Claims Denials Resolution Expert

3 weeks ago


Houston, Texas, United States Senior PsychCare Full time
Job Description

Senior PsychCare provides fully integrative behavioral health services to long-term care patients. As a Revenue Cycle Specialist II, you will support our Billing Team in Houston by resolving billing issues and ensuring accurate reimbursement.

Your responsibilities will include managing a high-volume workload, leveraging knowledge of government payors, and reviewing and submitting appeals. You will also collaborate with management to prepare spreadsheets and summarize findings.

Requirements:
  • Minimum 3 years of recent Healthcare experience, specifically in claims, denials, billing, EOB, and insurance verification.
  • 1+ year experience in Government Payor follow-up.
  • Payer portal and clearinghouse experience.

The estimated salary for this role is $45,000 - $55,000 per year.



  • Houston, Texas, United States Castle Biosciences Full time

    About the RoleCastle Biosciences is seeking a Claims Resolution Expert to work remotely as part of their growing team. As a Reimbursement Specialist, you will play a critical role in ensuring that patients receive timely and accurate reimbursement for medical services.Your primary responsibilities will include analyzing insurance claims, communicating with...


  • Houston, Texas, United States Senior PsychCare Full time

    Job OverviewSenior PsychCare, a leading provider of fully integrative behavioral health services, is seeking a highly skilled Revenue Cycle Specialist II to join our Billing Team in Houston.The ideal candidate will have 3+ years of recent healthcare experience, specifically in claims, denials, billing, EOB, and insurance verification. They will be...


  • Houston, Texas, United States Senior PsychCare Full time

    Key ResponsibilitiesAs a Revenue Cycle Specialist II, you will be responsible for calling payers to determine the true reason for denial and inquiring about what corrections need to be made.You will also follow up with payers to ensure timely resolution of all outstanding claims via phone, emails, fax, or payer portals, as well as update insurance...


  • Houston, Texas, United States SynergenX Full time

    Job Description:We are a nationwide leader in hormone replacement therapy services, dedicated to optimizing the health and well-being of individuals through personalized hormone treatment plans. Our company fosters a culture of positivity, enthusiasm, and dedication to our mission, creating a rewarding and fulfilling workplace for all team members.This...


  • Houston, Texas, United States Gallagher Full time

    About the RoleWe are seeking a highly skilled Claims Resolution Specialist to join our team at Gallagher Bassett.This is an exciting opportunity for a motivated individual to play a key role in managing and resolving complex Commercial Auto and Heavy Trucking claims.Investigate and evaluate claims to determine liability and damagesAnalyze data and develop...


  • Houston, Texas, United States Medical AR Management Services, LLC Full time

    Job Title: Medical Claims Reconciliation ExpertEstimated Salary: $50,000 - $65,000 per yearAbout Medical AR Management Services, LLCWe are a reputable medical billing and accounts receivable management company serving various healthcare providers. Our mission is to provide reliable and efficient claims resolution services.Job DescriptionThe Medical Claims...


  • Houston, Texas, United States Law Firm Full time

    Job SummaryA small law firm is looking for a highly skilled Personal Injury Claims Expert to manage claims from start to finish.Key Responsibilities:Screen and process new casesWork with adjusters to resolve claimsCommunicate with clients to ensure timely resolutionAnalyze medical records to support claimsNegotiate settlements with adjustersThe ideal...


  • Houston, Texas, United States Sedgwick Claims Management Services Full time

    About UsSedgwick Claims Management Services is a leading provider of claims management services.Job SummaryWe are seeking a highly skilled Commercial Claims Analyst to join our team. The successful candidate will be responsible for analyzing mid-level commercial General Liability/Bodily Injury claims on behalf of our valued clients, determining benefits due,...


  • Houston, Texas, United States Highspeed Staffing Inc Full time

    We are seeking a highly organized and detail-oriented Litigation Assistant - High Speed Claims Resolution to join our team at Highspeed Staffing Inc. In this role, you will assist attorneys in all phases of litigation, including the preparation and organization of case files. You will conduct legal research, gather relevant information to support case...


