Medical billing coding jobs in Houston, TexasCrear alertas

Job DescriptionSalary: Psychiatrist- Houston, TX and surrounding areas About Us: Senior Psych Care provides fully integrative behavioral health services to the long term care and rehabilitation patients in Nursing Homes. Our model of care involves psychotherapists (LCSW & PhD/PsyD), rendering individual, family, and group therapies; along with diagnostic evaluation and collaborative intervention between the therapy team and the psychiatric team. Our multi-disciplinary team realizes that older adults have special physical, emotional, and social needs. The psychiatrist collaborates with a team of psychiatric nurse practitioners and physician assistants to take a comprehensive approach to diagnosis and treatment. For more information please visit BASIC RESPONSIBILITIES: Senior Psych Care provides fully integrative behavioral health services to the long term care patient, at their facility. Physicians are responsible for comprehensive assessment and treatment of persons whose lives are impacted by cognitive conditions, mental health issues (depression, anxiety, adjustment disorder, Alzheimers, Dementia), or a declining capacity to function independently. Duties include (but arent limited to) completing cognitive and mental health evaluations; prescribing psychotropic medications when appropriate; completing timely and accurate charting. Collaborating Physician will be responsible for performing outpatient care, billing, coding and documenting under the professional standards set forth by the AMA code of medical ethics. Physician will collaborate with mid-level providers (Nurse Practitioners/Physician's Assistants) This position requires an individual with a Texas medical license and completion of course of study from an accredited university and/or designated medical program. SPECIFIC RESPONSIBILITIES: • Provide continuity of care to long term care resident in order to recognize existing and potential problems regarding medications, activities, therapies, testing, treatment referral or routine care., • Diagnostic and treatment plans are to be entered into our electronic medical record available for audits, staff and collaborative review, • Prescribe medication, treatment or other recommendations to residents suffering from a broad range of mental health problems, • Provide mental health screenings and cognitive analysis to maximize intervention, • Comply with protocols set by collaborating physician and company standards, • Consult with nursing home staff to help minimize the residents behavioral issues or other psychological problems., • Participation in Behavioral Rounds-a structured synthesis between psychiatric and psychological teams, discussing the overall treatment goals for a specific patient. Increasing quality of care and best treatment practices., • Attend trainings, in-services, meetings, etc. as required, • Assessing Mental Capacity Qualifications: • Strong interest in Geriatric care, • BC/BE Psychiatrist, • Texas license required, • Must be willing to travel to nursing homes and assisted living facilities in the assigned geographic region. What we offer: • Competitive Salary, • Flexible scheduling: PRN, Part Time and Full Time positions available, • Comprehensive benefits package including:, • Medical, • Dental, • Vision, • Paid Time Off, • Paid Holidays, • 401k, • Financial assistance with Continuing Medical Education

Job Description Medical Coding and Billing Instructor/Externship Coordinator Not a remote position Full Time/ Swing 8 am to 4 pm 5 pm to 10 pm Job Description: Have you ever wanted to make an impact on the future generation of Medical Coding and Billing professionals? Do you have a passion for helping people reach their full potential? Do you love working closely with people? If your answer is yes, this career may be just perfect for you. You responsibilities will include delivering curriculum content to our Medical Coding and Billing students. This includes mentoring and helping the students to become professionals. Qualifications: • Required CBCS Certified Billing and Coding Specialist, CPC certified Professional coder, or CCS ( certified Coding Specialist) Experience: • 3+years of Medical Coding and Billing LkInpyEK0W

Sagis Diagnostics is an entirely physician-led sub-specialty pathology group supported by a CAP-accredited histology lab located in the heart of Houston, Texas. Led by a team of board-certified pathologists, our lab is at the forefront of diagnostic science. We offer the highest quality services to physicians, physician groups, ambulatory surgery centers, and hospitals. One of our many strengths is we develop strong collaborative relationships with each of our referring physicians by offering accurate, prompt, and clear diagnoses in a personal and customized manner. Position Title: Pathology Medical Coder- This is 100% onsite- NOT REMOTE Department: Medical Billing & Revenue Cycle Employment Type: Full-Time Work Location: On-Site Position Summary We are seeking an experienced Pathology Medical Coder with strong knowledge across podiatry, surgical pathology, hematology, and toxicology. This role will be responsible for accurate CPT/HCPCS/ICD-10 coding, claim review, and appeals support, working closely with our billing and revenue cycle teams to ensure compliance and timely reimbursement. Key Responsibilities • Assign accurate CPT, HCPCS, and ICD-10-CM codes for:, • Surgical pathology, • Podiatry-related pathology, • Hematology and bone marrow cases, • Toxicology and molecular testing, • Apply pathology-specific coding rules, including:, • Add-on codes (e.g., 88341/88342, 88360), • Bundling and NCCI edits, • Medicare and commercial payer guidelines, • Review pathology reports to ensure coding accuracy and medical necessity, • Assist with denials, appeals, and reconsiderations, including:, • Drafting appeal narratives, • Reviewing payer policies and LCD/NCD requirements, • Collaborate with the billing, compliance, and clinical teams, • Identify underpayments, missed charges, and compliance risks, • Stay current on pathology coding updates, payer policies, and regulatory changes Required Qualifications • Minimum 3–5 years of pathology coding experience (required), • Hands-on experience coding:, • Surgical pathology (88300–88399), • IHC and special stains, • Hematology / bone marrow cases, • Toxicology testing, • Strong understanding of:, • Medicare and commercial payer rules, • NCCI edits and modifier usage, • Medical necessity and diagnosis-driven coding, • Experience supporting or preparing appeals (required), • Ability to work independently and as part of a billing team Preferred Qualifications • AAPC or AHIMA certification (CPC, CCS, or equivalent), • Experience with:, • Encoder Pro or similar coding software, • Molecular pathology and G-codes, • Pathology billing workflows, • Prior experience in a laboratory or pathology practice Skills & Attributes • Strong attention to detail and accuracy, • Excellent written communication (especially for appeals), • Ability to interpret pathology reports and clinical documentation, • Organized, deadline-driven, and compliance-focused Physical Demands • The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job., • While performing the duties of this job, the employee is regularly required to type, file, sit for extended periods of time and lift office supplies up to 20 pounds. The employee is frequently required to stand, talk and hear. Note: Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice. Unfortunately, because of the volume of applications we receive, we aren't able to give status updates, but if you are invited for an interview, you will generally be contacted within 2 weeks of submitting your application.

Job DescriptionCompany Description International Health and Medical Services delivers customized medical and security risk management and wellbeing solutions to enable our clients to operate safely and effectively in environments far from home. Founded in 1984, we operate in 92 countries providing integrated medical solutions to organizations with international operations. Our innovative technology and medical and security expertise focus on prevention, offering real-time, actionable insights and on-the-ground quality delivery. We provide clinical services to include “hands on” direct care at over 800 sites around the world, many of which include inpatient clinical care capabilities. With 12,000 staff (including 5,200 medical and behavioral health providers) our services include the design, deployment, and operation of healthcare solutions including freestanding surgical facilities in remote and austere environments, telemedicine consultation through a wide range of virtual modalities, referrals to a global network of more than 100,000 vetted providers, and global aeromedical evacuation. Within our portfolio of companies, International Health and Medical Services, headquartered in Houston, Texas provides contracted healthcare support to Government defense and civil agencies and government contractors, including support to military exercises and operations, diplomatic missions, natural disasters, and refugee care. To protect your workforce, we are at your fingertips: internationalsos.com Job Description This position is pending contract award International Health and Medical Services is looking for an experienced Medical Records Technician to accurately manage and maintain patient health records, ensuring that all documentation is complete, organized, and compliant with legal and regulatory requirements. This role involves coding medical information for billing purposes, facilitating access to medical records for healthcare providers, and protecting patient confidentiality. • Prepare, update, and maintain a medical record for each patient ensuring accuracy of information., • Maintain appointment system for patients and clinical staff., • Track compliance with internally scheduled patient appointments, making timely reminder notices to staff prior to each appointment., • File, scan laboratory, radiology, and other reports in appropriate sections of the electronic medical record within prescribed timeline., • Route clinical reports to appropriate clinic staff within prescribed timeline., • Archive clinical information from the medical record within prescribed timeline in accordance with established policy and procedures. 7., • Review all documentation for completeness and route incomplete documents to the appropriate provider for correction prior to scanning in the medical records., • Use multiple systems to process a variety of narrative and tabular material (e.g., correspondence, tabular data, reports, etc.) to prepare, update, and maintain a medical record and provide required and requested information to appropriate medical personnel., • Perform record keeping functions in accordance with program policies and position., • Maintain a high level of proficiency and ease of use utilizing electronic health records., • Complete and pass Medical Records Technician competencies initially and annually., • Complete all initial, annual and ad hoc training as required or assigned., • Serves as a team member for analyzing established protocol practices and identify areas for improvement., • Maintain patient confidentiality, and confidentiality of medical records in compliance with the Privacy Act and HIPAA regulations in all work activities., • Adhere to and maintain awareness of; Policies, Procedures, Directives, Operational Memoranda and accreditation standards as prescribed., • Adhere to and participate in: Safety, Prevention, Infection and Control, Quality Improvement, Patient Education and other programs and collateral duties as appropriate to position., • Attend and participate in general and medical staff meetings., • Utilize knowledge of the basic principles of standard electronic medical record procedures, methods, and requirements to perform a full range of routine medical records management., • Apply knowledge of the procedures, rules, operations, sequence of steps, documentation requirements, time requirements, functions, and workflow to process electronic medical records, to review records for accuracy and completeness, and to keep track of processing deadlines., • Utilize knowledge of medical terminology., • Manage high volume of medical records daily to include intake, discharge, and requests for records from outside sources., • Receive and process requests for information in accordance with the Fair Information Practice Principles and Privacy Act., • Recognize documentation inconsistencies and take appropriate action to resolve., • Maintain an electronic medical record system and ensure compliance with all regulatory agencies that provide governance and guidance on handling medical records in an appropriate manner., • Work in a multi-cultural and multi-lingual environment., • Ability to work with computers, scanners, and printers., • Utilize telephonic interpreter translation services to complete assigned duties if not fluent in a language the patient understands., • Adapt to sudden changes in schedules and flexibility in work requirements., • Communicate proficiently in English (verbal and written) in order to develop positive rapport with patients, co-workers and other stakeholders., • Establish and maintain positive working relationships in a multidisciplinary environment., • Navigate in an electronic work environment including electronic health records, web-based trainings, and communications., • Have functional proficiency in common Microsoft Office programs, specifically Microsoft Word, Excel, Outlook, and SharePoint., • Apply knowledge of regulations (HIPAA/Privacy Act) regarding the confidentiality of patient medical records and information as well as Personally Identifiable Information (PII)., • Demonstrate cultural sensitivity in all communications with coworkers and clients, fostering an inclusive and respectful work environment that values diversity., • Complete required organizational compliance education, including assigned requirements that are client-specified, for Joint Commission Healthcare Staffing Services certification or other regulatory bodies. This list is non-exhaustive, and the role holder may be required to undertake additional duties that are not specifically listed above. Qualifications Basic Requirements/Certifications: • Minimum of one-year experience in a healthcare setting as a medical record technician, medical record clerk, unit secretary, or similar position where the processing of electronic medical/health records was part of the daily responsibilities., • Minimum of one-year direct experience with proficiency in Microsoft Office programs, specifically MS Word, Excel, Outlook, SharePoint., • Basic Life Support (BLS) required. If not American Heart Association (AHA) certified, must be within first year., • Trained in Basic First Aid., • Employees shall have at least one year of general experience that demonstrates the following:, • The ability to greet and deal tactfully with the public., • Capability of understanding and applying written and verbal orders, rules, and regulations. All personnel shall be literate and be able to interpret printed rules and regulations, detailed written orders, training instructions and materials, and must be able to compose reports., • Good judgment, courage, alertness, an even temperament, and render satisfactory performance through knowledge of his/her position responsibilities., • Strong oral and written communication skills., • Excellent interpersonal skills., • Critical thinking skills., • Cultural competency., • Integrity and honesty., • Verbal and written proficiency in Spanish (preferred, not required)., • Required to walk unaided at a normal pace for up to 5 minutes and maintain balance., • Required to jog/fast walk up to ¼ mile., • Requires physical exertion such as lifting objects greater than 30 pounds., • Required to perform CPR/emergency care standing or kneeling., • Must have the ability to assist sick, injured, or aging patients or staff exiting the building (may require lifting, dragging, wheeling, or carrying someone who weighs significantly more than self)., • Must be able to see, hear and smell with aids if necessary., • Must be able to lift, push, or carry 30 pounds., • Must perform the duties of my job in a stressful and often austere environment without physical limitations., • Sitting and/or standing for extended periods of time., • Average manual dexterity for computer operation., • Must maintain current/physical residency in the continental U.S., • Pass a medical examination conducted by a licensed physician within 30 days prior to initial assignment., • U.S. citizen and have resided in the U.S. for the last five years (unless abroad on official U.S. government duty)., • Successfully engage in and complete a thorough Background Investigation., • Poses or have ability to obtain required security clearances., • Proficiency in Spanish is preferred. Additional Information Pay range is based on several factors and may vary in addition to a full range of medical, financial, and/or other benefits. Final salary and offer will be determined by the applicant’s background, experience, skills, internal equity, and alignment with geographical market data. Benefits – Full-time positions are eligible for our comprehensive and competitive benefits package including medical, dental, vision, and basic life insurance. Additional benefits include a 401k plan paid time off and an annual bonus. International Health and Medical Services complies with all federal, state, and local minimum wage laws International Health and Medical Serivdes is an equal opportunity employer and does not discriminate against employees or job applicants on the basis of race, color, religion, gender, sexual orientation, gender identity, national origin, age, disability, genetic information, marital status, amnesty or status as a covered veteran in accordance with the applicable federal, state and local laws.

