jul 08, 2026
MC
Certified Medical Coder & Audit Specialist
Medical Center Health System Odessa, TX
Medical Center Health System in Odessa, Texas is seeking a Certified Coding Specialist responsible for reviewing electronic encounter documents to ensure accuracy in coding procedures. The successful candidate will assign applicable codes, audit medical records, and ensure compliance with all guidelines. The role requires a high school diploma or equivalent, certification from an accredited program, and a minimum of two years' experience in medical coding. Excellent communication and problem-solving skills are essential. #J-18808-Ljbffr

Jul 08, 2026
GJ
Remote Medical Billing Specialist
GrabJobs Corpus Christi, TX
We are seeking a detail-oriented and experienced Medical Billing Specialist with a strong background in medical billing, coding, and insurance processes. The ideal candidate will be skilled in medical terminology, procedure coding, cost estimation, insurance appeals, and working within electronic health record systems. This role requires accuracy, excellent communication skills, and the ability to work with both patients and payers to ensure timely and correct reimbursement. This position may offer the opportunity to work from home, depending on experience and performance. Key Responsibilities: Accurately process and submit medical claims to insurance companies, government payers, and other third-party organizations. Perform medical coding using ICD-10, CPT, and HCPCS standards for a variety of procedures and diagnoses. Generate and communicate cost estimates for procedures based on insurance coverage and contract agreements. Review and verify accuracy of billing data within...

Jul 08, 2026
AB
Coder (Cert - Inpatient) PRN - ROC
Alan B. Miller Medical Center Edinburg, TX
Job Title Performs the functions of all services of IP coding. Responsible and accountable for coding and DRG accuracy, timeliness of coding, and utilization of systems used to perform coding functions. Maintains relationship with Coding Manager/Supervisor, CDI team, Business Office and Case Management staff. Performs primary function of coding inpatient records, to include DRG assignment and validation. Maintains knowledge of outpatient coding and other areas to assist as needed. Utilizes the 3M Encoder to code and classify accurately all medical records according to ICD-10-CM/PCS. Responsible and accountable for maintaining performance skills. Qualifications 1. Three to Five years coding experience required (Inpatient preferred) 2. Advanced training in medical coding (ICD10-CM/PCS, CPT and APC). 3. Medical terminology, anatomy and physiology required. 4. Computer skills. 5. Ability to read medical reports, interpret lab values pertinent to coding diagnoses, abstract pertinent...

Jul 08, 2026
EH
Senior Medical Coder - Drive Accurate Claims & Reimbursements
Exceed Healthcare Irving, TX
Exceed Healthcare is seeking a Certified Professional Coder in Irving, Texas, responsible for reviewing medical documentation and assigning accurate codes to reduce denials and revenue leakage. This role demands strong understanding of coding regulations and excellent communication skills. The ideal candidate will have at least five years of relevant experience and appropriate certification. Responsibilities include ensuring compliance and educating staff, making it crucial for those committed to quality healthcare standards. #J-18808-Ljbffr

Jul 08, 2026
HH
Oral Maxillofacial Surgery Profee Coder
HCA Healthcare Corpus Christi, TX
Profee Coder Last year our HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a Profee Coder with Parallon you can be a part of an organization that is devoted to giving back! Job Summary and Qualifications As a Profee Coder, you will be responsible for reviewing and coding clinical notes and operative reports for a minimum of one specialty. You will provide feedback and documentation advice to the physician, practice management, and other coders. You will also work with the denials team to resolve coding-related denials. You will be a key promoter of Central Coding and responsible for setting the tone of the Coding Physician Service Center as a service organization, continuously seeking to understand, meet, and exceed customer expectations and needs. What you will do in this role: Reviews and codes clinical notes and operative reports for assigned specialty/specialties. Coordinates and reconciles multiple schedules to ensure complete...

