Claims Resolution Professional with Healthcare Experience
3 days ago
This 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 coverage determinations (LCDs) for claim resolution, review underpayments and overpayments, and work with management to prepare spreadsheets and summarize findings.
Qualifications:- Minimum 1+ years of experience in Government Payor follow-up.
- Ability to work independently and prioritize monthly workflow.
- Payer portal and clearinghouse experience.
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Claims Resolution Expert
4 days ago
Houston, Texas, United States Castle Biosciences Full timeAbout 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...
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Commercial Claims Analyst
2 days ago
Houston, Texas, United States Sedgwick Claims Management Services Full timeAbout 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,...
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Healthcare Claims Specialist
4 weeks ago
Houston, Texas, United States MET Healthcare Solutions Full timeJob OverviewMET Healthcare Solutions, a leading healthcare management group, is seeking an experienced Medical Claims Eligibility Specialist II to join their team. This hybrid position combines in-office training with remote work opportunities.The ideal candidate will have a strong background in healthcare claims analysis and possess excellent analytical,...
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Claims Professional
4 weeks ago
Houston, Texas, United States Brady, Chapman, Holland & Associates Full timeAbout the Role:Brady, Chapman, Holland & Associates is seeking a skilled Claims Consultant to join our team. As a key member of our Claims Department, you will be responsible for handling day-to-day client service needs related to claims management.Key Responsibilities:Review and analyze first notice of loss documents, communicating claim information to...
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Financial Claims Resolution Specialist
4 weeks ago
Houston, Texas, United States Disa Global Solutions Full timeCompany OverviewDISA Global Solutions is a leading provider of safety and compliance solutions. With over 30 years of experience and 1,200+ team members across 30 locations, we offer competitive pay, benefits, and opportunities for career advancement.About the RoleWe are seeking a Financial Claims Resolution Specialist to join our team. As a key member of...
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Commercial Claims Examiner
2 days ago
Houston, Texas, United States Sedgwick Claims Management Services Full timeCompany OverviewSedgwick Claims Management Services is a global leader in claims management, providing innovative solutions to help our clients manage their risk and protect their assets.SalaryThe estimated annual salary for this role is $70,000 - $90,000, depending on experience and location.Job DescriptionWe are seeking a highly skilled Commercial Claims...
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Insurance Claims Examiner
2 weeks ago
Houston, Texas, United States Sedgwick Claims Management Services Full timeSedgwick Claims Management Services is looking for a skilled Insurance Claims Examiner to analyze mid-level commercial General Liability/Bodily Injury claims. The ideal candidate will have excellent analytical skills, a strong understanding of industry best practices, and the ability to work effectively with clients.About the Position:The successful...
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Claims Resolution Specialist
4 weeks ago
Houston, Texas, United States Medical AR Management Services, LLC Full timeCompany OverviewMedical AR Management Services, LLC is a dynamic organization dedicated to delivering exceptional medical accounts receivable management solutions.Job SummaryWe are seeking an experienced Error Processing Specialist to join our team. The successful candidate will be responsible for resolving front-end and back-end errors related to claims...
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Medical Claims Specialist I-Hybrid Renegotiator
4 weeks ago
Houston, Texas, United States MET Healthcare Solutions Full timeAbout the RoleWe are seeking a highly skilled Claims Eligibility Specialist I to join our team at MET Healthcare Solutions in Houston, Texas. This is a full-time position requiring your presence in our corporate office 2-3 times per week.Estimated Salary: $62,000 - $72,000 per year, based on experience and qualifications.The ideal candidate will have...
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Commercial Insurance Claims Professional
2 days ago
Houston, Texas, United States Brady, Chapman, Holland & Associates, Inc Full timeJob SummaryWe are seeking a highly skilled Commercial Insurance Claims Professional to join our team at Brady, Chapman, Holland & Associates, Inc. As a key member of our team, you will be responsible for handling the day-to-day claims management activities for our clients.The ideal candidate will have a minimum of 5 years of experience in commercial lines...
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Error Resolution Specialist
1 day ago
Houston, Texas, United States Medical AR Management Services, LLC Full timeJob 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...
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Healthcare Claims Examiner
2 weeks ago
Houston, Texas, United States Elevance Health Full timeAbout the Job: Healthcare Claims ExaminerElevance Health is seeking a detail-oriented Healthcare Claims Examiner to join our team. This role involves reviewing medical claims and determining their validity.Key Responsibilities:* Evaluate medical claims for accuracy and completeness* Assess the medical necessity of treatments and services* Collaborate with...
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Houston, Texas, United States Burnett Specialists Full timeJob DescriptionBurnett Specialists, a leading provider of probate and fiduciary dispute resolution services, is hiring a seasoned Probate and Fiduciary Dispute Resolution Professional. With a focus on trust, estates, and probate law, our team resolves complex disputes through effective litigation strategies.About UsWe operate as a boutique law firm, offering...
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Claims Denials Resolution Expert
2 days ago
Houston, Texas, United States Senior PsychCare Full timeJob DescriptionSenior 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...
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Healthcare Claims Analyst
2 days ago
Houston, Texas, United States Castle Biosciences Full timeAbout Us:Castle Biosciences is a growing biotech company that offers a unique opportunity for individuals to make a difference in the lives of patients while doing something that inspires them. We are committed to empowering healthcare providers and patients with the goal of improved outcomes. Our culture fosters an environment of trust, transparency, and...
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Claims Professional
4 days ago
Houston, Texas, United States North American Risk Services, Inc. (NARS) Full timeIf you're looking for a challenging and dynamic work environment that allows for personal and professional growth, consider joining our team at North American Risk Services, Inc. (NARS) as a Claims Professional. In this role, you will be working with experienced professionals to handle a variety of workers' compensation claims. This position requires...
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Medical Claims Reconciliation Expert
2 weeks ago
Houston, Texas, United States Medical AR Management Services, LLC Full timeJob 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...
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Claims Management Professional
4 weeks ago
Houston, Texas, United States Law Firm Full timeJob OverviewThe Law Firm is seeking an experienced Claims Manager to handle personal injury cases from intake to resolution. The ideal candidate will have a strong background in general claims management, with expertise in car wrecks and 18 wheeler wrecks.About the RoleThis role requires extensive experience in case screening, client follow up, supervision...
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General Liability Specialist
1 day ago
Houston, Texas, United States Sedgwick Claims Management Services Full timeAbout the RoleThe General Liability Specialist will be responsible for analyzing mid-level commercial General Liability/Bodily Injury claims to determine benefits due.Responsibilities:Review and analyze complex claim files to determine benefits dueDevelop and implement effective claim resolution strategiesCollaborate with internal stakeholders to ensure...
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Personal Injury Claims Coordinator
6 days ago
Houston, Texas, United States Law Firm Full timeAbout This Role:This Senior Claims Management Professional will oversee personal injury claims, ensuring timely resolution and maximum recovery for clients. Key responsibilities include case screening, intake, and negotiation with insurance companies.The ideal candidate will possess strong analytical skills, experience with medical records analysis, and...