68 jobs found

Job Description Job Description ******This job will be located in Houston, TX****** As a medical claim processor, you will be responsible for reviewing and processing medical claims timely and accurately according to our Program. The person is well organized and can handle multiple priorities and meet deadlines as required. The position reports directly to the Operations Manager. Office Hours: Monday – Thursday, 8:00am-5:00pm Friday, 8:30am-3:00pm Essential Duties and Responsibilities: Reviews and processes medical claims based on policy provisions and established guidelines Requests additional information from members as needed Documents fully claims referred to senior staff for review and determination Maintains company production and quality standards Participates in training Checking patient insurance coverage and eligibility before billing. Handling patient inquiries about bills Navigating and maintaining electronic health records (EHR) and billing...

Job Description Job Description The Biller is the primary person that ensures the successful cash flow management of our medical practice clients. Some of the job responsibilities are as follows: Enters and submits medical claims Follows up on claims that are rejected or denied Take patient phone calls to answer questions and accept payments Post payments to the billing software from insurance companies and patients Reconcile the billing software to the medical practice bank account monthly Work accounts receivable to ensure aged accounts are adjusted accordingly Work with the credentialing team to ensure the billing system is updated Key attributes for the successful applicant include the following. Detail oriented Good with numbers Reliability Customer-focused attitude Previous billing experience is desired but not required.   Company Description We are a San Antonio-based company focused on optimizing the cash flow cycles of our medical practice clients. We...

Job Description Job Description Need a Medical coder/biller with 2 year experience, Knowledge on ICD-10 Billing software, denials, coding,  statements, and other office duties.

Job Description Job Description Summary/Objective Billing Specialists are responsible for submitting clean claims via electronic or paper submission for all services provided. Essential to this position is the ability to identify correct coding, authorization requirements are met, and ensuring compliance with all payor guidelines. Essential Functions Prepare and submit accurate claims for all services of DME and supplies. Verify patient demographics, insurance information, and billing codes for accuracy. Confirm all sales orders for various rental and purchase items of DME and supplies by verifying all items and quantities, proof of delivery, ordering doctor, and diagnosis for accuracy. Ensure all coverage limitations and validation rules are met prior to marking sales order complete and closed. Ensure all tracking and proof of delivery is properly uploaded into Brightree for all sales orders confirmed. Follow established billing processes and procedures. Stay up...

OCCUPATIONAL THERAPIST - THE MEDICAL LODGE OF AMARILLO - AMARILLO, TX Ask Us About Our Tuition Assistance and Relocation Packages PRN: Flexible Schedule, Be Appreciated by Your Employer Strong infection control to keep staff/residents safe In house therapy team - job stability, growing company Option for a set schedule when covering vacations Get a call or text as early as possible in last minute coverage request scenarios Participate in CEU classes offered to entire therapy team The Medical Lodge of Amarillo is a skilled nursing facility with long term care, post-acute rehab, and geriatric outpatient therapy services provided. Browse our website at www.FlagshipTherapy.com and find out why we are truly different in dignifying long term care. Every facility has an in-house therapy team - no contract therapy company. All department teams work for the facility and share the same goals. Each facility is independently operated with local leadership and no corporate red tape....

Address We're always looking for bright individuals to join our growing organization. As a part of the First Financial Family, we will invest in your development and provide a dynamic work environment where you're challenged, valued and empowered every day. We strive to be the best destination for the industry's top talent, creating a diverse, collaborative workplace that celebrates innovation and change. We are one team, working together to get things done. Job Description: Office Location: Abilene, Texas, United States SCOPE/CONTACTS: The Compliance Auditor is responsible for developing, implementing and administering the compliance internal audit program. The Compliance Auditor performs audits to test internal controls for deposit, loan, and operations compliance. Writes audit plans, collects and analyzes large sets of data, prepares well documented work papers, and maintains organized compilation reports. Prepares and reviews audit findings, writes...

Job Description Job Description JOB DESCRIPTION TITLE: Billing Specialist REPORTS TO: Pediatrics Operations Manager Full job description Do you want to make a difference in the lives of others while also pursuing a fulfilling career? Do you love being a leader and overseeing projects and people? If so, we need you on our team! Bethesda Pediatrics is looking for a full-time Billing Specialist to join our growing practice! Bethesda is a non-profit clinic providing care for underserved families in the East Texas area. Our mission goes beyond the ordinary, aiming to surprise, delight, and exceed expectations at every turn. We believe in the power of community, fostering meaningful connections, and recognizing the unique value in each individual. If you're ready to embark on a journey where faith, innovation, and empathy are not just buzzwords but guiding principles, then you're in the right place. As a Christian-based organization, our team comes to work every...