Job DescriptionCompany Description International Health and Medical Services delivers customized medical and security risk management and wellbeing solutions to enable our clients to operate safely and effectively in environments far from home. Founded in 1984, we operate in 92 countries providing integrated medical solutions to organizations with international operations. Our innovative technology and medical and security expertise focus on prevention, offering real-time, actionable insights and on-the-ground quality delivery. We provide clinical services to include “hands on” direct care at over 800 sites around the world, many of which include inpatient clinical care capabilities. With 12,000 staff (including 5,200 medical and behavioral health providers) our services include the design, deployment, and operation of healthcare solutions including freestanding surgical facilities in remote and austere environments, telemedicine consultation through a wide range of virtual modalities, referrals to a global network of more than 100,000 vetted providers, and global aeromedical evacuation. Within our portfolio of companies, International Health and Medical Services headquartered in Houston, Texas provides contracted healthcare support to Government defense and civil agencies and government contractors, including support to military exercises and operations, diplomatic missions, natural disasters, and refugee care. Job Description This position is contingent upon award International Health and Medical Services is looking for an experienced Medical Records Technician to accurately manage and maintain patient health records, ensuring that all documentation is complete, organized, and compliant with legal and regulatory requirements. This role involves coding medical information for billing purposes, facilitating access to medical records for healthcare providers, and protecting patient confidentiality. • Prepare, update, and maintain a medical record for each patient ensuring accuracy of information., • Maintain appointment system for patients and clinical staff., • Track compliance with internally scheduled patient appointments, making timely reminder notices to staff prior to each appointment., • File, scan laboratory, radiology, and other reports in appropriate sections of the electronic medical record within prescribed timeline., • Route clinical reports to appropriate clinic staff within prescribed timeline., • Archive clinical information from the medical record within prescribed timeline in accordance with established policy and procedures. 7., • Review all documentation for completeness and route incomplete documents to the appropriate provider for correction prior to scanning in the medical records., • Use multiple systems to process a variety of narrative and tabular material (e.g., correspondence, tabular data, reports, etc.) to prepare, update, and maintain a medical record and provide required and requested information to appropriate medical personnel., • Perform record keeping functions in accordance with program policies and position., • Maintain a high level of proficiency and ease of use utilizing electronic health records., • Complete and pass Medical Records Technician competencies initially and annually., • Complete all initial, annual and ad hoc training as required or assigned., • Serves as a team member for analyzing established protocol practices and identify areas for improvement., • Maintain patient confidentiality, and confidentiality of medical records in compliance with the Privacy Act and HIPAA regulations in all work activities., • Adhere to and maintain awareness of; Policies, Procedures, Directives, Operational Memoranda and accreditation standards as prescribed., • Adhere to and participate in: Safety, Prevention, Infection and Control, Quality Improvement, Patient Education and other programs and collateral duties as appropriate to position., • Attend and participate in general and medical staff meetings., • Utilize knowledge of the basic principles of standard electronic medical record procedures, methods, and requirements to perform a full range of routine medical records management., • Apply knowledge of the procedures, rules, operations, sequence of steps, documentation requirements, time requirements, functions, and workflow to process electronic medical records, to review records for accuracy and completeness, and to keep track of processing deadlines., • Utilize knowledge of medical terminology., • Manage high volume of medical records daily to include intake, discharge, and requests for records from outside sources., • Receive and process requests for information in accordance with the Fair Information Practice Principles and Privacy Act., • Recognize documentation inconsistencies and take appropriate action to resolve., • Maintain an electronic medical record system and ensure compliance with all regulatory agencies that provide governance and guidance on handling medical records in an appropriate manner., • Work in a multi-cultural and multi-lingual environment., • Ability to work with computers, scanners, and printers., • Utilize telephonic interpreter translation services to complete assigned duties if not fluent in a language the patient understands., • Adapt to sudden changes in schedules and flexibility in work requirements., • Communicate proficiently in English (verbal and written) in order to develop positive rapport with patients, co-workers and other stakeholders., • Establish and maintain positive working relationships in a multidisciplinary environment., • Navigate in an electronic work environment including electronic health records, web-based trainings, and communications., • Have functional proficiency in common Microsoft Office programs, specifically Microsoft Word, Excel, Outlook, and SharePoint., • Apply knowledge of regulations (HIPAA/Privacy Act) regarding the confidentiality of patient medical records and information as well as Personally Identifiable Information (PII)., • Demonstrate cultural sensitivity in all communications with coworkers and clients, fostering an inclusive and respectful work environment that values diversity., • Complete required organizational compliance education, including assigned requirements that are client-specified, for Joint Commission Healthcare Staffing Services certification or other regulatory bodies. This list is non-exhaustive, and the role holder may be required to undertake additional duties that are not specifically listed above. Qualifications Basic Requirements/Certifications: • Minimum of one-year experience in a healthcare setting as a medical record technician, medical record clerk, unit secretary, or similar position where the processing of electronic medical/health records was part of the daily responsibilities., • Minimum of one-year direct experience with proficiency in Microsoft Office programs, specifically MS Word, Excel, Outlook, SharePoint., • Basic Life Support (BLS) required. If not American Heart Association (AHA) certified, must be within first year., • Trained in Basic First Aid., • Employees shall have at least one year of general experience that demonstrates the following:, • The ability to greet and deal tactfully with the public., • Capability of understanding and applying written and verbal orders, rules, and regulations. All personnel shall be literate and be able to interpret printed rules and regulations, detailed written orders, training instructions and materials, and must be able to compose reports., • Good judgment, courage, alertness, an even temperament, and render satisfactory performance through knowledge of his/her position responsibilities., • Ability to maintain poise and self-control during situations that involve mental stress, such as fires, explosions, civil disturbances, and building evacuations. Education Required: • High School Diploma or GED equivalent. Attributes and Professional Qualities: • Strong oral and written communication skills., • Excellent interpersonal skills., • Critical thinking skills., • Cultural competency., • Integrity and honesty., • Verbal and written proficiency in Spanish (preferred, not required)., • Experience in a detention or correctional or residential healthcare setting (preferred, not required). Physical Requirements: • Required to walk unaided at a normal pace for up to 5 minutes and maintain balance., • Required to jog/fast walk up to ¼ mile., • Requires physical exertion such as lifting objects greater than 30 pounds., • Required to perform CPR/emergency care standing or kneeling., • Must have the ability to assist sick, injured, or aging patients or staff exiting the building (may require lifting, dragging, wheeling, or carrying someone who weighs significantly more than self)., • Must be able to see, hear and smell with aids if necessary., • Must be able to lift, push, or carry 30 pounds., • Must perform the duties of my job in a stressful and often austere environment without physical limitations., • Sitting and/or standing for extended periods of time., • Average manual dexterity for computer operation., • Phone or computer use for extended periods of time. Other Special Qualifications: • Must maintain current/physical residency in the continental U.S., • Pass a medical examination conducted by a licensed physician within 30 days prior to initial assignment., • U.S. citizen and have resided in the U.S. for the last five years (unless abroad on official U.S. government duty)., • Successfully engage in and complete a thorough Background Investigation., • Poses or have ability to obtain required security clearances., • Proficiency in Spanish is preferred. Additional Information Pay range is based on several factors and may vary in addition to a full range of medical, financial, and/or other benefits. Final salary and offer will be determined by the applicant’s background, experience, skills, internal equity, and alignment with geographical market data. Benefits – Full-time positions are eligible for our comprehensive and competitive benefits package including medical, dental, vision, and basic life insurance. Additional benefits include a 401k plan paid time off and an annual bonus. International Health and Medical Services complies with all federal, state, and local minimum wage laws International Health and Medical Services is an equal opportunity employer and does not discriminate against employees or job applicants on the basis of race, color, religion, gender, sexual orientation, gender identity, national origin, age, disability, genetic information, marital status, amnesty or status as a covered veteran in accordance with the applicable federal, state and local laws.

Job Description The Medical Billing Specialist is responsible for the timely and accurate submission of insurance claims, reviewing and updating denied claims for resubmission and performing reconciliations to ensure timely billing for services provided. The Medical Billing Specialist collaborates with patients, revenue cycle counterparts and work units, clinical staff, and insurance providers to drive the efficiency of the billing process and reduce the amount of denied claims. Essential Responsibilities: • Reviews patient demographic and insurance information and confirms patient benefit details related to services provided by the clinic from insurance providers., • Obtains necessary medical documentation from clinicians to provide to insurance companies as required for review and prior authorization of treatment. Documents authorization reference numbers in EMR and/or other systems., • Updates and maintains EMR and/or other systems based on documentation provided by physician/clinic for creation of medical claim and/or posting of self-pay charges to patient accounts. Prepares electronic claim files for submission., • Monitors accepted/denied claims and updates claims as required for resubmission., • Compares transaction reports with daily schedules to ensure timely billing of all services provided each month., • Resolves and prepares paperwork for any credit balances and prepares statements for collection of outstanding patient balances., • Performs daily charge capture functions as outlined by each Clinic in a timely and appropriate manner. This includes but not limited to the actual data entry of charges per patient into the EMR platform, eIVF., • Ensures charge reconciliation to the schedule for all patients seen daily., • Ensures appropriateness of charges based upon services rendered and works in conjunction with Clinic leadership, RCM Leadership, and Coding Team to ensure such accuracy., • High School Diploma or equivalent required, Associate’s preferred., • 1 - 2 years of medical billing experience required in a women's clinic/physician practice setting., • 1-2 years of medical billing experience related to a lab and ASC setting also preferred., • Versed in CPT code sets and requirements including but not limited to modifiers, CPT bundling/unbundling, proper diagnosis assignment, Evaluation and Management Codes, Lab Codes, and ASC HCPC code sets., • Familiar with claim edits and clearinghouse functionality. Comprehensive Health Coverage: Medical, dental, and vision plans for our full-time employees, along with complimentary basic life insurance, Employee Assistance Program, and long-term disability insurance. FREE or low-cost employee-only healthcare coverage option is also available. Family Building Support: Take advantage of our comprehensive fertility benefits, adoption assistance, and surrogacy support to help grow your family. Paid Parental Leave: Generous maternity, paternity, and partner leave so you can focus on what matters most. Plenty of Paid Time Off: Start with 18 days of PTO annually and enjoy 11 paid holidays, including one floating holiday to use as you choose! Retirement Ready: Invest in your future with our 401(k) plan, featuring a competitive company match and full vesting after just 2 years. Lifestyle Spending Account: Access a company-funded account to reimburse expenses that boost your physical, financial, and emotional well-being. Health Savings Account (HSA): If eligible, enjoy regular employer contributions to your HSA with every paycheck. Rewards for Connections: Earn extra money with our Employee Referral Program—your network is invaluable! Growth Opportunities: We support your career with continuing education reimbursement and dedicated time off for professional development. Premium Calm Health Subscription: Enjoy a free premium Calm Health app subscription to support your mental wellness. Emotional & Work-Life Support: Through our Employee Assistance Program (EAP) with SupportLinc, you'll have access to emotional well-being and work-life resources whenever you need them. Extra Peace of Mind: Explore additional coverage options including Accident, Critical Illness, Hospital Indemnity, and Pet Insurance, to suit your needs.