  • Houston, Texas, United States IASIS Healthcare Full time

    Are you a detail-oriented and organized individual with a passion for revenue cycle management? Do you have a strong background in commercial, HMO, PPO, and workers' compensation billing and insurance follow-up processes?We are seeking a Credit Balance Resolution Manager to join our team at IASIS Healthcare. In this role, you will be responsible for...


  • Houston, Texas, United States Senior PsychCare Full time

    About the RoleThis full-time, in-person opportunity offers a salary range of $20-$23 dollars per hour DOE. As a Revenue Cycle Specialist II at Senior PsychCare, you will be responsible for reviewing and attaching appropriate documentation to resolve denied claims and submitting appeals.You will leverage knowledge of Medicare, state Medicaid, and local...


  • Houston, Texas, United States Apex Health Solutions Full time

    About the TeamThe Apex Health Solutions customer service team is dedicated to delivering exceptional service to our clients. We are looking for a highly motivated and customer-focused individual to join our team as a medical claims resolution advisor. In this role, you will be responsible for addressing customer inquiries, resolving issues, and providing...


  • Houston, Texas, United States Medical AR Management Services, LLC Full time

    ResponsibilitiesThe AR Account Specialist - Healthcare Claims will be responsible for maintaining industry standards for A/R they are assigned to for all carriers in regard to aging, collection rates, appeals, rejections, and claims with no activity.Monitor payer rejects and denials to determine systemic or data entry issues and report irregularities to...


  • Houston, Texas, United States Brady, Chapman, Holland & Associates, Inc Full time

    Job SummaryBrady, Chapman, Holland & Associates, Inc seeks an experienced Claims Consultant to manage day-to-day client service needs related to claims management. The ideal candidate will possess strong relationships with clients, internal staff, and insurance carriers, as well as excellent analytical and problem-solving skills.Main Responsibilities:•...


  • Houston, Texas, United States Burnett Specialists Staffing & Recruiting Full time

    Key ResponsibilitiesSupport the Warranty Manager in managing warranty claims and ensuring compliance with manufacturer guidelines and dealership policies.Process and submit warranty claims in a timely and accurate manner.Maintain accurate records of all warranty transactions and claims.Communicate with service advisors and technicians to gather necessary...


  • Houston, Texas, United States Medical AR Management Services, LLC Full time

    Job Title: Error Resolution SpecialistEstimated Salary: $55,000 - $70,000 per yearAbout Medical AR Management Services, LLCWe are a leading medical billing and accounts receivable management company dedicated to providing exceptional services to our clients. Our team of experts is committed to delivering accurate and timely claims resolution.Job...


  • Houston, Texas, United States MAXIMUS Full time

    About the RoleThis Billing Specialist position requires strong analytical and communication skills, with the ability to work in a fast-paced environment. You will be responsible for processing invoices, analyzing accounts, and communicating with facilities and other departments.Key ResponsibilitiesInvoice Processing: Process invoices for payment from...


  • Houston, Texas, United States Houston Independent School District Full time

    Houston Independent School District is seeking an IT Incident Resolution Expert to join our team. In this role, you will be responsible for addressing incidents of service interruption and taking steps to re-initiate service or properly escalate for resolution.About the RoleThis position may work in a call center/service desk, dispatched to a campus, or...


  • Houston, Texas, United States Percepta Full time

    About the JobWe are seeking a highly skilled Case Resolution Expert to join our team at Percepta. In this role, you will work closely with customers to resolve their concerns and provide a positive experience.As a Case Resolution Expert, you will have the opportunity to use your problem-solving skills to resolve complex customer issues efficiently and...

  • Tax Resolution Expert

    2 months ago


    Houston, Texas, United States Petry Law Firm Full time

    About the RoleWe are seeking a highly skilled Tax Resolution Expert to join our team at Petry Law Firm. As a key member of our financial services team, you will play a critical role in guiding clients through tax resolution and preparation.