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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 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 Description WHO WE ARE: St. Dominic Village is one of the leading senior care providers in the Greater Houston area. We are a faith-based, non-profit, continuing care retirement community dedicated to Caring for Our Elders with the Compassion of Christ. As a ministry of the Archdiocese of Galveston-Houston, St. Dominic Village provides a seamless continuum of care, comprised of short-term rehabilitation, skilled nursing care, assisted living, independent living, the Archbishop Joseph A. Fiorenza Priest Retirement Residence, and respite care services. Who We Are Looking For: We are seeking a detail-oriented and experienced Revenue Cycle Clerk to join our skilled nursing facility team. The ideal candidate MUST have a strong background in healthcare billing and collections, particularly within long-term care or post-acute care settings. This position is on-site & plays a critical role in ensuring accurate billing, timely collections, and maintaining strong communication with insurance providers, residents, and families. Key Responsibilities: • Accurately process and submit claims to Medicare, Medicaid, and private insurers, • Monitor and follow up on unpaid claims to ensure timely collections, • Reconcile payments and remittances to resident accounts, • Respond to billing inquiries from residents, families, and insurance carriers, • Collaborate with the business office manager to resolve billing discrepancies, • Maintain up-to-date knowledge of payer rules, regulatory changes, and facility policies, • Assist with month-end closing processes and reporting, • Must be PROFICIENT in Point Click Care (PCC), • High school diploma or equivalent; associate degree in accounting, business, or related field preferred, • Minimum of 2 years of experience in revenue cycle, billing, or collections within a healthcare or skilled nursing facility, • Familiarity with Medicare, Medicaid, and third-party payer requirements, • Proficient in billing software and Microsoft Office (Excel, Word, Outlook), • Strong attention to detail and organizational skills, • Excellent communication and customer service skills, • Competitive Pay, • Medical Insurance, • Dental & Vision Insurance, • Employer paid life insurance policy (1.5 times yearly salary up to $50K), • PTO, • 403b, • Supportive team environment, • Opportunities for growth and advancement, • Competitive compensation and benefits package Join Our Team And Make A Difference Every Day!

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 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 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 Description Summary Onsite The accounts receivable collections specialist will be responsible for maintaining industry standards for the A/R they are assigned to for all carriers in regard to aging, collection rates, appeals, rejections and claims with no activity. This position will also post adjustments as needed and responsible for the follow up on all outstanding insurance claims. The collections specialist will work the aging reports as directed by the A/R Manager. Responsible for lowering A/R over 90 days to acceptable standards. This position is also responsible for timely follow-up with internal and external customers as well as third-party payers. Supports and adheres to all policies and procedures. Essential Duties and Responsibilities To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. • Research claims and refile/appeal as necessary (phone, paper, or online) based on review of coding, contractual issues, data entry errors, etc., • Monitor payer rejects and denials to determine systemic or data entry issues and report irregularities to management., • Daily follow up on all outstanding assigned insurance claims., • Daily follow up on all claim reports generated based on rejections, appeals and denials by the insurance carriers., • Post contractual adjustments and transfer deductibles to patient accounts based of correspondence from the insurance carriers., • Assist with claim resubmission projects when necessary., • Work with supervisors to streamline billing procedures based on denial types., • Research and resolve unpaid claims., • Correcting errors on daily basis, • Review accounts that have partial or under payments., • Prepare spreadsheets on unpaid or partial pay claims for resubmission to payers., • Handle correspondence from insurance companies including denials, information requests or refund requests., • Handle incoming calls from patients and insurance companies regarding claims and patient balances., • Review accounts to determine if billed correctly., • 3 years' experience in healthcare collections setting., • 3 years' experience with Medicare, Medicaid, and Commercial carriers' collections, • Ability to read explanation of benefits (EOBs) is critical for this position, • Strong cognitive skills including analysis, problem solving, high attention to detail, and decision making, • Ability to work collaboratively with other team members to support data quality and integrity initiatives, • Great organizational skills, • Ability to work on multiple assignments concurrently within established timeframes, • Ability to multi-task, establish and meet deadlines, • Ability to work in fast-paced environment and maintain accuracy, • Strong verbal and written communication skills, • Ability to troubleshoot and recommend root cause solutions to problems, • Above average organizational and time management skills, • Strong Microsoft Office experience with emphasis on Excel (intermediate to advanced)., • Knowledge of Federal, state and HIPAA privacy regulations Education/Experience: • High School graduate or equivalent, • ACPC preferred but not required

