Revenue Cycle Specialist II
1 day ago
Senior PsychCare is seeking a highly skilled Revenue Cycle Specialist II to join our Billing Team in Houston. As a key member of our team, you will be responsible for processing follow-up actions on claims denied for eligibility-related reasons and responding to health plan correspondence.
Key Responsibilities- Manage and maintain a workload of approximately seventy (70) accounts or higher per day to ensure claim(s) resolution.
- Utilize knowledge of Medicare, state Medicaid, and local coverage determinations (LCD's) for claim resolution.
- Review and attach appropriate documentation to resolve denied claims and submit appeals.
- Communicate with payers to determine the true reason for denial and inquire on what corrections need to be made.
- Follow-up with payers to ensure timely resolution of all outstanding claims, via phone, emails, fax or payer portals.
- Identify problematic claim trends and contract violations and report findings to the Manager and Director.
- Perform other duties assigned by Revenue Cycle Manager.
- 3+ years of recent Healthcare experience, specifically in a claims, Denials, billing, EOB and insurance verification.
- Minimum 1+ years' experience in Government Payor follow-up.
- Ability to work independently and prioritize monthly workflow.
- Knowledge of Medical Terminology, CPT Codes, HCPCS, Revenue Codes, Modifiers and Diagnosis Codes.
- Payer portal and clearinghouse experience.
- Paid Time Off and Paid Holidays.
- Comprehensive benefits packages including Medical, Dental, Vision, 401k, Long Term and Short-Term Disability, Life Insurance.
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Revenue Cycle Specialist II
4 weeks ago
Houston, Texas, United States Senior PsychCare Full timeJob Title: Revenue Cycle Specialist IIJob Summary:Senior PsychCare is seeking a highly skilled Revenue Cycle Specialist II to join our Billing Team in Houston. As a key member of our team, you will be responsible for processing follow-up actions on claims denied for eligibility-related reasons and responding to health plan correspondence.Key...
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Revenue Cycle Specialist II
3 weeks ago
Houston, Texas, United States Senior PsychCare Full timeJob SummarySenior PsychCare is seeking a skilled Revenue Cycle Specialist II to support our Billing Team in Houston. As a key member of our team, you will be responsible for processing follow-up actions on claims denied for eligibility-related reasons and responding to health plan correspondence.Key ResponsibilitiesManage and maintain a workload of...
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Revenue Cycle Specialist
3 weeks ago
Houston, Texas, United States Plaza OBGYN Full timeRevenue Cycle Specialist Job DescriptionPlaza OBGYN Assoc. is seeking a skilled Revenue Cycle Specialist to join our team. The ideal candidate will have experience in OBGYN coding and a strong understanding of the revenue cycle process.Key Responsibilities:Manage the accounts receivable (A/R) and perform necessary follow-ups and appeals.Coding, billing, and...
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Houston, Texas, United States Sherloq Solutions Full timeMedical Billing Specialist, Insurance Revenue CycleSherloq Revenue Solutions is seeking a highly skilled Medical Billing Specialist to join our team. As a key member of our revenue cycle team, you will be responsible for resolving healthcare claims, verifying patient and insurance information, and analyzing payer denials.Key Responsibilities:Resolve...
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Director of Revenue Cycle Operations
3 weeks ago
Houston, Texas, United States Transition Home Healthcare Full timeJob SummaryThe Director of Revenue Cycle is a key leadership position responsible for overseeing and optimizing the entire revenue cycle process at Transition Home Healthcare. This role involves managing billing, collections, coding, and financial operations to ensure timely and accurate reimbursement for services provided.Key ResponsibilitiesOversee the...
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Revenue Cycle Management Director
4 weeks ago
Houston, Texas, United States Memorial Hermann Health System Full timeJob SummaryThe Revenue Cycle Management Manager will be responsible for leading the development and implementation of assigned projects, taking them from concept to final implementation. This includes defining project scope and objectives, developing detailed work plans, schedules, project estimates, resource plans, and status reports.This role will work...
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Director, Revenue Cycle Operations
4 days ago
Houston, Texas, United States Alvarez & Marsal Healthcare Industry Group, LLC Full timeAbout the RoleWe are seeking a seasoned Director, Revenue Cycle to join our team at Alvarez & Marsal Healthcare Industry Group, LLC. As a key member of our Healthcare Industry Group, you will be responsible for leading complex revenue cycle projects, managing client relationships, and driving business growth.Key ResponsibilitiesLead revenue cycle projects,...
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Revenue Cycle Management Director
4 weeks ago
Houston, Texas, United States Memorial Hermann Health System Full timeJob SummaryThe Revenue Cycle Management Manager will be responsible for leading the development and implementation of assigned projects, taking them from concept to completion. This includes defining project scope and objectives, developing detailed work plans, schedules, project estimates, resource plans, and status reports. The successful candidate will...