Job DescriptionDescriptionWe are currently seeking a highly motivated Risk Adjustment Coding Specialist. This role will report to a Sr. Manager - Risk Adjustment and enable us to continue to scale in the healthcare industry. *Requires travel to provider sites in surrounding areas *May be open to considering Level I Specialists based on experience and skills Our Values: • Put Patients First, • Empower Entrepreneurial Provider and Care Teams, • Operate with Integrity & Excellence, • Be Innovative, • Review provider documentation of diagnostic data from medical records to verify that all Medicare Advantage, Affordable Care Act (ACO) and Commercial risk adjustment documentation requirements are met, and to deliver education to providers on either an individual basis or in a group forum, as appropriate for all IPAs managed by the company, • Review medical record information on both a retroactive and prospective basis to identify, assess, monitor, and document claims and encounter coding information as it pertains to Hierarchical Condition Categories (HCC), • Perform code abstraction and/or coding quality audits of medical records to ensure ICD-10- CM codes are accurately assigned and supported by clinical documentation to ensure adherence with CMS Risk Adjustment guidelines, • Interacts with physicians regarding coding, billing, documentation policies, procedures, and conflicting/ambiguous or non-specific documentation, • Prepare and/or perform auditing analysis and provide feedback on noncompliance issues detected through auditing, • Maintain current knowledge of coding regulations, compliance guidelines, and updates to the ICD-10 and HCC codes, Stay informed about changes in Medicare, Medicaid, and private payer requirements., • Provides recommendations to management related to process improvements, root-cause analysis, and/or barrier resolution applicable to Risk Adjustment initiatives., • Trains, mentors and supports new employees during the orientation process. Functions as a resource to existing staff for projects and daily work., • Provides peer to peer guidance through informal discussion and overread assignments. Supports coder training and orientation as requested by manager., • Required Certification/Licensure: Must possess and maintain AAPC or AHIMA certification - Certified Coding Specialist (CCS-P), CCS, or CPC., • 3-5+ years of experience in risk adjustment coding and/or billing experience required, • Reliable transportation/Valid Driver’s License/Must be able to travel up to 75% of work time, if applicable., • PC skills and experience using Microsoft applications such as Word, Excel, and Outlook, • Excellent presentation, verbal and written communication skills, and ability to collaborate, • Must possess the ability to educate and train provider office staff members, • Proficiency with healthcare coding software and Electronic Health Records (EHR) systems.You're great for this role if:, • Strong billing knowledge and/or Certified Professional Biller (CPB) through APPC, • Certified Risk Adjustment Coder (CRC) and/or Risk Adjustment coding experience, • Have knowledge of Risk Adjustment and Hierarchical Condition Categories (HCC) for Medicare Advantage, • Strong PowerPoint and public speaking experience, • Ability to work independently and collaborate in a team setting, • Experience with Monday.com, • The total pay range for this role is $75,000 - $85,000 per year. This salary range represents our national target range for this role., • This role follows a hybrid work structure where the expectation is to work on the field and at home on a weekly basis. This position requires up to 75% travel to provider offices in the surrounding areas in Beaumont. The home office is located at 19500 TX-249, Suite 570, Houston, TX 77070.

Job Description About Us MedAR is a dedicated medical billing company specializing in pathology, radiology and anesthesia services. We partner with healthcare providers to streamline their revenue cycle and ensure accurate reimbursement. We are currently seeking a meticulous and experienced Pathology Medical Coder to join our expert team. Job Summary The Pathology Medical Coder will be responsible for accurately applying billing codes to pathology reports for our client base. This role is crucial for ensuring compliance and maximizing revenue for our clients. The ideal candidate will have a deep understanding of CPT, ICD-10-CM, and HCPCS coding guidelines, with a specific focus on pathology services. Key Responsibilities • Review provider documentation and accurately assign CPT, ICD-10-CM, and HCPCS codes to pathology and laboratory services, including surgical pathology, cytology, and molecular diagnostics., • Apply correct modifiers and ensure NCCI edits, MUE, and payer policy compliance., • Analyze complex medical documentation from various client-provided sources to ensure coding accuracy and completeness., • Audit accounts for proper coding; identify account problems along with trends and patterns., • Stay up to date with the latest coding guidelines, payer policies, and regulatory changes affecting pathology coding., • Maintain compliance with industry standards and best practices., • Comply with state and federal regulations and adhere to HIPAA and PHI guidelines., • Communicate effectively with clients and team members., • Assist in resolving coding-related claim denials and rejections in a timely manner., • Collaborate with the billing and accounts receivable teams to address coding questions and ensure smooth claims submission., • Meet or exceed accuracy and productivity targets., • Required:, • Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) credential from AAPC or AHIMA., • Minimum of 2 years of experience in medical coding with one year specifically related to pathology., • Proven expertise in coding surgical pathology, cytopathology, and molecular pathology., • ICD-10 Proficient, • Proficient in using coding tools and software., • Preferred:, • Associate's degree or higher, • Experience with a variety of EHR and billing systems., • Strong knowledge of compliance regulations and payer-specific coding requirements. This is an overview of the position and does not lists all responsibilities. You might be asked by management to perform other duties or projects as needed. This job description does not represent a promise or contract of employment. MedAR is an "At-Will Employer." An employee may resign at any time and the employer may terminate their employment at any time, with or without cause and with or without notice. MedAR is an equal opportunity employer. Our employment and promotion policies are based on the measurement of each individual's skill, competence, initiative, and other pertinent job-related factors.

Job Description The Role: We are seeking a licensed, board-certified neurologist with expertise in neurocognitive disorders to provide remote diagnostic assessments and collaborate with our interdisciplinary team on clinical care for complex patients. The ideal candidate will have experience in dementia diagnosis and management, and be passionate about advancing high-quality, innovative and equitable care for aging adults. Essential Functions: • Conduct structured, telehealth-based diagnostic evaluations for patients with suspected dementia or cognitive impairment, • Consult on complex neurological cases, including differential diagnosis of dementia syndromes, atypical presentations, and co-occurring neurological conditions, • Review clinical histories, caregiver interviews, and cognitive testing data to validate diagnostic decision-making, • Adhere to evidence based guidelines in clinical assessments, • Document assessments and diagnoses in accordance with relevant coding, billing, and documentation standards, • Collaborate with and advise ARNPs and MDs diagnosing those with dementia-related symptoms, • As needed, participate in case reviews and consult with care teams to support holistic, person-centered care planning, • MD or DO with current board certification in Neurology, • Subspecialty expertise in dementia, cognitive neurology, or behavioral neurology strongly preferred, • Unrestricted medical licensure, • Willingness to extend licensure to all states where Rippl is currently delivering care and has plans for imminent expansion (if not, company will support and fund this process), • Minimum of 5 years of clinical experience, including diagnostic evaluation of dementia, • Experience with telemedicine platforms and remote patient assessment, • Strong written and verbal communication skills, • Comfortable working independently and as part of a virtual team, • Prior experience working in value-based care, risk contracts, or managed care models Pay Range Details The pay range(s) below are provided in compliance with state specific laws. Pay ranges may be different in other locations. Exact compensation may vary based on skills, experience, and location. Role: $150 - $170/hr depending on experience Offer of employment is contingent upon successful completion of a background check, drug screen, and all required licensure, credentialing, and related documentation. We are going to make some very big waves starting with a small Rippl - come join us! If you got into healthcare to make a difference, you're in the right place. We're looking for a values-driven, mission-focused, dynamic Neurologist (Part-Time Contractor) who is passionate about working with seniors (and their families), especially those navigating challenges with dementia. Someone who is searching for a workplace and culture that is as committed to them as they are their patients. If that's you, read on! What's Rippl? At Rippl, we are a passionate, impatient, slightly irreverent, people-obsessed group of optimists & doers intent on building a movement to bring dementia care to our aging population. We believe there is no more noble mission than caring for people at this critical stage of life, and we're ready to take action. We're reimagining what dementia care for seniors can be. By leveraging an obsession with supporting our clinicians, a new care model and disruptive technology, we are pioneering an entirely new way to democratize senior access to high quality, wrap-around dementia care, for seniors and their families and caregivers. Helping them stay healthier, at home longer, and out of the ER and hospital. Our Mission The Rippl Mission is to enable more good days for those living with dementia and their families. Our Core Values At Rippl, we live and breathe a set of shared, core values that help us build the best team to serve our patients, families and caregivers. We're fed up. Today's dementia care isn't working. Too many families are struggling to find the support they need, and too many seniors are left without the care they deserve. We know it can be done better—so we're doing it. We're changemakers. We're pioneering a new, better care model that actually works for people living with dementia and their families. We use evidence-based care, technology, and human connection to deliver the support that people need—when and where they need it. And we're proving it works. We're in a hurry. The need for high-quality dementia care has never been greater. The number of people living with dementia is growing at an unprecedented rate. Families need help now, and we refuse to wait. We start with yes. We don't let barriers stop us. When faced with a challenge, we figure it out—together. We're problem-solvers, innovators, and doers who find a way to make things happen for the people who need us. We care for those who care for others. Great care starts with the people delivering it. We are obsessed with supporting our care team—because when they feel valued and empowered, patients and caregivers get the care they deserve. Join the movement We're looking to find other changemakers who are ready to join our movement.