LaSalle Network is currently seeking a skilled and experienced Medical Biller to join our client's team. In this role, you will be responsible for accurately and efficiently processing medical claims, billing patients and insurance companies and following up on outstanding balances. The ideal candidate will have a strong background in medical billing and collections, excellent communication skills and a commitment to providing outstanding customer service. Medical Biller Responsibilities: Review and verify accuracy of patient demographic and insurance information for billing purposes Prepare and submit medical claims to insurance companies, government payers and other third-party payers in a timely manner Follow up on outstanding claims and denied or rejected claims to ensure prompt resolution and maximize reimbursement Research and resolve billing discrepancies, coding errors and other issues impacting claim processing and payment Generate patient...

Job Description Job Description JOB SUMMARY: Responsible for abstracting and coding medical data through application of appropriate and ethical coding principles in accordance with Corporate Compliance and facility coding policies. Participates in problem solving account issues related to both ICD-10 CM/PCS and CPT-4 coding assignments as assigned by the Coding Manager. Primarily responsible for coding Inpatient and Observation medical records. Codes Day Surgery, ED and ancillary medical records based on education and training. MINIMUM KNOWLEDGE, SKILLS AND ABILITIES REQUIRED : Work Experience: Three (3) to five (5) years of employment as an acute care hospital based coder with demonstrated proficiency and accuracy in code assignment for all patient types (i.e., inpatient, outpatient surgery, ancillary clinics, general and interventional radiology, emergency, laboratory, heart catheterization). Experience working with an electronic medical record system....

Job Description Job Description Title: Coder Location: Remote Reports to: Manager of Coding and Auditing FLSA Classification: Hourly, Non-Exempt Full-Time or Part-Time: Full-Time Salary Range: $17 - $25 per hour * Starting pay varies based on location and experience, in compliance with specific state wage regulations. Competitive rates tailored to your geography and expertise. Position Overview: We are seeking a self-motivated and detail-oriented Coder to join our team. This individual must possess excellent interpersonal, organizational, and communication skills. The Coder will assign appropriate ICD-10 and/or CPT codes to patient records, ensuring accuracy and compliance with established standards. Experience with ICD-9-CM, ICD-10, and CPT coding is required. Key Responsibilities: Assign appropriate ICD-10 or CPT codes to patient records. Provide effective communication (written, verbal, non-verbal, and electronic) to clients and colleagues....

Job Description Job Description   ** credentialing experience a plus   ** collecting experience a plus General Accountabilities Determines appropriate charges based on services provided. Reviews patient accounts to ensure accuracy and completeness of claims billing for maximum reimbursement. Reviews explanations of benefits from third party payers to determine if payment was made correctly and if denials can be re-billed. Analyzes and maintains reports to ensure timely submission of claims. Identifies problem accounts requiring further work. Provides information to insurance carriers or patients regarding patient accounts. Assists patients with billing problems. Notifies supervisor of ongoing problems. Maintains files on all documentation such as charge slips, Explanations of Benefits, and client or patient information. Prepares and distributes reports. Refers accounts to collectors in accordance with policy. Performs other related duties as assigned or requested. *The...

Job Description Job Description ob Description We are seeking a seasoned Medical Billing Specialist (certified coder) for a busy practice of two Providers in Podiatry (George Dieter location opening soon!). Must have background or experience in a medical setting (private practice or hospital). The candidate should be a team player, ability to take initiative and multi task. This is a full time position, part time not available. Bilingual is preferred but not required. Please review the essential job function and you MUST meet the Position Requirements (certification must be attained within 90 days of employment). Essential Functions: The following description of job responsibilities and performance expectations is intended to reflect the major responsibilities of the job, but is not intended to describe minor duties or other responsibilities as may be assigned from time to time. Keys charge information into entry program and produces billing. Processing of insurance...