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 Pasadena Southmore - 1951 Southmore Avenue, Pasadena, TX 77502 Therapist - Clinic Based/Hybrid Schedule (LPS) - Job OverviewSchedule: Monday-Friday Ready to unleash your therapeutic prowess in a dynamic environment where innovation meets compassion? Legacy Community Health is on a mission to revolutionize community healthcare, and we're seeking a visionary Therapist to propel our behavioral health services into the future. • Role Highlights: Dive into the heart of transformative psychotherapy, addressing behavioral health needs with precision and empathy., • Work Environment Benefits: Thrive in a digitally-empowered setting with flexible scheduling that includes evenings and some weekends to accommodate your lifestyle., • Impact and Growth: Be a catalyst for change, pioneering data-driven interventions and client-centered treatment plans that redefine care standards., • Team Collaboration: Collaborate within an agile, multi-disciplinary team that champions continuous improvement and breakthrough therapeutic techniques., • Mission-Driven Focus: Fuel your passion by contributing to a mission that prioritizes innovative healthcare solutions for community well-being.Key Responsibilities, • Screen new clients to identify presenting problems, address urgent issues, and provide immediate referrals as needed., • Administer psychosocial assessments to build a data-driven foundation for therapy., • Deliver innovative individual, couples, and family therapy to a diverse clientele experiencing various biopsychosocial stressors., • Collaborate with clients, physicians, and other providers to co-create and implement personalized interventions and treatment plans., • Re-assess clients regularly, adapting treatment plans to ensure adaptive care., • Manage a full-time flexible schedule, inclusive of evenings and some weekends, to meet community needs., • Engage in monthly clinical supervision for case reviews and continuous improvement., • Document client encounters meticulously, ensuring data integrity within medical records., • Conduct billing activities with precision, adhering to agency protocols., • Participate actively in all required meetings, contributing to knowledge-sharing and organizational growth., • Advise patients on health and illness prevention, including voluntary family planning services., • Stay at the forefront of therapeutic advancements through ongoing education and research engagement.Minimum Qualifications, • Master's degree in social or behavioral sciences from an accredited institution., • Current Texas license (LCSW, LPC, and/or LMFT) in good standing., • Maintain first aid/CPR certifications., • Participation in Medicare, Medicaid, and other federal/state reimbursement programs is required., • Minimum of 2 years paid experience in providing psychotherapy., • Proficiency in managing multiple deadlines and prioritizing tasks. Powered by JazzHR wSIMEysHPD

Job Description POSITION SUMMARY: The System Coordinator, Patient Accounts II serves as the secondary gatekeeper for the Nexus Health Systems Business Office. This position is responsible for handling Central Business Office incoming telephone calls, correspondence, and patient account documentation for accounts assigned aged 61+. Position confirms that the patient financial folder contains the completed and appropriate billed claims; billing account documentation supports the expected reimbursement for timely and accurate collections per the contract. The position creates Federal and State mandated reporting. JOB-SPECIFIC RESPONSIBILITIES: 1. Responds to telephone calls, working with those that are routine in nature, or routing the appropriate staff member as calls occur., 2. Confirms admission documentation from the facilities and the CBO biller; the claim documentation is accurate compared to the assigned payer per contract guidelines., 3. Communicates internally/externally to obtain additional patient information to collect timely and per the contract., 4. Confirms claims were billed and received for accounts assigned., 5. Confirm patient financial folders are assembled and maintained sequentially. Confirm claims were billed and correspondence matches to the appropriate patient account when filing completed EOBs., 6. Requests rebill claims as payers identify no claim on file or claim denied by providing appropriate requests to billers. Obtain complete information from the payer to rectify and allow claims to be billed correctly and timely via paper and/or electronic to have claims reimbursed timely., 7. For claims submitted timely and accurately that remain unpaid past the contract requirements must be pursued for 