• Appeals Specialist

    TEKsystems (Houston, TX)
    …, insurance follow up, root cause analysis, EHR, EMR, EPIC, Cerner, medical billing, claims audit, appeals process, appeals letter, denials, insurance ... audit) 2. rebilling - focus on "out the door" claim appeals that are more ready to go -...a follow up that's been re-routed to the appeals specialist to do in the depth review of the… more
    TEKsystems (09/04/25)
    - Related Jobs
  • Adverse Subrogation and Arbitration…

    Kemper (Dallas, TX)
    …arbitration cases. This position involves reviewing subrogation demands, and moving claims to successful resolution. Additionally, the specialist will respond ... highly motivating and productive. **Position Summary** : The Adverse Subrogation and Arbitration Specialist at Kemper plays a critical role in resolving claims more
    Kemper (08/28/25)
    - Related Jobs
  • Business Office Manager

    STG International (Temple, TX)
    …or any other protected class. Medical Corps - 60J, 60L, 61F, 61H, 61N, 61R,62B Medical Specialist Corps - 65B, 65C, 65D Nurse Corps - 66B,66H, 66P Medical ... & co-insurance) collections at 99% 32. On hold unbilled claims are less than .25% of 3rd party (non-private)...mission. STGi offers a competitive benefits package which includes Medical , Dental, Vision, 401k with company match and a… more
    STG International (07/30/25)
    - Related Jobs
  • Revenue Cycle Management Specialist

    KPH Healthcare Services, Inc. (Longview, TX)
    **Overview** The Revenue Cycle Management Specialist - Collections responsibility is to ensure timely collection of outstanding balances. **Responsibilities** + ... Manage the collection process for outstanding claims , including contacting insurance companies, patients, and other responsible parties via phone, email, and written… more
    KPH Healthcare Services, Inc. (08/16/25)
    - Related Jobs
  • Branch Support Specialist

    Allied Universal (Corpus Christi, TX)
    …files associated with the program + Assist with the workers' compensation claims management by issuing and obtaining claim paperwork, collecting statements, ... we serve. We offer comprehensive benefits for most full-time positions, including medical , dental, and vision coverage, life insurance, a retirement plan, employee… more
    Allied Universal (08/13/25)
    - Related Jobs
  • AR Revenue Cycle Specialist

    Insight Global (Houston, TX)
    …5+ years of Revenue Cycle Experience - End to End Strong experience in medical billing, claims , and revenue cycle management Experience with complicated ... in Houston, TX is seeking an AR Revenue Cycle Specialist to join their team. This position is hybrid...will be responsible for reviewing denied or rejected insurance claims , investigating the reasons for denial, correcting any errors… more
    Insight Global (08/29/25)
    - Related Jobs
  • Appeals Specialist

    TEKsystems (Dallas, TX)
    Overview We are seeking a highly analytical and proactive Revenue Cycle Appeals Specialist to join our team. This role is ideal for someone with strong experience in ... steps. 2. Rebilling & Appeals Submission + Focus on claims ready for appeal-already vetted and prioritized. + Write...+ Communicate effectively via phone and email to resolve claim issues. + Determine reasons for denials and appropriate… more
    TEKsystems (09/04/25)
    - Related Jobs
  • Specialist , Appeals & Grievances

    Molina Healthcare (Fort Worth, TX)
    …and prepares written response to incoming provider reconsideration request is relating to claims payment and requests for claim adjustments or to requests from ... to ensure that internal and/or regulatory timelines are met. + Research claims appeals and grievances using support systems to determine appeal and grievance… more
    Molina Healthcare (08/30/25)
    - Related Jobs
  • Senior Accounts Receivable Specialist

    CVS Health (Austin, TX)
    …monthly invoices in accounting system. + Enter and process monthly fee claims for ancillary product offerings via claim system. **Required Qualifications** ... each and every day. **Position Summary** The **Senior Accounts Receivable Specialist ** prepares accounting and financial records and reports, including general… more
    CVS Health (09/02/25)
    - Related Jobs
  • FEMA - Program Delivery Specialist

    CDM Smith (Austin, TX)
    …40509BR **Business Unit:** FSU **Job Description:** The Disaster Program Delivery Specialist : * Collects, coordinates and/or reviews applicant data to determine ... needed throughout the program delivery process. * Supports the claims process by reviewing and validating damage details, scopes...and make recommendations to FEMA as to whether the claim is eligible. Assists with the development of the… more
    CDM Smith (07/19/25)
    - Related Jobs