Position Information Posting NumberSRGV7896 Working TitleMEDICAL OFFICE SUPERVISOR (UT Health RGV Multispecialty - McAllen) Number of Vacancies1 LocationMcAllen, Texas DepartmentSchool of Medicine / Medicine and Oncology ISU FTE1.0 FLSANon-Exempt Scope of Job Responsible for the daily operations and overall effective performance of assigned practice including workflow development, patient schedule management, provider and staff engagement, patient experience, and assisting with inventory control. Description of Duties Supervises the daily operations and activities of assigned practice to ensure efficiency and quality service is delivered within all sections of the clinic. Ensures compliance with regulations and standards while maintaining and upholding established clinic patient care, operational and employee policies at assigned site. Responsible for assisting with the recruitment, development, and supervision of staff. Objectively evaluates/documents the performance...

Job Description Job Description This is an exciting time to join the FYZICAL family! If you have one year of billing experience and would enjoy being part of a champion team with a forward-thinking company that takes a unique approach to physical therapy, you are a great fit for our Medical Billing Specialist position in McAllen,   TX! In this Medical Billing Specialist role, you will be able to enhance your career under the guidance of a helpful, supportive practice leader in an exciting, fast-paced environment. With state-of-the-art technology at your fingertips, you will always have the tools you need to be successful. In addition, you will have access to continuing education, keeping you at the forefront of your profession. If you are ready to be part of an energetic atmosphere where you can achieve success and career satisfaction, apply for FYZICAL's Medical Billing Specialist job opening today! A great support team. An exciting work environment. Room to grow. Cutting-edge...

Job Description Job Description Business Office –Billing & Collections Specialist Knowledge, Skills & Abilities: The Business Office employee, under the supervision of the Business Office Director and Business Office Supervisor, is responsible for the financial success of the facility as it relates to revenue cycle management. The employee should have a full understanding of each of the processes to maximize reimbursement: collections of all payer types, billing and revenue coding, insurance benefit interpretation, authorization, admission sources, payer specific requirements, contract reimbursement, claim editing, clearinghouse processing, adjudication, and appeals/denial management. It is understood that business office clerks will change tasks from time to time to meet the needs of the business. Behaviors/Abilities Projects a professional demeanor and appearance while maintaining the confidentiality of patients, co-workers, and the surgery center and...

Job Description Job Description The Coding Network (TCN) is looking to contract with Orthopedic coders to perform the daily Orthopedic coding for a number of clients throughout the country. TCN works with over 150 Orthopedic groups throughout the country, our codes access the operation reports via a remote connection to the client's EMR.. Hours can range from a 15-40 hour/week commitment, any time on the 24 hour clock, seven days a week.   We currently have work available for multiple Orthopedic coders in our surgical division.   All applicants must: · Have a minimum of 3 years of Orthopedic Specific Coding · Have an active coding certification (CPC, RHIA, RHIT) · Live and work in the United States of America · Take and pass TCN’s Ortho Surgical Coding Exam If you meet the above criteria and are willing to test please submit your resume. Company Description TCN has been providing specialty specific medical coding for over 20 years. TCN's 775+ US based coders cover over...

Job Description Job Description Freenet Health Corp. is a healthcare management services company that works exclusively for telehealth and mobile practice providers, including medical billing services. Freenet Health Corp is now hiring a billing team to service the mobile wound care practice Woundlocal . Hiring : a clinical back certified medical billing professional with extensive experience in Medicare billing and commercial and federal insurance benefits verification. This position will assist management in transitioning from a third-party billing company to an internal billing team. Must be able to perform, train, and oversee verifying patient benefits, reviewing provider documentation, provide real-time feedback to the medical team, ensure timely submission to payers, review claim denials, submit appeals, and bill secondary insurance. All claims are made for advanced wound care services and allograft skin substitutes. Start Date: Immediate DETAILS The ideal...

Job Description Job Description Certified Medical Coder (remote) Our mission to change wound care and improve the lives of others isn’t easy, but it’s worth it! One in ten residents in a skilled nursing facility will develop a skin condition requiring expert medical care. We believe that every person deserves the very best wound care. Building and leading wound care teams is how we do it! Our wound care providers bring education and encouragement to the people who take care of our patients 24/7. When they get better at their jobs, our patient’s wounds heal faster and that is our goal! Main Responsibilities (may include but are not limited to): Review provider medical coding of services rendered for medical claim submission Review and respond to medical coding inquiries submitted by providers and staff Work directly with providers to resolve specific medical coding issues Analyze data for errors and report data...