100% of total charges., 8. Confirm claims submitted electronically have been received with no rejections., 9. Claims rejected or not confirmed received are to be requested from the biller immediately. Provide information to ensure the claim is submitted correctly to the biller. Mandatory to work and collect on estimated 35 accounts per day. Account documentation is required., 10. Document payment, adjustment, patient responsibility daily as EOBs are received or verified electronically., 11. Submit Adjustments within 24 hours of receipt of posting payments or receiving EOBs. The claim must be resolved within the same month the payment is posted., 12. Document collection efforts taken on each account billed for claims aged 60+ days. All actions taken must be noted. Collections or billing confirmation can be obtained via phone call to the payer, lockbox, or online., 13. Mandatory to work 35+ accounts from aging daily., 14. Prepares and summarizes accounts actions for accounts aged 90+ for monthly CEO AR call., 15. Responds to correspondence within 24 hours from the date of receipt., 16. Communicates with facility personnel to coordinate patient documentation required to appeal or rectify payments., 17. Forward denial correspondence to the appropriate staff to assist with appeals., 18. Files all bills, appeals, communication to each patient/claim appropriately in the patient chart., 19. Identify credit balances monthly and prepare adjustments to refund appropriate credits before the end of each month for Federal and State-funded agencies. (Medicare, Managed Medicare, Medicaid, Managed Medicaid, DARS)., 20. Credit balances on non-Federal or State Funded claims are prepared on the adjustment sheets and forwarded to Refund Pending, waiting for refund requests from payers., 21. Work accounts assigned on aging twice per month. Follow-up is required every 7-14 days, depending on how the claim was billed., 22. Pull paid accounts monthly from patient files to box and store. Confirm the file is complete and in order before boxing if the file is reviewed during any audit processes., 23. Identify any internal/external changes, processes, procedures, etc. that may create reimbursement issues., 24. Assists other CBO employees as necessary., 25. Performs all other duties as assigned. POSITION QUALIFICATIONS: EDUCATION: • A high school diploma is required, • One to two years college preferred. EXPERIENCE: • Minimum of one (1) year of experience in a hospital business office setting, or at least one year of experience in the medical billing/collection field. LICENSURE/CERTIFICATION: • None required

Job DescriptionBenefits: • 401(k), • Bonus based on performance, • Paid time off, • Competitive Compensation, • Great Work Environment Responsibilities • Assist clients with processing insurance claims through both private insurance and Medicaid/Medicare, • Note and process all necessary forms from the insurance, • Assist patients in navigating the billing and insurance landscape, including collecting all necessary forms and signatures, • Work with doctors offices and hospitals to obtain charge information and billing details, • Enter all billing and payment information into the system properly and without errors, • Follow up with clients and payments, as needed, • Answer phones, assist clients with questions, take messages, and screen calls, • Maintains the highest level of confidentialityQualifications, • Strong customer service skills, • Previous experience with medical coding or billing desired, • Strong organization skills, • Excellent attention to detail, • IN PERSON- NON-REMOTE POSITION, • MUST HAVE ANESTHESIA BILLING EXPERIENCE.

Job Description POSITION SUMMARY: The System Coordinator, Patient Accounts II serves as the secondary gatekeeper for the Nexus Health Systems Business Office. This position is responsible for handling Central Business Office incoming telephone calls, correspondence, and patient account documentation for accounts assigned aged 61+. Position confirms that the patient financial folder contains the completed and appropriate billed claims; billing account documentation supports the expected reimbursement for timely and accurate collections per the contract. The position creates Federal and State mandated reporting. JOB-SPECIFIC RESPONSIBILITIES: 1. Responds to telephone calls, working with those that are routine in nature, or routing the appropriate staff member as calls occur., 2. Confirms admission documentation from the facilities and the CBO biller; the claim documentation is accurate compared to the assigned payer per contract guidelines., 3. Communicates internally/externally to obtain additional patient information to collect timely and per the contract., 4. Confirms claims were billed and received for accounts assigned., 5. Confirm patient financial folders are assembled and maintained sequentially. Confirm claims were billed and correspondence matches to the appropriate patient account when filing completed EOBs., 6. Requests rebill claims as payers identify no claim on file or claim denied by providing appropriate requests to billers. Obtain complete information from the payer to rectify and allow claims to be billed correctly and timely via paper and/or electronic to have claims reimbursed timely., 