Job DescriptionBenefits • Paid Time Off & Paid Company Holidays, • Medical, Dental, Vision & Life Insurance, • Flexible Spending Account (FSA), • 403(b) Retirement Plan with Company Match, • Short-Term & Long-Term Disability, • $0 Copay for Legacy Provider visits, • $0 Copay for prescriptions filled at Legacy Pharmacies, • Travel Insurance & Pet Insurance, • Subsidized Gym Membership, • Role Highlights: You will oversee every facet of the revenue cycle, including patient access, billing, coding, and collections, ensuring a seamless process., • Impact: Your work will directly support Legacy’s mission of providing accessible healthcare, making a tangible difference in the lives of our community., • Collaboration: Engage with clinical, IT, and finance teams to enhance workflows, fostering a collaborative and innovative environment., • Growth Opportunities: Take part in continuous development and mentorship programs, nurturing your team to achieve their highest potential., • Work Environment: Thrive in a supportive, team-oriented atmosphere that values work-life balance and personal fulfillment.Key Responsibilities, • Lead and manage the comprehensive revenue cycle process, ensuring every step from registration to collections is optimized., • Develop and implement innovative strategies to enhance revenue capture, minimize denials, and boost cash flow., • Ensure strict compliance with federal, state, and payer-specific regulations, including Medicaid, Medicare, and commercial insurance., • Collaborate closely with clinical, IT, and finance teams to streamline workflows and improve data integrity., • Monitor KPIs and provide insightful reports to executive leadership, driving informed decision-making., • Lead, mentor, and grow a high-performing RCM team, fostering a culture of accountability and continuous improvement., • Act as the primary liaison with third-party payers and external vendors, managing relationships and resolving reimbursement issues., • Oversee audits, manage payer relationships, and spearhead initiatives to address reimbursement challenges.Minimum Qualifications, • Bachelor’s degree in Healthcare Administration, Business, Finance, or related field required; Master’s degree preferred., • Minimum of 7 years of progressive experience in revenue cycle management, with at least 3 years in a leadership role., • Experience in an FQHC or similar healthcare setting strongly preferred., • In-depth knowledge of medical billing, coding (CPT, ICD-10), payer regulations, and healthcare reimbursement methodologies., • Proficiency with electronic health records (EHR) and revenue cycle software systems; experience with eClinicalWorks (eCW) is a plus. Powered by JazzHR iSfzrL7Ccw

Job Description FBT Gibbons is seeking an E-Billing Manager to oversee and enhance the firm’s e-billing function. The E-Billing Manager is responsible for leading the firm’s e-billing operations, with a focus on managing the legal e-billing platform, enforcing billing guidelines, and ensuring accurate, timely invoice processing. This position plays a critical role in supporting billing rate management, system administration, and ongoing process improvements, working in close partnership with the Revenue Director and Billing Manager. The role offers an opportunity to drive operational excellence within a collaborative and fast-paced environment. Key Responsibilities: • Manage the day-to-day operations of the e-billing function, including direct oversight of e-billing specialists, coordination of invoice processing, matter management, and compliance monitoring., • Oversee the legal e-billing platform, including user permissions, workflow configurations, system updates, and issue resolution., • Troubleshoot platform or process issues; collaborate with IT and software vendors and escalate and resolve technical concerns or implement integrations., • Ensure timely and accurate invoice submissions; maintain comprehensive billing records in accordance with firm policies and regulatory requirements., • Review high-value or complex invoices for compliance with internal billing guidelines and outside counsel terms; escalate exceptions as needed., • Collaborate closely with attorneys, legal practice assistants, and the finance team to resolve invoice discrepancies, ensure accurate matter coding, and facilitate prompt payment., • Identify and implement opportunities to streamline billing operations, improve compliance, and enhance data quality., • Collaborate with the Revenue Director and Billing Manager to support the maintenance and management of attorney and client billing rates., • Review and approve write-downs that exceed firm-established thresholds; ensure proper documentation and internal communication., • Ensure all billing records are maintained and archived in compliance with the firm’s record retention policies., • Provide monthly reporting to the Revenue Director regarding WIP and AR issues; produce ad hoc reports at the client, matter, or attorney level upon request by firm leadership., • Maintain internal billing documentation, including current billing guidelines, operational procedures, and training materials., • Deliver training on e-billing systems, billing procedures, and compliance policies to attorneys, assistants, and finance staff as needed., • Support the billing department during month-end close processes and key financial reporting cycles., • Partner with the financial systems team to escalate and resolve software-related issues; contribute to system upgrades and enhancements., • Serve as a liaison between attorneys and the billing team to foster strong working relationships among partners, legal practice assistants, the Finance Department, and e-billing personnel., • Foster a positive and inclusive work culture by motivating employees, promoting teamwork, and maintaining high levels of engagement and job satisfaction., • Provide continuous coaching and mentorship to direct reports, offering constructive feedback to support professional growth and skill development., • Bachelor’s degree in accounting, finance, business administration, or a related field required., • 5+ years of experience in a supervisory or management role., • 5+ years of work experience in a legal billing environment; large law firm experience preferred., • Proficiency in legal billing or e-billing systems (e.g., BillBlast, Legal Tracker, CounselLink, Aderant)., • Strong understanding of law firm billing practices, timekeeping protocols, and legal billing compliance., • Exceptional attention to detail, strong organizational skills, and the ability to manage multiple projects and priorities under tight deadlines., • Strong analytical and problem-solving capabilities, with a proven track record of identifying process improvements and implementing efficient solutions., • Demonstrated ability to perform strategic planning and set priorities for revenue-related functions within a fast-paced environment., • Excellent verbal and written communication skills, with the ability to collaborate effectively across departments and with external stakeholders., • Strong leadership skills with the ability to motivate, guide, and develop direct reports., • High level of discretion and integrity when handling sensitive financial and confidential information., • Ability to work independently, exercise sound judgment, and adapt to changing demands and time constraints., • Demonstrated diplomacy, professionalism, and a strong internal and external client service orientation. In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification form upon hire. FBT Gibbons is fully committed to equality of opportunity in all aspects of employment. It is the policy of FBT Gibbons to provide equal employment opportunity to all employees and applicants without regard to race, color, religion, national or ethnic origin, military status, veteran status, age, gender, gender identity or expression, sexual orientation, genetic information, physical or mental disability or any other protected status. #LI-hybrid

Job DescriptionDescription: JOB DESCRIPTION: The Medical Billing Specialist is responsible for the billing, collections, follow up and appeals of insurance claims and patient accounts. Essential to this position is the ability to manage all insurance follow up for maximum insurance reimbursement. To include outbound and inbound insurance carrier calls, reprocessing claims, drafting appeals, working denials and resolving unpaid claims. Requirements: JOB RESPONSIBILITIES/DUTIES: · Claim submission · Work assigned claim volume timely and efficiently with corporate timeframes · Actively follow-up on outstanding patient account balances, and all insurance claims using the A/R aged reports, including resolution of any billing errors. · Research, appeal, and resolve unpaid insurance claims. · Respond to correspondence from insurance carriers. · Collecting and posting payments in patient accounts · Contacting customers regarding outstanding balances · Resolving partial payment or denials from insurance companies · Insurance verification · Reviewing explanation of benefits and correspondence · Follow up on all returned claims, correspondence denials, account reconciliations and rebills. · Monitor and reconcile reimbursement from managed care networks-and insurance-carriers ensuring correct reimbursement with contracted rates. · Provide information pertaining to billing, coding, managed care networks, insurance carriers and reimbursements to providers, managers, and staff. · Performs other job-related duties as assigned. · Follow all process and procedures as set by leadership. · Understanding and staying informed of the changes with procedures, billing guidelines, and laws for specific insurance carries or payers. · Frequent speaking, listening using a headset, use of hands / fingers across keyboard or mouse, handling other objects, long periods working at a computer. · While performing duties of this job, the employee is frequently required to stand, walk and sit. QUALIFICATIONS: · Athena experience is a plus · Minimum 5+ Years of experience with insurance follow up and insurance collections. · Minimum 3+ years of experience with Ambulatory Surgery Center verification of benefits, billing, and/or collections. · Knowledge of both In Network and Out of Network Facility and Physician Claims. · Strong communications skills in both oral and written. · Positive attitude, Team player and ability to work independently. · Experience in reading, analyzing and interpreting EOB’s is a must. · Prior experience working with commercial payers such as UHC, Cigna, Aetna, BCBS, Work Comp and Third Party is a plus. · Proven experience administering appeals in a high-volume claim’s environment. · Proven experience in a production-based environment with concentration on meeting production standards. · Ability to have clearly communicate claim follow and appeals with insurances company representatives. · Demonstrates excellent problem-solving skills and negotiating skills. · Familiarity with computer and Windows PC applications such as Excel and Word, which includes the ability to learn new computer systems applications. Texas Regional Physicians does not discriminate on the basis of race, color, religion, sex, sexual orientation, age, national origin, marital status, citizenship status, physical or mental disability or veteran status. The above job description is intended to describe the general content of and requirements of the performance of this job. It is not to be construed as an exhaustive statement of duties, responsibilities or requirements. The statements in this job description are intended to describe the essential nature and level of work performed by the employee assigned to this job. They are not intended to be an exhaustive list of all responsibilities, duties & skills required of this position so classified. Job Type: Full-time Pay: $18.00 - $20.00 per hour Benefits: • 401(k), • 401(k) matching, • Dental insurance, • Disability insurance, • Health insurance, • Life insurance, • Paid time off Work Location: one to two locations

Job Description Remote Medical Biller & Coder (Entry-Level & Experienced) Company: Rooted Talent Solutions Location: Remote (Work From Home) Job Type: Independent Contractor (1099) Schedule: Flexible | Part-Time and Full-Time Opportunities ???? About the Role Rooted Talent Solutions is actively seeking remote medical billers and coders to join our healthcare support team. This is a remote, independent contractor opportunity involving medical claim processing, coding, and administrative support for healthcare providers. We’re hiring both experienced professionals and motivated individuals looking to enter the field. If you’re detail-oriented, organized, and eager to work from home, this could be the right opportunity for you. ???? Responsibilities • Process and submit medical claims accurately and on time, • Assign appropriate ICD-10, CPT, and HCPCS codes, • Review documentation for coding compliance, • Follow up on denied or unpaid claims as needed, • Communicate with providers, payers, or clients when necessary, • Maintain HIPAA compliance and data security standards ???? Qualifications ✅ Preferred: • Experience with medical billing, coding, or claim processing, • Familiarity with EHR or billing software, • Strong attention to detail and accuracy, • Basic understanding of insurance guidelines and terminology, • Certifications such as CPC or CBCS are a plus ???? Entry-Level Applicants: If you do not have experience, that’s okay. We will consider highly motivated candidates who demonstrate strong interest in the field. Additional details regarding onboarding and training will be discussed during the interview process. ???? Position Details • Location: 100% Remote, • Schedule: Flexible – hours vary based on client/project needs, • Compensation: Varies depending on experience and client placement, • Type: Independent Contractor (1099) ???? To Apply Submit your resume and a short message about your experience or interest in medical billing. Selected applicants will be invited to attend an interview session to learn more about current opportunities and next steps. ???? Rooted Talent Solutions is an equal opportunity contractor network. We welcome applicants of all backgrounds and are committed to fostering a supportive, remote-first work environment.

