Revenue Cycle Specialist II
1 week ago
Senior 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 Responsibilities- Manage and maintain a workload of approximately seventy (70) accounts or higher per day to ensure claim(s) resolution.
- Review and attach appropriate documentation to resolve denied claims and submit appeals.
- Call 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.
- Review underpayments and overpayments, work with management to prepare spreadsheet and summarize findings; escalate as appropriate.
- Prepare and submit denied claims targeted project files to payers, track reprocessing of project files.
- Identify problematic claim trends and contract violations and report findings to the Manager and Director.
- Update insurance information in the system as necessary, initiate and support primary, secondary and tertiary billing.
- 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
2 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
5 days 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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Revenue Cycle Director
4 weeks ago
Houston, Texas, United States Transition Home Healthcare Full timeJob Summary:The 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 Responsibilities:Revenue Cycle...
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Revenue Cycle Project Specialist
3 weeks ago
Houston, Texas, United States Privia Health LLC Full timeJob Description**About Privia Health LLC**Privia Health LLC is a technology-driven, national physician enablement company that collaborates with medical groups, health plans, and health systems to optimize physician practices, improve patient experiences, and reward doctors for delivering high-value care in both in-person and virtual settings.**Job...
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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
4 days 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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Houston, Texas, United States Sherloq Solutions Full timeJob SummarySherloq Solutions is seeking a highly skilled Medical Billing Specialist, Insurance Revenue Cycle to join our team. As a key member of our revenue cycle team, you will be responsible for resolving healthcare claims through verbal or online inquiries to health insurance payers.Key ResponsibilitiesEffectively navigate and utilize various healthcare...
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Revenue Cycle Collections Professional
4 weeks ago
Houston, Texas, United States Premier Medical Resources Full timeJob SummaryPremier Medical Resources is a leading healthcare management company dedicated to delivering exceptional medical services. We are seeking a highly skilled Medical Accounts Recovery Specialist to join our team.The ideal candidate will possess a strong background in medical collection and revenue cycle management. As a Revenue Cycle Collections...
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Medical Claims Project Specialist
4 weeks ago
Houston, Texas, United States Privia Health Full timeJob DescriptionCompany OverviewPrivia Health is a leading technology-driven company that collaborates with medical groups, health plans, and health systems to optimize physician practices, improve patient experiences, and reward doctors for delivering high-value care in both in-person and virtual settings.The Privia Platform is a scalable operations and...
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Revenue Cycle Management Director
2 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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Revenue Cycle Management Director
2 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
2 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 days 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 Inception Fertility Corporate Services Full timeJob DescriptionJob Summary:Inception Fertility Corporate Services is seeking a highly experienced Senior Vice President of Revenue Cycle Operations to lead our revenue cycle functions across the US and Canada. The ideal candidate will have a proven track record of managing revenue cycle activities to ensure cost effectiveness, organizational efficiency, 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 healthcare company that is deeply connected by its mission to save and sustain lives. As a Revenue Cycle Manager, Denials and Collections, you will play a critical role in leading and overseeing the strategic direction, operations, and performance of the Reimbursement Services team.Key ResponsibilitiesLead the RCM...
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Healthcare Revenue Cycle Specialist
1 month ago
Houston, Texas, United States Asian American Health Coalition Full timeJob SummaryThe Asian American Health Coalition is seeking a highly skilled Medical Billing and Collections Specialist to join our team. As a key member of our revenue cycle team, you will be responsible for ensuring accurate billing, timely submission of electronic and/or paper claims, and monitoring claim status.Key Responsibilities:Responsible for charge...
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Revenue Cycle Manager, Denials and Collections
3 weeks ago
Houston, Texas, United States Baxter Full timeAbout the 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.Key ResponsibilitiesLead the RCM Collection & Denials team across all of Bardy Cardiology to align with the Revenue Cycle Management...
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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 Recovery Specialist
2 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
2 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...