AR Recovery/Healthcare Denials Specialist (On-site Plano, TX)
Plano, Texas, United States
OnsiteFull Time
FinThrive: Provides software solutions for healthcare revenue cycle management.
3+ YOE3+ years healthcare billing/collections experience in hospital or BPO; deep knowledge of payer rules, denial interpretation and appeals; experience with EPIC/Paragon/Zirmed or similar EHR; proficiency with Microsoft Excel and Word; HIPAA compliance.
ARO software, EPIC, Paragon, Zirmed, EHR, Microsoft Excel, Microsoft Word
AR Recovery/Healthcare Denials Specialist (On-site Plano, TX)
Plano, Texas, United States
OnsiteFull Time
FinThrive: SaaS platform for healthcare revenue cycle and financial management.
3+ YOE3+ years healthcare billing, reimbursement, and collections experience (hospital or BPO); deep payer rules knowledge; experience with EPIC, Paragon, Zirmed or similar; proficiency in Microsoft Excel and Word; HIPAA compliance.
ARO software, EPIC, Paragon, Zirmed, Microsoft Excel, Microsoft Word
Cook Children's: Provides comprehensive pediatric medical care and specialized health services.
5+ YOE3+ MgmtManage government payor AR; 5+ years hospital AR experience; 3+ years supervisory experience; HS diploma required, bachelor's in business/accounting/finance preferred; knowledge of Medicare/Medicaid and claim processing; Epic Systems Revenue Cycle Solutions preferred.
2+ YOEMust be an LVN or RN with MDS experience; 2+ years healthcare experience preferred. Experience with appeals, denials, audits, ICD-10/CPT/HCPCS coding, and payer audits required.
Legent Health: Operates specialized surgical hospitals and ambulatory surgery centers.
3+ YOE3+ years medical AR/denial management experience in procedural specialties, strong denial analysis (CARC/RARC), coding knowledge (CPT/ICD-10/HCPCS), EMR and Microsoft Office proficiency, excellent communication and analytical skills.
UT Southwestern Medical Center: Academic medical center providing healthcare, research, and education.
5+ YOE5+ MgmtHigh school diploma; 5+ years experience in medical claims recovery/denials management; supervisory experience preferred; knowledge of billing regulations and compliance (HIPAA).
Star Dental Partners: Dental support organization providing business and administrative services.
2+ YOEProcessing dental payments and EOBs, posting payments, managing accounts receivable, researching and resolving claim rejections/denials, and analyzing reimbursement trends. High attention to detail and confidentiality.
CHRISTUS Health: Catholic nonprofit health system providing comprehensive medical services.
Experience managing managed care contracts, payer relations, denial and underpayment resolution, credentialing, training/mentoring staff, and conducting payment and operational data analysis. Bachelor's degree preferred.
Plano Orthopedic & Sports Medicine Center: A medical practice providing orthopedic and sports medicine services focused on patient care and surgical coordination.
Verifying insurance coverage and precertification, managing medical records in compliance with HIPAA, coordinating authorizations and peer-to-peer calls, communicating with patients/providers/insurers, and maintaining surgery and denial worklists.
Revenue Cycle Business Intelligence (BI) Analyst (30626)
Southlake, Texas, United States
OnsiteFull Time
The Specialty Alliance: Provides operational and administrative support to specialty medical practices.
3+ YOE3+ years healthcare analytics or revenue cycle BI experience; Power BI and DAX expertise; experience with AR/denials/collections; strong communication, analytical, and data validation skills.
Microsoft Power BI, DAX, EHR, Microsoft Excel, Microsoft Office
U.S. Oral Surgery Management: Provides business management services to oral surgery practices.
2+ YOE2+ years medical/dental billing and collections experience, knowledge of EOBs, denials, fee schedules; strong communication, problem-solving, MS Office and patient management software proficiency.
MY Transworld Health, My TSI, Microsoft Teams, Microsoft Office
Elevance HealthNYSE: ELV: Provides health insurance plans and integrated healthcare services.
3+ YOEHigh school diploma or equivalent, minimum 3 years billing and collections experience, strong Microsoft Excel skills, knowledge of Explanation of Benefits/ANSI/denial codes, cash posting and reconciliation experience.
Plutus Health: AI-powered revenue cycle management and medical billing solutions.
7+ YOE7+ years medical coding/auditing and RCM leadership experience; CPC/CCS or equivalent; strong payer policy, denial management, audit, and client relationship skills; Epic/Meditech/Paragon proficiency.
Vital Care Infusion Services: Provides home infusion therapy and specialty pharmacy franchise services.
2+ YOE2+ years home infusion billing/collections experience, high school diploma, proficiency with payer processes and MS Office, strong communication, documentation, and denial-analysis skills for revenue cycle collections.
U.S. Oral Surgery Management: Provides management services to oral and maxillofacial surgery practices.
2+ YOE2+ years medical/dental billing or collections experience; proficiency with patient management software and MS Office; knowledge of EOBs, denial codes, and fee schedules; strong communication and problem-solving skills.
MY Transworld Health, My TSI, Patient Management Software, Microsoft Office, Microsoft Teams
SCP Health: Provides clinical staffing and management for healthcare facilities.
2+ YOE2+ years medical denial management and patient billing experience; ability to read EOBs; knowledge of ICD/CPT/HCPCS coding; intermediate MS Office and Excel; strong communication and organizational skills.
Microsoft Excel, Microsoft Word, OnBase, Centricity, Way Star, Payor Portals, ICD-9, ICD-10, CPT, HCPCS