Job DescriptionDescription: POSITION TITLE: Revenue Cycle Manager LOCATION: HOPE Clinic - Alief REPORTS TO: Chief Financial Officer EDUCATION: Bachelor’s degree from four-year college or university, and/ or 5-7 years of experience in lieu of WORK EXPERIENCE: One to two years supervisor experience and/or training; and FQHC experience a plus! SALARY RANGE: DOE FLSA STATUS: Exempt POSITION TYPE: Full-Time LANGUAGE: Fluent in English; Bilingual in English and Spanish, Arabic, Burmese, Chinese or other languages is preferred HOPE Clinic provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws. This is not a fully remote position JOB SUMMARY: As the Revenue Cycle Manager for HOPE Clinic, you focus on partnering with our patients to clearly understand their institutional goals, challenges, organizational structure, and key business drivers. The role of the Revenue Cycle Manager oversees the Billing and Insurance Verification team’s daily activities and follows up with teams to drive the overall performance and daily management of multiple assigned providers’ schedules. The Revenue Cycle Manager serves as a liaison between the Billing and Insurance Verification team and other HOPE Clinic departments and the patients. MAJOR DUTIES & RESPONSIBILITIES: • Manage overall medical billing operations such as ensuring effective flow of demographic changes and payment information, claims accuracy and timely submission, and account reconciliations;, • Oversee aggressive follow-ups with accounts receivables (A/R), including preparation of denial appeals and distribution of patient statements;, • Track fee schedules and insurance denials to ensure fully allowed reimbursements;, • Identify and implement strategies to improve internal and patient billing processes;, • Incorporate and execute quality assurance processes related to ensuring accurate patient billing activities;, • Review and analyze patient accounts, identify trends and issues, and recommend solutions;, • Collaborate with other team members to improve/maintain an overall positive work environment for the team;, • Provide a high level of customer service to both practices and patients by identifying and efficiently resolving insurance and other billing-related issues;, • Collaborate with the front desk, call center, and other departments as needed to resolve any billing/payor issues;, • Research, compile the necessary documentation, and complete appeal process for denied claims, via phone/email with payers, facilitating correct claims if necessary;, • Prepare, review, and transmit claims using billing software to include electronic and paper claim processing both primary claims and secondary claims;, • Follow up on unpaid claims within the standard billing cycle timeframe;, • Collaborate with the billing team when necessary to make coding changes to submit corrected claims or appeals;, • Stay current with payer trends as to how to submit corrected claims and the payer-specific appeal processes;, • Analyze root causes of denials; trends and issues: propose solutions and work with the management team to determine the appropriate action to resolve;, • Identify areas of concern regarding the various areas of the revenue cycle;, • Share trending and feedback to reduce denials to the CFO and/or Credentialing Coordinator;, • Hospital billing – identify charges that are billed for hospital visits, update spreadsheets and reports for documentation, and create claims to be billed;, • Apply insurance and patient payments to the Practice Management system, utilizing ERAs and manual application;, • Reconcile payments applied to the system to cash received;, • Answer patient’s estimate of benefits or statements, telephone inquiries verifying insurance and benefits within the practice management system;, • Attend on-site/off-site community engagement activities, clinic events, and/or training as needed;, • Perform other duties as assigned to support HOPE Clinic’s Mission, Vision, and Values. Requirements: QUALIFICATION REQUIREMENTS: • 5-7 years of experience with revenue cycles, medical billing, collections, and payment posting;, • Understand regulatory and compliance requirements associated with submitting claims to payers;, • Experience with Electronic Medical Records (EMR);, • Strong communication and interpersonal skills;, • Expertise with medical and billing terminology;, • Excellent organization and time management skills;, • Proficiency in computers, particularly Word and Excel. EDUCATION and/or EXPERIENCE: • Bachelor’s degree from four-year college or university (desired);, • Or 5-7 years related experience and/or training; or equivalent combination of education and experience;, • 1-2 years of supervisory experience;, • Knowledge of medical billing, front-office, physician practice management, and healthcare business processes;, • Strong understanding of medical billing/coding, with an understanding of various insurance carriers, including Medicare, private HMOs, and PPOs;, • Previous FQHC (Federally Qualified Health Center) RCM experience. OTHER SKILLS and ABILITIES: • Bilingual (Vietnamese, Chinese, Arabic, and/or Spanish with English) is preferred., • Above average skills in language ability as well as public speaking and writing., • Must have good transportation and a valid Texas Driver’s license.

Job DescriptionDescription: This person is responsible for insurance verification, obtaining prior authorizations, bill insurance claims and follow-up. · Obtain authorizations, referrals, GAP exceptions, and Single Case Agreements · Manage and prioritize required approvals with consistent follow-up while constantly communicating with the team • Provide clinical documentation to insurance companies to ensure timely authorization., • Initiate appeals for upfront denied authorizations and follow through until completion, • Check eligibility and benefits, • Electronic claims building and submission, • Chart and coding review, • Call patients when necessary to verify insurance information, • Read and analyze EOBs and ERAs, • Work claims rejects/denials, send corrected claims, submit appeals, • Stay up to date on CPT, ICD, and LCD guidelines, • Provide excellent customer service and professionalism to patientsRequirements: Skills, Minimum Qualifications • High school diploma or GED, • 2 years prior experience insurance verification or medical billing required, • 2 years prior experience in a medical related field required, • Ability to multi-task and remain focused while managing a high volume, time-sensitive workload, • Demonstrate excellent communication and customer service skills, • Expected to be detailed oriented with above average organizational skills, • Expected to understand payer medical policies and guidelines and use these guidelines to manage authorizations effectively, • Familiarity with both governmental and commercials insurance plans, • Expected to have knowledge of medical terminology related to multispecialty surgical procedures, • Expected to have excellent computer skills including Excel, Word and Internet use

Job Description Medical Coding and Billing Instructor/Externship Coordinator Not a remote position Full Time/ Swing 8 am to 4 pm 5 pm to 10 pm Job Description: Have you ever wanted to make an impact on the future generation of Medical Coding and Billing professionals? Do you have a passion for helping people reach their full potential? Do you love working closely with people? If your answer is yes, this career may be just perfect for you. You responsibilities will include delivering curriculum content to our Medical Coding and Billing students. This includes mentoring and helping the students to become professionals. Qualifications: • Required CBCS Certified Billing and Coding Specialist, CPC certified Professional coder, or CCS ( certified Coding Specialist) Experience: • 3+years of Medical Coding and Billing, • No Teaching experience required.

Job Description MET Healthcare Solutions is seeking a Medical Claims Eligibility Specialist II to join our fast-paced organization. The Medical Claims Eligibility Specialist II will be responsible for analyzing level II claims information to determine eligibility in the dispute resolution process in accordance with established federal regulations and company policies and procedures. Responsibilities of the Medical Claims Eligibility Specialist II may include but are not limited to: · Analyze Explanation of Benefits (EOB) and payment remittance documents submitted by healthcare providers and insurance carriers to determine which level II claims are eligible for the dispute resolution process. · Compose correspondence in accordance with regulatory requirements (and internal policies in procedures) in a clear, concise, and grammatically correct manner. · Communicate (via email) with healthcare providers and health plans to obtain information necessary to determine the eligibility of the claims. · Relay the status of all claim submissions utilizing multiple different operating systems. · Stay up to date on industry specific regulations, ensuring that appropriate strategies are in place. · Maintain electronic files for all claims determined eligible. These responsibilities are a condensed list of the full scope of the job description and are subject to change depending on the company’s demand. · Experience reviewing all types of medical claims, EOBs, and payment remittances (e.g. HCFA 1500, Outpatient/Inpatient UB92, Surgery, Anesthesia, high dollar complicated claims, COB and DRG/RCC pricing). · Understanding of insurance reimbursement rules. · Ability to work at a high level and display high attention to detail. · Ability to work across multiple operating systems. · Ability to maintain confidentiality and professionalism in difficult situations. · Strong written and verbal communication skills with the ability to explain reasoning effectively. This Medical Claims Eligibility Specialist II position is offered as a hybrid position (after in office training) to those candidates that meet all the position requirements and continue to meet the daily expectations. This is a full-time position, Monday-Friday from 8am-5pm. Please only apply if you are able to meet these requirements weekly. Education: • Billing and Coding Certification (Preferred) Company DescriptionA healthcare management group, URAC-accredited as an independent review organization (IRO). Over 20 years of experience helping control costs, and mitigate regulatory compliance by providing superior administrative and medical expert services to improve the quality of healthcare functions nationwide. Making a difference in healthcare.A healthcare management group, URAC-accredited as an independent review organization (IRO). Over 20 years of experience helping control costs, and mitigate regulatory compliance by providing superior administrative and medical expert services to improve the quality of healthcare functions nationwide. Making a difference in healthcare.

Job DescriptionSalary: $17.5 to $19 Senior PsychCare is hiring for anAuthorization Specialist. The position is primarily responsible for obtaining required pre-authorizations and helping to process referrals for all services accurately and timely. ESSENTIAL FUNCTIONS: • Prioritize incoming authorization requests according to urgency, • Initiate, verify, and complete procedure authorization/referral process, • Resolves day-to-day issues pertaining to pre-authorization, as needed, • Monitor provider network status, • Obtain authorization by fax, payer website or by phone and follow up regularly on pending cases., • Notify appropriate departments for approvals and denials, • Initiate and assist with appeals for denied authorizations, • Effectively maintain, monitor, and update payer medical policy guidelines to manage authorization requirements, • Request, review, and submit necessary patient documentation as needed to ensure approval of authorization, • Collaborate with healthcare providers and insurance companies to resolve any issues related to prior authorization, • Stay current with changing insurance policies and regulations, • Effectively utilizes ICD 10, CPT, modifiers and/or other codes according to coding guidelines when requesting Authorizations, • Communicates effectively with provider and/or all appropriate parties regarding missing information such as CPT, diagnoses codes, documents, clinical reports, etc. to ensure proper authorization processing, • Communicates effectively with other departments regarding changes and/or updates with patient accounts and status, • Manages the status of accounts and identify inconsistencies, • Responds to billing inquiries, • Uses downtime efficiently; is aware of team members workload, • Makes recommendations on workflow improvement as needed KNOWLEDGE, SKILLS, AND ABILITIES: • Knowledge with in and out of network insurances, insurance verification, and process for prior authorization, • Familiarity with ICD-10 and CPT codes and procedures, • Ability to review and understand patient medical documentation, • Ability to independently identify and understand medical necessity requirements, • Task-oriented and organizational skills; ability to complete tasks timely, • Detail-oriented focus; being careful about detail and thorough in completing work tasks, • Ability to work independently and as a team, • Ability to adapt with flexibility, • Effective communication skills (written/verbal) EDUCATION AND EXPERIENCE: • High school diploma or GED, • Three (3) years authorizations experience with Medicare/Medicaid MCOs (Behavioral Health experience Preferred), • Strong working knowledge of insurance coverages and billing processes., • Experience with basic desktop software including Microsoft Office

Job DescriptionSalary: ABOUT US Senior Psych Care provides fully integrative behavioral health services to the long-term care patient, at their facility. COMPLIANCE OFFICER - HOUSTON, TX- IN OFFICE POSITION The Compliance Officer is responsible for overseeing and maintaining Senior PsychCares adherence to all applicable healthcare laws, regulations, and internal policies, ensuring patient privacy, proper billing practices, and overall ethical conduct within the practice by conducting audits, providing training, and identifying potential compliance risks to mitigate legal and financial consequences; essentially acting as the guardian of regulatory compliance within the organization. Responsibilities: • Develop, Maintain, and Implement Compliance Programs: Create and maintain a comprehensive compliance program, including policies, procedures, and training materials, to educate staff on relevant healthcare regulations like HIPAA, Stark Law, and Anti-Kickback statutes, • Risk Assessment and Monitoring: Regularly assess potential compliance risks across the organization, identifying areas for improvement and implementing preventative measures to mitigate risks, • Internal Audits, External Audits, and Investigations: Conduct periodic internal audits to verify compliance with established policies and procedures, investigating suspected violations and taking corrective actions when necessary, working to complete and mitigate external payor audits, • Training and Education: Deliver ongoing compliance training to all levels of staff, including physicians, APRNs, PAs, Ph.D, PsyD., LCSW, LPC, LMFT, and administrative personnel, covering topics such as coding and billing accuracy, patient privacy, fraud prevention, and EMR usage, • Reporting and Communication: Communicate compliance issues to relevant stakeholders, including senior management and the compliance committee, providing regular updates on compliance activities and potential risks. Annual reports are required for NPHO Board., • Regulatory Compliance: Stay current with evolving healthcare regulations and guidelines at the federal and state levels (TX, LA, OK, NM, and future states), ensuring the organization remains compliant with changes, • Third-Party Vendor Oversight: Monitor and manage compliance risks associated with third-party vendors providing healthcare services, • Incident Reporting and Resolution: Establish procedures for reporting compliance concerns and effectively investigating and resolving identified issues, • Perform other duties as assigned by supervisor. Technology Skills: • Medical software IMS by Meditab Preferred, • Office suite software Microsoft Office365 all applications, • Graphics or photo imaging software Microsoft Visio Skills: • Strong analytical and problem-solving skills to identify potential compliance risks and develop effective mitigation strategies, • Excellent communication and interpersonal skills to effectively train staff, collaborate with different departments, and present compliance information to leadership, • Proven ability to conduct thorough audits and investigations, documenting findings and implementing corrective actions Knowledge: • Administration and Management: Knowledge of business and management principles involved in strategic planning, resource allocation, human resources modeling, leadership technique, production methods, and coordination of people and resources., • Deep understanding of healthcare laws and regulations including HIPAA, Stark Law, Medicare/Medicaid guidelines, and relevant state laws, • Legal knowledge and experience in healthcare compliance preferred, • Bachelor's degree in healthcare administration, law, or a related field WHAT WE OFFER • Competitive salary, commensurate with experience, • Comprehensive benefits package including:, • Medical, • Dental, • Vision, • Short and Long Term Disability, • Life Insurance, • 401 (k) with 50% match up to 6%, • Paid Time Off and Paid Holidays