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Senior Revenue Cycle Improvement Consultant
4 weeks ago
Houston, Texas, United States Pailin Group Psc Full timeJob Title: Senior Revenue Cycle Improvement ConsultantThe Pailin Group Psc is seeking a highly skilled Senior Revenue Cycle Improvement Consultant to join our team. As a key member of our revenue cycle team, you will be responsible for identifying, planning, leading, and implementing revenue cycle re-engineering solutions.Key Responsibilities:Lead revenue...
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Revenue Cycle Specialist
2 weeks ago
Houston, Texas, United States West Oaks Hospital Full timeJob SummaryWest Oaks Hospital is seeking a skilled Patient Accounts Specialist to join our team. As a key member of our revenue cycle team, you will be responsible for collecting payments due from insurance companies.Key Responsibilities:Establish and maintain effective communication with insurance companies to ensure timely payment of claims.Document all...
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Houston, Texas, United States Baxter Full timeJob Title: Revenue Cycle Manager, Denials and CollectionsBaxter is a leading medical technology company that is committed to improving patient outcomes. We are seeking a highly skilled Revenue Cycle Manager, Denials and Collections to join our team.About the Role:The Revenue Cycle Manager, Denials and Collections will be responsible for leading and...
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Revenue Cycle Manager, Denials and Collections
3 weeks ago
Houston, Texas, United States Baxter Full timeAbout This RoleBaxter is a leading innovator in digital health and remote patient monitoring, with a focus on providing the most diagnostically accurate and patient-friendly cardiac and vital signs patch monitors in the industry.Your Key ResponsibilitiesLead the RCM Collection & Denials team across all of Bardy Cardiology to align with the Revenue Cycle...
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Revenue Cycle Analyst- Hospital
3 days ago
Houston, Texas, United States Addison Group Full timeJob OverviewWe are seeking an experienced Revenue Cycle Analyst to join our team at a prominent law firm specializing in healthcare claims management. The ideal candidate will possess a strong understanding of hospital claims, particularly with major insurance carriers.Key Responsibilities:Manage and process UB04 claims on behalf of clientsFocus on claim...
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Revenue Recovery Specialist
4 weeks ago
Houston, Texas, United States Precision Medical Billing Full time{"h3": "Job Summary ", "p": "As a Revenue Recovery Associate at Precision Medical Billing, you will play a critical role in ensuring accurate and timely payment from patients and insurance providers. Your expertise in medical billing and insurance claims processing will be essential in maintaining a healthy revenue cycle. ", "ul": ["\u2022\u00a0 Monitor and...
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Revenue Recovery Specialist
4 weeks ago
Houston, Texas, United States Precision Medical Billing Full time{"h1": "Revenue Recovery Associate", "p": "At Precision Medical Billing, we are seeking a highly skilled Revenue Recovery Associate to join our team. As a key member of our revenue cycle team, you will be responsible for ensuring accurate and timely payment of medical claims. Responsibilities: * Monitor and follow up on outstanding claims to ensure timely...
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Revenue Recovery Specialist
3 weeks ago
Houston, Texas, United States Precision Medical Billing Full timeJob SummaryWe are seeking a highly skilled Revenue Recovery Associate to join our team at Precision Medical Billing. As a key member of our revenue cycle team, you will be responsible for ensuring accurate and timely payment of medical claims.The ideal candidate will have a strong background in medical billing and insurance experience, with a proven track...
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Accounts Payable Specialist II
4 weeks ago
Houston, Texas, United States Anchor QEA Full timeJob Title: Accounts Payable Specialist IIJob Summary:Anchor QEA is seeking an experienced Accounts Payable Specialist II to join our team. The successful candidate will be responsible for managing the company's outgoing cash cycle process, ensuring timely and accurate reporting of payment activity, and collaborating with internal and external clients to...
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Revenue Recovery Specialist
3 days ago
Houston, Texas, United States Precision Medical Billing Full timeJob SummaryWe are seeking a highly skilled Revenue Recovery Associate to join our team at Precision Medical Billing. As a key member of our revenue cycle team, you will be responsible for ensuring accurate and timely payment of medical claims.Key Responsibilities:Monitor and follow up on outstanding claims to ensure timely paymentIdentify and resolve claim...
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Accounts Payable Specialist II
4 weeks ago
Houston, Texas, United States Anchor QEA Full timeJob Title: Accounts Payable Specialist IIAnchor QEA is seeking an experienced accounting professional to join our team as an Accounts Payable Specialist II. This role will be responsible for managing the Company's outgoing cash cycle process, collaborating with internal and external clients to ensure timely and accurate reporting of payment activity, and...
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Revenue Management Specialist
4 weeks ago
Houston, Texas, United States ALH Corporate Full timeJob DescriptionALH Corporate is seeking a highly skilled Revenue Management Specialist to join our team. As a key member of our revenue management team, you will be responsible for maximizing revenue, market share, and profits for our hotels through strategic coordination of revenue management processes and procedures.Key Responsibilities:Revenue Management:...