Jul 08, 2026
Hu
IPA Consultative Coder
Humana Corpus Christi, TX
Join Our Caring Community Humana's Primary Care Organization is a leading senior-focused, value-based care provider with 400+ centers across 15 states under the CenterWell and Conviva brands. As an IPA Consultative Coder, you will collaborate with a multidisciplinary team to support the delivery of high-quality, cost-effective care in the communities we serve. In this role, you will work closely with providers and clinic teams to enhance documentation accuracy, identify opportunities for improvement, and reinforce coding and documentation best practices. This is a hybrid position that requires occasional travel within the assigned market. Responsibilities Deliver coding and documentation education to providers and clinic staff within IPA clinics. Be a consultative resource and ongoing support for providers in assigned clinics. Conduct documentation audits to identify gaps, trends, and opportunities for improvement. Perform quarterly chart reviews to support coding...

Jul 08, 2026
EH
Certified Professional Coder
Exceed Healthcare Irving, TX
Medical Billing Department Job Summary The Certified Professional Coder is responsible for reviewing medical documentation and assigning accurate diagnostic and procedural codes to support compliant billing, timely reimbursement, and high-quality health data. This role helps reduce denials and revenue leakage by ensuring claims are complete, accurate, and aligned with coding guidelines and regulatory requirements. The position also supports ongoing education, reporting, and process improvement to strengthen documentation integrity and coding performance across the organization. Job Duties Evaluate medical record documentation and charge‑ticket coding to optimize reimbursement by ensuring that diagnostic and procedural codes and other documentation accurately reflect and support outpatient visits and that data complies with legal standards and guidelines. Interpret medical information such as diseases or symptoms and diagnostic descriptions and procedures to assign and sequence...

Jul 08, 2026
BU
Coder II
Baylor University Medical Center Temple, TX
Job Title This Coder II will be part of the Cath lab team therefore, experience with Cath lab coding highly preferred in addition to the CIRCC certification. Our Core Values are: We serve faithfully by doing what's right with a joyful heart. We never settle by constantly striving for better. We are in it together by supporting one another and those we serve. We make an impact by taking initiative and delivering exceptional experience. Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include: Immediate eligibility for health and welfare benefits 401(k) savings plan with dollar-for-dollar match up to 5% Tuition Reimbursement PTO accrual beginning Day 1 Note: Benefits may vary based upon position type and/or level. The Coder II is skilled in three or more types of outpatient, Profee, or low acuity...

Jul 08, 2026
GJ
Remote Medical Billing Specialist (Revenue Cycle Management) Non Remote
GrabJobs El Paso, TX
Medical Billing Specialist (Revenue Cycle Management) – Bilingual Spanish Preferred This is not a Remote position; it is in the Office Monday - Friday. This is not an entry-level role and requires independent ownership of revenue cycle processes. Position Summary Reliant Healthcare Group  is seeking an experienced Medical Billing Specialist with demonstrated  Revenue Cycle Management (RCM)  expertise. This role is responsible for managing AR, payer follow-ups, and claim resolution to ensure timely reimbursement. Essential Duties & Responsibilities Manage  full Revenue Cycle Management (RCM)  processes Verify insurance eligibility and benefits for commercial and Medicaid MCO payers Follow up on  Accounts Receivable exceeding 30 days Review AR aging reports and resolve outstanding balances Post payments and perform account reconciliations Obtain and manage insurance authorizations Review and correct claims to prevent denials Interpret payer contracts and...

Jul 08, 2026
Ce
IPA Consultative Coder
Centerwell El Paso, TX
Become a part of our caring community Humana's Primary Care Organization is a leading senior-focused, value-based care provider with 400+ centers across 15 states under the CenterWell and Conviva brands. As an IPA Consultative Coder, you will collaborate with a multidisciplinary team to support the delivery of high-quality, cost-effective care in the communities we serve. In this role, you will work closely with providers and clinic teams to enhance documentation accuracy, identify opportunities for improvement, and reinforce coding and documentation best practices. This is a hybrid position that requires occasional travel within the assigned market. Responsibilities: You will deliver coding and documentation education to providers and clinic staff within IPA clinics. You will be a consultative resource and ongoing support for providers in assigned clinics. You will conduct documentation audits to identify gaps, trends, and opportunities for improvement. You will...