Job Description The Network Billing Manager oversees the daily operations of Coding, Billing, and Charge Entry teams within the Revenue Cycle Department for a multi-clinic specialty Practice. This role is responsible for ensuring accurate and timely coding, charge entry, and claim submission. The Manager coordinates all facets of the revenue cycle to support efficient workflows and exceptional patient account management. The ideal candidate demonstrates professionalism and a commitment to delivering high-quality service to patients, families, staff, and external partners. This role requires adherence to all federal, state, and payer-specific regulations, as well as departmental policies and guidelines. Location for this role is preferred to be in Houston, TX or Franklin/Nashville, TN but willing to consider remote, with some travel. Essential Responsibilities: * Plan, supervise, and coordinate daily activities for the Billing, Cash Posting, and Charge Entry teams. * Recruit, hire, train, and evaluate staff within areas of responsibility. * Oversee supervisory functions, including timekeeping and payroll approval, ensuring compliance with FLSA, Tennessee Department of Labor regulations, and organizational policies. * Mentor and develop team members through daily leadership, coaching, performance feedback, workflow education, payer updates, departmental communications, and routine staff meetings. * Implement and enforce departmental policies, procedures, and objectives, including internal controls and review processes to ensure consistent and compliant operations. * Manage workflow to ensure deadlines are met with available resources. * Resolve issues related to electronic claim submission and electronic remittances, working closely with vendors and/or Information Systems. * Conduct quarterly audits of coding and charge entry to ensure compliance with legal, regulatory, and administrative requirements. * Prepare and present departmental activity reports, keeping Senior Management informed of trends, issues, and opportunities for improvement. * Provide guidance on complex billing issues and support special projects as needed. * Actively participate in performance improvement initiatives at both individual and organizational levels. * Address and resolve external customer concerns in alignment with the company’s commitment to exceptional patient care, collaborating with other departments when necessary. * Perform additional duties as assigned and in accordance with organizational policies, compliance standards, and continuous improvement initiatives. Education and/or Experience: • Bachelor’s degree in Healthcare Related Field or Business preferred; or five (5) years of experience in Healthcare Coding and Billing and Collections., • Minimum of five (5) years of medical billing and coding experience in a multi-clinic physician group practice along with experience related to ASC (ambulatory surgery center) billing and coding., • Minimum three (3) years of experience in a supervisory/management position., • Preferred experience with practice management systems such as Medevolve and HST., • CPC certification preferred, background in specialties including Reproductive Endocrinology, Infertility, and IVF treatments is highly desirable. Comprehensive Health Coverage: Medical, dental, and vision plans for our full-time employees, along with complimentary basic life insurance, Employee Assistance Program, and long-term disability insurance. FREE or low-cost employee only healthcare coverage option is also available. Family Building Support: Take advantage of our comprehensive fertility benefits, adoption assistance, and surrogacy support to help grow your family. Paid Parental Leave: Generous maternity, paternity, and partner leave so you can focus on what matters most. Plenty of Paid Time Off: Start with 18 days of PTO annually and enjoy 11 paid holidays, including one floating holiday to use as you choose! Retirement Ready: Invest in your future with our 401(k) plan, featuring a competitive company match and full vesting after just 2 years. Lifestyle Spending Account: Access a company-funded account to reimburse expenses that boost your physical, financial, and emotional well-being. Health Savings Account (HSA): If eligible, enjoy regular employer contributions to your HSA with every paycheck. Rewards for Connections: Earn extra money with our Employee Referral Program—your network is invaluable! Growth Opportunities: We support your career with continuing education reimbursement and dedicated time off for professional development. Premium Calm Health Subscription: Enjoy a free premium Calm Health app subscription to support your mental wellness. Emotional & Work-Life Support: Through our Employee Assistance Program (EAP) with SupportLinc, you'll have access to emotional well-being and work-life resources whenever you need them. Extra Peace of Mind: Explore additional coverage options including Accident, Critical Illness, Hospital Indemnity, and Pet Insurance, to suit your needs.

Job Description Patient Advocate Specialist Texas Children’s Hospital – Main Campus, Houston, TX ChasmTeam is partnering with a growing national company to build a team that provides real benefits to patients! We are seeking hard-working, self-starters who enjoy a challenge as we work together to help patients. The Patient Advocate plays a critical role in identifying, educating, and enrolling eligible hospital patients into the Health Insurance Premium Payment (HIPP) Program. You'll clearly explain program details, gather required documentation, and serve as a compassionate, professional advocate throughout each step of the enrollment process. This role demands mission-driven advocacy, proactive problem-solving, empathetic communication, and resilience—all while balancing compassion with an urgency to ensure patients receive timely support. By facilitating employer-sponsored health insurance coverage, the Patient Helper Program helps medically complex Medicaid beneficiaries access comprehensive care. We’re looking for driven individuals with a “can-do” spirit, unwavering perseverance, and the capacity to support diverse patient populations navigating complex healthcare systems. Key Responsibilities Patient Engagement & Advocacy • Educate patients and families in a clear, compassionate, and culturally sensitive manner about the HIPP program., • Assess family dynamics and adapt communication style to effectively meet their needs., • Obtain necessary authorizations and documentation from patients/families., • Foster trust with patients while maintaining appropriate professional boundaries., • Accurately collect all essential data for HIPP applications (e.g., employer information, insurance details)., • Employ proactive problem-solving to overcome barriers and ensure timely, accurate submissions., • Collaborate seamlessly with the Patient Financial Assistance team to finalize enrollments., • Clarify how employer-provided health insurance works in coordination with Medicaid., • Verify and update ongoing patient eligibility for HIPP to maintain continuity., • Utilize CRM/case management system to manage referrals and patient records., • Upload, scan, and securely transmit required documentation., • Record patient interactions meticulously in compliance with privacy and legal standards., • Represent the organization as the on-site contact at the hospital., • Establish and maintain collaborative relationships with hospital staff, state agency personnel, and community partners., • High school diploma or GED and completion of formal training in customer service, patient services, healthcare administration, social services, or case management., • Foundational knowledge of healthcare terminology and insurance processes gained via coursework or certification., • Associate’s or Bachelor’s degree in Social Work, Healthcare Administration, Public Health, or related field., • Training in motivational interviewing, trauma-informed care, or medical billing/coding., • Continuing education in Medicaid/Medicare eligibility, health equity, or patient advocacy., • Three to five years’ experience in patient-facing roles within a healthcare setting. Technical Skills-Preferred • Proficiency with CRM or case management systems., • Knowledge of Medicaid/Medicare eligibility and benefits coordination., • Ability to interpret medical billing and insurance documents., • Active listening and empathetic communication., • De-escalation tactics for emotionally distressed patients., • Cultural awareness and sensitivity in communication., • Mission-Driven Advocacy – Consistently puts patient needs first., • Ego Resilience – Thrives amid adversity and changing demands., • Empathy – Provides compassionate support while ensuring professionalism., • Urgency – Balances speed and sensitivity in patient interactions., • Detail Orientation – Ensures accuracy and completeness in documentation., • Cultural Competence – Demonstrates respect and understanding of diverse experiences., • Adaptability – Successfully operates in evolving policy and procedural environments. Why Join Us? As a Patient Advocate, you’ll make a real difference—helping patients navigate complex health and insurance systems, securing critical benefits, and enabling focus on healing and well-being. Join a mission-driven, supportive team where your work matters and your growth is encouraged. Full benefits offered, including Health, Dental, Vision, 401(k) with company match, STD/LTD, Life Insurance, and more.

Job Description Job Summary: We are seeking a detail-oriented and experienced Billing Specialist to join our Home Health Agency team. The ideal candidate will be responsible for managing the complete billing cycle, from insurance verification to claims submission, payment processing, and denial management. This role is critical in ensuring accurate and timely reimbursements for the care we provide. Key Responsibilities: • Claim Submission:, • Prepare and submit clean, accurate claims to Medicare, Medicaid, and commercial payers., • Ensure compliance with payer-specific billing guidelines and coding requirements., • Insurance Verification:, • Verify patient insurance eligibility and coverage prior to services being rendered., • Communicate with patients and insurance providers to confirm benefits and authorizations., • Payment Processing:, • Post and reconcile payments and remittance advice accurately., • Monitor accounts receivable and follow up on unpaid or underpaid claims., • Claim Denial Management:, • Review and analyze denied or rejected claims., • Investigate and resolve billing discrepancies., • Proven experience in medical billing, preferably in a home health or healthcare setting., • Solid understanding of Medicare, Medicaid, and private insurance billing practices., • Proficiency in billing software and electronic health record (EHR) systems., • Strong attention to detail and organizational skills., • Ability to interpret explanation of benefits (EOBs) and remittance advice., • Excellent problem-solving and communication skills., • Knowledge of HIPAA regulations and patient confidentiality. Company DescriptionSUPREME NURSING IS A FULL SERVICE HOME HEALTH AGENCY AND HAS BEEN AROUND SINCE 1995SUPREME NURSING IS A FULL SERVICE HOME HEALTH AGENCY AND HAS BEEN AROUND SINCE 1995

Job Description About Us PBACO supports independent physicians with the tools, services and incentives to thrive - without giving up control. We collaborate with like-minded hospital systems and care centers to create a seamless, integrated experience that improves outcomes and lowers costs. You're not just a participant - you're our partner. Position Overview The Healthcare Practice Transformation Specialist will serve as a key liaison between physician practices and our organization. This role combines EHR training, clinical documentation review, risk adjustment coding, and billing support. The ideal candidate will be a Certified Professional Coder (CPC) with strong experience in Medicare, risk adjustment, and healthcare analytics. Key Responsibilities • Manage and support a physician network to ensure successful EHR integration and troubleshooting., • Consult with medical practices to analyze workflows, configure EHR systems, and develop customized training plans., • Train physicians and office staff on EHR best practices, regulatory compliance, and specialty-specific workflows., • Review clinical documentation and medical records to ensure accurate ICD-10, CPT, and HCPCS coding for risk adjustment and quality gap closure., • Conduct coding audits and provide education to providers on compliant documentation., • Monitor payer guidelines and coding updates, especially for Medicare Advantage and accountable care organizations., • Assist with billing, claims submission, payment posting, and collections as needed., • Perform financial analysis and reporting using Microsoft Excel (pivot tables, trend analysis)., • Analyze denial reports, identify trends, and recommend corrective actions., • Support quality improvement initiatives by ensuring accurate coding for chronic conditions., • Answer patient billing and claims questions in a professional and clear manner., • Maintain compliance with HIPAA, coding regulations, and company policies., • Certified Professional Coder (CPC) or equivalent certification., • Experience with Medicare Advantage (MA) plans, risk adjustment, or insurance companies., • High school diploma or GED required; associate’s or bachelor’s degree preferred., • 2+ years of medical coding, billing, or risk adjustment experience., • Proficiency in EHR systems (Athena, eClinicalWorks, or similar) and MS Office Suite (Excel expertise strongly preferred)., • Strong knowledge of ICD-10, CPT, and HCPCS coding and regulatory compliance., • Excellent communication and training skills for working directly with providers and staff. This position requires 50-75% local travel and is eligible for a car allowance. BACO supports independent physicians with the tools, services, and incentives to thrive—without giving up control. We collaborate with like-minded hospital systems and care centers to create a seamless, integrated experience that improves outcomes and lowers costs. You’re not just a participant—you’re our partner. PBACO supports independent physicians with the tools, services, and incentives to thrive—without giving up control. We collaborate with like-minded hospital systems and care centers to create a seamless, integrated experience that improves outcomes and lowers costs. You’re not just a participant—you’re our partner. PBACO supports independent physicians with the tools, services, and incentives to thrive—without giving up control. We collaborate with like-minded hospital systems and care centers to create a seamless, integrated experience that improves outcomes and lowers costs. You’re not just a participant—you’re our partner.