Job Description Job Description Description/Overview: An intermediate level Medical Billing Specialist plays a crucial role in the healthcare industry by ensuring accurate and timely processing of medical claims and invoices. Responsibilities include reviewing patient records, verifying insurance information, coding diagnoses and procedures, submitting claims to insurance companies, and following up on outstanding payments. The specialist must have a strong understanding of medical terminology, billing practices, and insurance regulations to optimize revenue cycle management and maintain compliance with industry standards. Effective communication skills, attention to detail, and proficiency in billing software are essential for success in this role.. Responsibilities -a) Monitors insurance claims and patient accounts in work queues to ensure they are billed and worked within BAMCs guidelines. b) Manages and works assigned queues to appropriately process claims, including...

Summary Why should you join the BlueCross BlueShield of South Carolina family of companies? Other companies come and go, but for more than seven decades we've been part of the national landscape, with our roots firmly embedded in the South Carolina community. We are the largest insurance company in South Carolina ... and much more. We are one of the nation's leading administrators of government contracts. We operate one of the most sophisticated data processing centers in the Southeast. We also have a diverse family of subsidiary companies that allows us to build on a variety of business strengths. We deliver outstanding service to our customers. If you are dedicated to the same philosophy, consider joining our team! This open position is within one of our subsidiary companies called CGS Administrators. CGS has been a proven provider of administrative and business services for state Medicaid agencies, managed care organizations, commercial health plans, Medicaid members, Medicare...

Our client in Austin, TX has an immediate need for a Medical Billing Specialist on a minimum 3 month contract basis, and may consider contract to hire. Company Profile: Medical Office Growing team Team environment Medical Billing Specialist Role: The Medical Billing Specialist will provide a professional and positive experience while assisting patients with the check in and check out procedures, verifying current information and obtaining updated information and paperwork when necessary. Submit accurate claims to various insurance companies electronically or via paper. Monitor and follow up on Accounts Receivable and Insurance Aging, ensuring timely submission of corrected claims, with priority given to those nearing filing deadlines. Post payments from both insurance companies and patients. Handle insurance appeals and follow up on their status. Post charges using ICD-10, CPT, and HCPCS coding systems. Follow up on submitted appeals, as well as any corrected...

Job Description Job Description The Coding Network (TCN) is looking to contract with Orthopedic coders to perform the daily Orthopedic coding for a number of clients throughout the country. TCN works with over 150 Orthopedic groups throughout the country, our codes access the operation reports via a remote connection to the client's EMR.. Hours can range from a 15-40 hour/week commitment, any time on the 24 hour clock, seven days a week.   We currently have work available for multiple Orthopedic coders in our surgical division.   All applicants must: · Have a minimum of 3 years of Orthopedic Specific Coding · Have an active coding certification (CPC, RHIA, RHIT) · Live and work in the United States of America · Take and pass TCN’s Ortho Surgical Coding Exam If you meet the above criteria and are willing to test please submit your resume. Company Description TCN has been providing specialty specific medical coding for over 20 years. TCN's 775+ US based coders cover over...

Job Description Job Description We are looking for a experienced surgical billing specialist to join our team! Under the direction of the Billing Operation Manager the Medical Billing Specialist will play a key role in reviewing and analyzing surgical billing and coding. The role will be responsible for timely accurate review, charge capturing, compliant billing for both inpatient and outpatient services. Responsibilities: Review and accurately code office, hospital, DME and surgical procedures for reimbursement. Validate and determine appropriate coding levels by reviewing clinical documentation and operative reports. Reconciles encounters and charges tickets to ensure accurate charge capturing. Follow up on missing charge tickets and clinical documentation as appropriate. Ensures that documentation supports charges to prevent denials and underpayments. Timely reconciliation and billing of charges as assigned. Other billing duties as assigned by management....

Job Description Job Description Medical Coder Pride Health is hiring a Medical Coder to support our client’s medical facility based in California . This is a 12-week contract with the possibility of an extension with competitive pay and benefits and a great way to start working with a top-tier healthcare organization Location – Houston, TX Length of Assignment – 12 Weeks (Possibility of Extension) Pay Range - $35 to $40/hr. Shift and Schedule - Monday-Friday 8 am to 5 pm.   Job Summary: We seek a Certified Medical Coder with expertise in medical coding, claims analysis, and reimbursement policies to join the team. This role requires a detail-oriented professional who is skilled in data analysis and familiar with healthcare reimbursement processes, specifically within Medicaid and Medicare programs. The successful candidate will analyze large claims data sets, review provider billing patterns, ensure compliance with coding regulations, and support the...