Jul 08, 2026
TO
Medical Front Office Supervisor: Lead Clinic Operations
Texas Oncology El Paso, TX
Texas Oncology is seeking a Front Office Supervisor for their clinic in El Paso, Texas. This full-time position entails overseeing front office functions and requires a high school diploma along with seven years of medical office experience and at least one year of supervisory experience. The Front Office Supervisor will manage the staff, conduct training, and ensure the smooth coordination of office procedures while maintaining compliance with company policies and regulatory standards. #J-18808-Ljbffr

Jul 08, 2026
GJ
Remote Cardiology Medical Billing Specialist
GrabJobs El Paso, TX
Cardiology Medical Billing Specialist To be considered, you must be located in the state of Texas or in the process of relocating to Texas. This is non-negotiable. Please do not apply if you are not located in Texas. Seeking a full-time, experienced medical billing specialist to join our Texas team. Knowledge of and experience with cardiology coding and billing is preferred. This is a remote position with the possibility of occasional travel. Our company provides revenue management support for medical practices located all over the United States. Medical billing is one of the fastest growing industries with unlimited career opportunities. Our goal is to find someone that is willing to put in the time and investment in a career with us. General Purpose To contribute to the accuracy and timeliness of the revenue cycle process for each clinic on your designated team. To successfully function as part of a team and to be able to communicate professionally with clients and...

Jul 08, 2026
DT
38119 Medical Biller - Hospital Claims - Healthcare
Dovel Technologies San Antonio, TX
## 38119 Medical Biller - Hospital Claims - HealthcareApplylocations: US - TX, San Antoniotime type: Full timeposted on: Posted Yesterdayjob requisition id: 38212**Job Family:**Patient Account Representative, PFS Billing, PFS General**Travel Required:**None**Clearance Required:**None**What You Will Do:**The **Healthcare - Medical Biller** is expected to perform all areas of initial billing, secondary billing, and payer audit follow-up for government and non-government claims. Must work with other departments to facilitate the meeting of both departmental and facility goals and objectives. Demonstrates an ability to find solutions to problems and keeps management informed of patterns regarding billing edits, compliance issues, payments and or other issues with specific payers.Has an extensive knowledge of billing requirements mandated by payers and / or governmental regulations. This position will perform any and all related job duties as assigned.***Individuals must be able to work...

Jul 08, 2026
HS
Senior Medical Billing Specialist - Stable Hours, $21-$22/hr
Hornet Staffing, Inc, a GEE Group company San Antonio, TX
Hornet Staffing, Inc, a GEE Group company, is looking for a Senior Medical Billing Representative to join their healthcare organization in San Antonio, Texas. This in-office role offers a start rate of $21-22.00 per hour, a stable schedule without nights or weekends, and opportunities for career growth in a supportive environment. The primary responsibilities include ensuring account resolution and reconciliation of outstanding patient balances, along with performing various Revenue Cycle functions while meeting key performance metrics. #J-18808-Ljbffr

Jul 08, 2026
DO
Contract Billing Compliance Auditor
DOCUmation San Antonio, TX
DOCUmation in San Antonio, TX is seeking a Contract Billing Auditor Specialist to ensure compliance with billing procedures and pricing. You will audit completed deals and invoices to improve accuracy and efficiency daily. The ideal candidate will have 3-5 years of experience in Contract Administration and possess strong analytical skills. This role requires attention to detail, communication abilities, and proficiency in Microsoft Office. #J-18808-Ljbffr

Jul 08, 2026
UH
Medical Coding Specialist
University Health San Antonio, TX
Job Description Job Description Exciting Opportunity For Medical Coding Specialist at University Health in San Antonio! Are you ready to make an impact in healthcare and be part of a nationally recognized, top-tier health system? University Health in San Antonio, Texas, is seeking a dynamic Coding Specialist to join our outstanding team. This position offers an exciting chance to work at one of the most innovative and award-winning hospitals in the region. Why University Health? Top 10% in the Nation  for clinical excellence, recognized by U.S. News & World Report. Magnet® Recognized Hospital  – the highest national honor for nursing excellence. A Leader in Patient Care  – providing exceptional healthcare to our community with compassionate service. Top-Tier Benefits  – comprehensive health plans, generous paid time off, tuition reimbursement, and more! Cutting-Edge Technology  – work with the Epic EHR system and collaborate with experts across clinical,...

Jul 08, 2026
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