Job DescriptionBenefits • Paid Time Off & Paid Company Holidays, • Medical, Dental, Vision & Life Insurance, • Flexible Spending Account (FSA), • 403(b) Retirement Plan with Company Match, • Short-Term & Long-Term Disability, • $0 Copay for Legacy Provider visits, • $0 Copay for prescriptions filled at Legacy Pharmacies, • Travel Insurance & Pet Insurance, • Subsidized Gym Membership, • Role highlights: Be the hero in patient access and the go-to guru for eligibility queries!, • Work environment benefits: Join a team that's more like family, full of energy and bursting with team spirit!, • Impact and growth: Shape the future of healthcare inclusivity with your bilingual skills!, • Collaboration aspects: Work hand-in-hand with a team that values innovation and creativity!, • Mission-driven fun: Break down barriers to healthcare access while having a blast doing it!Key Responsibilities, • Be the detective in determining patient eligibility for third-party reimbursements following our awesome procedures and guidelines., • Show off your skills by processing and managing data like a pro, admitting new patients into our system with flair!, • Play the role of the ultimate event planner by orchestrating initial service appointments that set patients off on a successful healthcare journey!, • Nail the coding game with meticulous precision, supporting our financial health and compliance with style!, • Be the friendly face and first point of contact, dishing out assistance with compassion and clarity like a superstar!, • Keep on rocking your professional development by jumping into all our required safety and education programs. Learning is fun!Minimum Qualifications, • Hold your high school diploma or GED with pride!, • 3 - 5 years of medical billing experience is a plus, showing off your understanding of the healthcare financial world!, • Be bilingual in English and Spanish to connect with our diverse community like a champ! Powered by JazzHR hZfh04ogkI

Job DescriptionBenefits • Paid Time Off & Paid Company Holidays, • Medical, Dental, Vision & Life Insurance, • Flexible Spending Account (FSA), • 403(b) Retirement Plan with Company Match, • Short-Term & Long-Term Disability, • $0 Copay for Legacy Provider visits, • $0 Copay for prescriptions filled at Legacy Pharmacies, • Travel Insurance & Pet Insurance, • Subsidized Gym Membership, • Be a catalyst for change by determining eligibility for critical health services., • Balance administrative precision with compassionate service to improve healthcare accessibility., • Work in a dynamic, inclusive environment with a team that values collaboration and mutual growth., • Enjoy opportunities for personal and professional development, including mentorship and continuous learning., • Contribute to meaningful health outcomes and be a part of a vibrant community-focused mission.Key Responsibilities, • Meticulously review procedures and guidelines to determine patient eligibility for third-party reimbursement., • Process data for new patient admissions into the CPCDMS system and complete all necessary paperwork., • Coordinate and set initial service appointments to ensure swift access to care post-eligibility determination., • Ensure accurate coding for insurance billing to support smooth financial operations and compliance., • Handle inquiries from prospective applicants and patients with empathetic and informative communication., • Participate in safety education and annual education initiatives to stay abreast of community healthcare practices., • Serve as the first-line contact in the manager's absence, managing clinic schedules and providing report assistance., • Conduct site visits to support departmental functions and foster a collaborative environment.Minimum Qualifications, • High School Diploma or GED equivalent required, ensuring foundational readiness for the role., • 3 - 5 years of experience in medical billing, crucial for managing intricate billing processes., • Fluency in both English and Spanish to effectively serve our diverse community. Powered by JazzHR Xi5ivFKvjJ

Job DescriptionBenefits • Paid Time Off & Paid Company Holidays, • Medical, Dental, Vision & Life Insurance, • Flexible Spending Account (FSA), • 403(b) Retirement Plan with Company Match, • Short-Term & Long-Term Disability, • $0 Copay for Legacy Provider visits, • $0 Copay for prescriptions filled at Legacy Pharmacies, • Travel Insurance & Pet Insurance, • Subsidized Gym Membership Location: Legacy Northside Irvington - 3517 Irvington Blvd. Ste. 200 Houston, TX 77076 Eligibility Specialist Bilingual - Northline - Job OverviewSchedule: Monday-Friday (8AM-5PM) At Legacy Community Health, you're not just stepping into a role—you're becoming part of a family dedicated to making healthcare accessible for everyone. As our Eligibility Specialist, you'll play a vital part in opening doors to essential health services for our community. Your passion and expertise will help shape the future of healthcare access. • Be the welcoming face of our clinic, guiding new patients through the admission process with care and ease., • Leverage cutting-edge technology to determine eligibility, ensuring every patient receives the care they deserve., • Enhance the patient experience through precise insurance billing and advanced coding skills., • Serve as an advocate for community health by addressing and resolving patient inquiries with empathy and understanding.Key Responsibilities, • Use agile methodologies to determine client eligibility, ensuring compliance with all protocols., • Verify clients' payer sources innovatively, including Medicaid, Medicare, or third-party insurance., • Efficiently register clients into the CPCDMS using the latest technology., • Ensure all paperwork is meticulously completed and digitally entered., • Keep eligibility files updated, using a data-driven approach., • Champion the renewal eligibility process, ensuring smooth client support., • Schedule and confirm eligibility appointments, orchestrating initial service scheduling., • Provide clients with comprehensive lists of required eligibility documentation., • Participate actively in our Performance Improvement Program., • Foster a culture of respect and dignity for all patients and employees., • Collaborate effectively within dynamic team environments., • Engage in safety training and adhere to safety protocols., • Maintain workspace and technology standards in line with Legacy's expectations., • Implement strategic exposure control plans for health safety., • Master protective barrier equipment and techniques., • Commit to annual educational advancements., • Embrace travel for training and coverage, fostering a mindset of continuous improvement., • Contribute to additional impactful duties as assigned.Minimum Qualifications, • High School Diploma or GED with a solid foundation in medical knowledge., • 3-5 years of experience in medical billing is preferred., • Training or background in ICD-A / CPT codes for enhanced billing precision., • Proficiency in bookkeeping and accounting terminology, with a tech-savvy approach., • Experience with digital systems and office technology., • Ability to take initiative and perform well under pressure in a fast-paced environment., • Bilingual capabilities are preferred to support our diverse community. Powered by JazzHR HafgiOTifj

Job DescriptionBenefits • Paid Time Off & Paid Company Holidays, • Medical, Dental, Vision & Life Insurance, • Flexible Spending Account (FSA), • 403(b) Retirement Plan with Company Match, • Short-Term & Long-Term Disability, • $0 Copay for Legacy Provider visits, • $0 Copay for prescriptions filled at Legacy Pharmacies, • Travel Insurance & Pet Insurance, • Subsidized Gym Membership, • Be a crucial part of our team, facilitating access to vital health services., • Work in a supportive, collaborative environment that champions continuous learning and growth., • Engage in meaningful work that leaves a lasting impact on patients' lives., • Determine patients' eligibility for third-party reimbursement by verifying no alternate payer sources like Medicaid, Medicare, or other third-party insurance are present., • Accurately and efficiently process essential data to admit new patients into the CPCDMS system., • Complete comprehensive paperwork with precision to ensure smooth patient onboarding., • Set initial service appointments, ensuring a seamless transition into our healthcare services once eligibility is confirmed., • Ensure proper insurance billing through accurate coding, maximizing reimbursement opportunities., • Respond to inquiries from prospective applicants and patients, providing clear and compassionate communication and assistance., • Participate in all required safety education programs and annual training to stay current with best practices and regulatory requirements.Minimum Qualifications, • High School Graduate or GED equivalent, providing the foundational knowledge needed for this role., • Bilingual in English and Spanish, essential for effectively communicating with and serving our diverse patient population., • Preferred 3 - 5 years of Medical Billing experience, offering a robust background in eligibility and reimbursement processes. Powered by JazzHR srBS8BAyfS

Job DescriptionBenefits • Paid Time Off & Paid Company Holidays, • Medical, Dental, Vision & Life Insurance, • Flexible Spending Account (FSA), • 403(b) Retirement Plan with Company Match, • Short-Term & Long-Term Disability, • $0 Copay for Legacy Provider visits, • $0 Copay for prescriptions filled at Legacy Pharmacies, • Travel Insurance & Pet Insurance, • Subsidized Gym Membership, • Be the friendly face that welcomes new patients, guiding them through the admission process with ease., • Use cutting-edge technology to assess eligibility, ensuring everyone gets the care they deserve., • Enhance the patient experience by applying precision in insurance billing and advanced coding., • Be an advocate for community health by addressing and resolving patient inquiries with empathy.Key Responsibilities, • Use agile methodologies to determine client eligibility, ensuring compliance with all protocols., • Verify clients' payer sources innovatively, including Medicaid, Medicare, or third-party insurance., • Efficiently register clients into the CPCDMS using the latest technology., • Ensure all paperwork is meticulously completed and digitally entered., • Keep eligibility files updated, using a data-driven approach., • Champion the renewal eligibility process, ensuring smooth client support., • Schedule and confirm eligibility appointments, orchestrating initial service scheduling., • Provide clients with comprehensive lists of required eligibility documentation., • Participate actively in our Performance Improvement Program., • Foster a culture of respect and dignity for all patients and employees., • Collaborate effectively within dynamic team environments., • Engage in safety training and adhere to safety protocols., • Maintain workspace and technology standards in line with Legacy's expectations., • Implement strategic exposure control plans for health safety., • Master protective barrier equipment and techniques., • Commit to annual educational advancements., • Embrace travel for training and coverage, fostering a mindset of continuous improvement., • Contribute to additional impactful duties as assigned.Minimum Qualifications, • High School Diploma or GED with a strong foundation in medical knowledge., • 3-5 years of experience in medical billing is preferred., • Training or background in ICD-A / CPT codes for enhanced billing precision., • Proficiency in bookkeeping and accounting terminology, with a tech-savvy approach., • Experience with digital systems and office technology., • Ability to take initiative and perform well under pressure in a fast-paced environment., • Bilingual capabilities are preferred to support our diverse community. Powered by JazzHR zVHWjik0yw

Job DescriptionDescription: Texas Regional Physicians Medical Assistant Job Description Texas Regional Physicians is a safe, reliable, state of the art medical office with the benefits of convenient parking, expedited registration, and a dedicated staff of knowledgeable healthcare professionals. TRP offers a broad range of specialties ranging from pain management to orthopedics. Working with a diverse team of highly qualified physicians, TRP eliminates the need to visit one doctor’s office after the other; our team of specialists will work together for a superior streamlined & customized treatment plan that will get you back to looking your best and feeling your best. Growth and learning opportunity available for a caring professional that wants to further develop their skills and knowledge in healthcare, while making a difference in patient's lives. Responsibilities: 1. Room patients, obtain vitals, patient history and reason for seeking care., 2. Process telephone messages., 3. Follow prescription refill procedures., 4. Maintain patient records confidentially., 5. Greets patients and visitors in a prompt, courteous, and helpful manner, 6. Measure and record vital signs (weight, height, blood pressure, etc.), 7. Ensure accurate and timely documentation into the EMR; i.e. patient interview and history, vital signs, treatments, test results., 8. Assists medical staff with patient examinations, 9. Uses CPR skills when necessary, 10. Collects, verifies, and enters into the applicable system, all incoming referrals and imaging as necessary, 11. Changes dressings, applies bandages, removes sutures and performs other simple wound care procedures as directed by the physician, 12. Processes internal/external referrals, including sending and calling in prescriptions, 13. Prepares and administers ordered injectable medications, 14. Record patient charges and lab charges for billing department., 15. Assist the provider with patient education pertaining to their ongoing health care: · Results of lab and reports · Diet and exercise · Laboratory and radiology preparation ADDITIONAL RESPONSIBILITIES: 1. Must be able to recognize and respond appropriately to urgent/emergent situations per protocols., 2. Maintain work area, exam rooms, supplies, medications and immunizations., 3. Perform basic triage per specific office protocol procedures., 4. Maintain professional appearance and personal conduct at all times., 5. Establish and maintain effective working relationships with physicians, staff and management., 6. Effectively cope with typical job stress., 7. Document work processes as required., 8. Perform other duties as assigned., 9. Follows all equipment safety guidelines and is personally responsible for knowledgeable use and care for all business equipment., 10. Answers telephone, screens calls, takes necessary messages and provides information., 11. Screens visitors and responds to routine request for information, 12. Maintains inventory of office supplies, 13. Attends meetings as required, 14. Maintains strictest confidentiality and privacy per HIPAA guidelines, 16. CPR certification for Health Care Providers., 17. Certified Medical Assistant license Experience: 3 years experience in an office environment preferred. Skills: 1. Medical terminology., 2. Strong organizational and interpersonal skills, 3. Knowledge of CPT & ICD-9/ICD-10 coding procedures., 4. Knowledge of medications and injection procedures. Other Requirements: 1. Ability to multi-task efficiently and effectively., 2. Must be able to act calmly and effectively in a busy or stressful situation., 3. Ability to communicate effectively in the English language in person, by phone and in writing., 4. Requires adherence to all policies and procedures, including but not limited to standards for safety, attendance, punctuality and personal appearance. Physical Requirements: Hearing: Adequate to perform job duties in person and over the telephone. Able to use stethoscope and respond to verbal questions. Speaking: Must be able to communicate clearly to patients in person and over the telephone. Vision: Visual acuity adequate to perform job duties, including visual examination of patient and reading information from printed sources and computer screens. Other: Requires frequent lifting and carrying items weighing up to 30 pounds unassisted, including assisting patients when required. Adequate physical ability including sufficient manual dexterity to perform the requisite health care service, including injections. Requires frequent bending, reaching, repetitive hand movements, standing, walking, squatting and sitting, with some heavy lifting, pushing and pulling exerted regularly throughout a regular work shift. Requires exposure to communicable diseases, bodily fluids, medicinal preparations and other conditions common to a clinic environment. The above is intended to describe the general content and requirements for the performance for this position. It is not to be construed as an exhaustive statement of duties, responsibilities or requirements.

Location: Remote (cannot be from Ohio/CA/Washington State/North Dakota/NY) Schedule/Hours: Flex schedule. Can start as early as 5am in their timezone and be on as late as 7pm. Need to be on latest at 10am (Core hours 5am-2pm) 30 min lunch after 6 consecutive hours worked. Must work at least 1 hour when they log on. Required Skills • CPC, RHIT, or AHIMA Certification, • Epic, • 3-5 years inpatient/DRG/HB/surgical coding (with specialty experience), • Equipment: Must have their own computer. Teams/Samantic VIP access on their phone Responsibilities • Assigns ICD-10-CM, ICD-10-PCS, and DRG codes to hospital inpatient records., • Reviews and interprets physician documentation to appropriately assign diagnosis and procedure codes., • Communicates with and provides feedback to the education team and/or providers., • Reviews patient charges to determine necessary coding to complete the account., • Identifies principle and secondary diagnoses and procedure codes from the electronic medical record., • Utilizes the encoder or coding books to generate ICD-10-CM, ICD-10-PCS, and DRG codes for diagnosis and procedures., • Sequences diagnosis and procedures to generate appropriate billing., • Utilizes other available resources for assignment of codes as necessary (e.g., Epic, MIQS, Cardio IMS, and coding reference materials)., • Assists other coders in resolving coding problems., • Completes abstracts for records as appropriate., • Assists in correction of problem accounts., • Reviews charts for completeness., • Participates in education and maintains certification., • Assists in auditing records., • Maintains concurrent coding for inpatient records.

Job DescriptionSalary: Medical Assistant Job Summary The Medical Assistant functions under the direction and supervision of the Operations Director, providing safe and effective patient care. The Medical Assistant helps patient by greeting and helping them; scheduling appointments; maintaining records and accounts and providing information, services and assistance. The Medical Assistant has direct responsibility to ensure that all care performed and tasks delegated are provided in accordance with this clinic's policies and procedures as well as state and federal regulations. Job Specific Accountabilities The statements below describe the general nature and level of work being performed in this role. They are not intended to be a complete list of all duties, and additional responsibilities may be delegated as required by the facility manager. • Applies assessment, planning, implementation/intervention and evaluation to meet individual patient and facility needs. Follows all patient specific and facility level policies, procedures and regulations., • Verifies patient information by interviewing patient; recording medical history, medications and quality data; confirming purpose of visit., • Prepares patients for examination by performing preliminary physical tests; taking blood pressure, weight and temperature; reporting patient history summary; review medications., • Welcomes patients and visitors by greeting patients and visitors, in person or on the telephone; answering or referring inquiries., • Optimizes patients' satisfaction, provider time, and treatment room utilization by scheduling appointments in person or by telephone., • Keeps patient appointments on schedule by notifying provider of patient's arrival; reviewing service delivery compared to schedule; reminding provider of service delays., • Comforts patients by anticipating patients' anxieties; answering patients' questions; maintaining the reception area., • Ensures availability of treatment information by filing and retrieving patient records., • Maintains patient accounts and obtains revenue by obtaining, recording, and updating personal and financial information; recording and collecting patient charges; controlling credit extended to patients., • Maintains business office inventory and equipment by checking stock to determine inventory level; anticipating needed supplies; placing and expediting orders for supplies; verifying receipt of supplies; scheduling equipment service and repairs., • Protects patients' rights by maintaining confidentiality of personal and financial information., • Maintains operations by following policies and procedures; reporting needed changes., • Contributes to team effort by accomplishing related results as needed, • Saves physician/nurse practitioner's time by helping with office procedures, • Secures patient information and maintains patient confidence by completing and safeguarding medical records; completing diagnostic coding and procedure coding; keeping patient information confidential., • Counsels patients by transmitting physician's orders and questions., • Schedules procedures and verifies times with patients, prepares charts, pre-admission and consent forms., • Maintains safe, secure, and healthy work environment by establishing and following standards and procedures; complying with legal regulations., • Keeps equipment operating by following operating instructions; troubleshooting breakdowns; maintaining supplies; performing preventive maintenance; calling for repairs., • Updates job knowledge by participating in educational opportunities; reading professional publications., • Serves and protects the practice by adhering to professional standards, policies and procedures, federal, state, and local requirements., • Enhances practice reputation by accepting ownership for accomplishing new and different requests; exploring opportunities to add value to job accomplishments., • Documents all pertinent facility and patient data, assessments, and evaluations in medical record according to policy and procedure., • Provides accurate and timely patient data to associate in charge to ensure safety of patient and environment., • Maintains copay logs and delivers collected copays to be deposited., • Ensures facility is opened and closed in a timely manner in accordance to business operations hours., • Schedules lab tests in accordance with lab tech presence at the facility., • Performs blood draws in the absence of lab personnel or when necessary., • Maintains facility lobby and rooms to ensure equipment is functioning properly and patient areas are neat and clean., • Communicates with management and billing department regarding patient billing concerns., • Check all incoming mail and address/deliver to appropriate parties, • Serves as a MA for physician partners; check in patients and collect their copays., • Complete insurance prior authorizations for patient visits and procedures., • Performs all Medical Assistant duties for clinic when needed including clinic preparation, confirmation calls, insurance verification and authorizations, quality reporting, and document uploads among other duties., • Process medical record requests, • Maintains training on computer systems, EMRs and other office software/hardware., • Other duties as assigned Core Responsibilities Associates of this clinic must consistently exhibit behaviors that enhance professional conduct and reflect the mission, standards of conduct and business ethics, work rules, values and philosophy of this clinic. • PATIENT/CUSTOMER FOCUS: Effectively meeting patient/customer needs; building productive patient/customer relationships; taking responsibility for patient/customer satisfaction and loyalty., • BUILDING A SUCCESSFUL TEAM: Using appropriate methods and a flexible interpersonal style to help build a cohesive team; facilitating the completion of team goals., • WORK STANDARDS: Setting high standards of performance for self and others; assume responsibility and accountability for successfully completing assignments or tasks; self- imposing standards of excellence rather than having standards imposed., • COMMUNICATION: Conveying information and ideas to individuals or groups in a manner that engages the audience and helps them understand and retain the message., • DECISION MAKING: Identifying and understanding issues, problems, and opportunities; comparing data from different sources to draw conclusions; using effective approaches for choosing a course of action or developing appropriate solutions; taking action that is consistent with available facts, constraints, and probable consequences., • CONFIDENTIALITY: Adheres to policies/procedures concerning associate and customer confidentiality and release of information. Practices discretion in all discussions with and about associates and patients. Maintains confidentiality regarding clinic information Qualifications for the Medical Assistant Education and Experience: • At least 1 year experience Required, • Must be bilingual. Skills and Abilities: • Strong clinical and leadership skills, • Ability to organize and establish priorities to perform assigned duties in an effective and 3 efficient manner, • Ability to speak, read, write and comprehend English, • Ability to perform basic mathematical functions, • Ability to use reasonable care in carrying out verbal and written instruction., • Multi-tasking, Flexibility, Telephone Skills, Customer Service, Time Management, Organization, Attention to Detail, Scheduling, Word Processing, Professionalism, Quality Focus, Supply Management, Verbal Communication, Infection Control, Creating a Safe, Effective Environment, Organization, Customer Focus, Confidentiality, Bedside Manner, Medical Teamwork

Part-Time Faculty - CPD Allied Health Medical Office Professional. Teaching Allied Health Medical Office Professional - CPD related course work. Medical Office Professional instructor must have at least two (2) years relevant work experience, including basic billing and coding.

Excellent benefits package - medical, dental, and prescription coverage.

Product Testers are wanted to work from home nationwide in the US to fulfill upcoming contracts with national and international companies.We guarantee 15-25 hours per week with an hourly pay of between $25 / hr.There is no payment required in order to apply or to work as an In-Home Usage Tester.You

Excellent benefits package - medical, dental, and prescription coverage.

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Excellent benefits package - medical, dental, and prescription coverage.

Product Testers are wanted to work from home nationwide in the US to fulfill upcoming contracts with national and international companies.We guarantee 15-25 hours per week with an hourly pay of between $25 / hr.There is no payment required in order to apply or to work as an In-Home Usage Tester.You

Excellent benefits package - medical, dental, and prescription coverage.

Work from home with TurboTax Product Expert.Get a $405 Certification bonus³.Work from home & set your own flexible schedule between 8am EST and 12am midnight EST Monday to Sunday⁴.Earn an additional $5/hr from April 9–15 for all hours worked.Fast 24 hour Certification³.As a Cus

Excellent benefits package - medical, dental, and prescription coverage.

Work from home with TurboTax Product Expert.Get a $405 Certification bonus³.Work from home & set your own flexible schedule between 8am EST and 12am midnight EST Monday to Sunday⁴.Earn an additional $5/hr from April 9–15 for all hours worked.Fast 24 hour Certification³.As a Cus

Product Testers are wanted to work from home nationwide in the US to fulfill upcoming contracts with national and international companies.We guarantee 15-25 hours per week with an hourly pay of between $25 / hr.There is no payment required in order to apply or to work as an In-Home Usage Tester.You

Work from home with TurboTax Product Expert.Get a $405 Certification bonus³.Work from home & set your own flexible schedule between 8am EST and 12am midnight EST Monday to Sunday⁴.Earn an additional $5/hr from April 9–15 for all hours worked.Fast 24 hour Certification³.As a Cus

We’re looking for Data Entry Specialists for Customer Products across the US to work from home and help top brands improve their products before they hit the market.

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Work from home with TurboTax Product Expert.Get a $405 Certification bonus³.Work from home & set your own flexible schedule between 8am EST and 12am midnight EST Monday to Sunday⁴.Earn an additional $5/hr from April 9–15 for all hours worked.Fast 24 hour Certification³.As a Cus