7. For claims submitted timely and accurately that remain unpaid past the contract requirements must be pursued for 100% of total charges., 8. Confirm claims submitted electronically have been received with no rejections., 9. Claims rejected or not confirmed received are to be requested from the biller immediately. Provide information to ensure the claim is submitted correctly to the biller. Mandatory to work and collect on estimated 35 accounts per day. Account documentation is required., 10. Document payment, adjustment, patient responsibility daily as EOBs are received or verified electronically., 11. Submit Adjustments within 24 hours of receipt of posting payments or receiving EOBs. The claim must be resolved within the same month the payment is posted., 12. Document collection efforts taken on each account billed for claims aged 60+ days. All actions taken must be noted. Collections or billing confirmation can be obtained via phone call to the payer, lockbox, or online., 13. Mandatory to work 35+ accounts from aging daily., 14. Prepares and summarizes accounts actions for accounts aged 90+ for monthly CEO AR call., 15. Responds to correspondence within 24 hours from the date of receipt., 16. Communicates with facility personnel to coordinate patient documentation required to appeal or rectify payments., 17. Forward denial correspondence to the appropriate staff to assist with appeals., 18. Files all bills, appeals, communication to each patient/claim appropriately in the patient chart., 19. Identify credit balances monthly and prepare adjustments to refund appropriate credits before the end of each month for Federal and State-funded agencies. (Medicare, Managed Medicare, Medicaid, Managed Medicaid, DARS)., 20. Credit balances on non-Federal or State Funded claims are prepared on the adjustment sheets and forwarded to Refund Pending, waiting for refund requests from payers., 21. Work accounts assigned on aging twice per month. Follow-up is required every 7-14 days, depending on how the claim was billed., 22. Pull paid accounts monthly from patient files to box and store. Confirm the file is complete and in order before boxing if the file is reviewed during any audit processes., 23. Identify any internal/external changes, processes, procedures, etc. that may create reimbursement issues., 24. Assists other CBO employees as necessary., 25. Performs all other duties as assigned. POSITION QUALIFICATIONS: EDUCATION: • A high school diploma is required, • One to two years college preferred. EXPERIENCE: • Minimum of one (1) year of experience in a hospital business office setting, or at least one year of experience in the medical billing/collection field. LICENSURE/CERTIFICATION: • None required

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 DescriptionSalary: $21-$24 dollars per hour DOE Senior PsychCare has an immediate opportunity for a Revenue Cycle Specialist II to support our Billing Team in Houston. ABOUT US: Senior Psych Care provides fully integrative behavioral health services to the long-term care patient, at their facility. Services include individual, family, and group therapies, along with diagnostic evaluation and collaborative intervention between the therapy team and the psychiatric team. Job Description Revenue Cycle Specialist II is responsible for processing follow-up actions on claims denied for eligibility-related reasons and responding to health plan correspondence. In this role, you would identify billing issues affecting the providers claims and take necessary action to ensure timely and appropriate claim filing. In addition, perform follow-up activities and identifies reimbursement issues affecting these claims. The Revenue Cycle Specialist also takes necessary actions to insure accurate reimbursement and account resolution. Responsibilities : • Responsible for managing and maintaining a workload of approximately seventy (70) accounts or higher per day to ensure claim(s) resolution., • Leverage knowledge of Medicare, state Medicaid, and local coverage determinations (LCDs) for claim resolution., • Review and attach appropriate documentation to resolve denied claims and submit appeals., • Call payers to determine the true reason for denial and inquire on what corrections need to be made., • Follow-up with payers to ensure timely resolution of all outstanding claims, via phone, emails, fax or payer portals., • Review underpayments and overpayments, work with management to prepare spreadsheet and summarize findings; escalate as appropriate., • Prepare and submit denied claims targeted project files to payers, track reprocessing of project files., • Identify problematic claim trends and contract violations and report findings to the Manager and Director., • Contact insurers regarding recoupment payments, double debits, overpaid accounts, and missing checks; initiate dispute process as needed., • Update insurance information in the system as necessary, initiate and support primary, secondary and tertiary billing., • Perform other duties assigned by Revenue Cycle Manger. This is a full-time, in-person opportunity. Our work week is from Monday-Friday 8am-5pm (NO WEEKENDS Required). Qualifications-Required Experience: 3+ years of recent Healthcare experience, specifically in a claims, Denials, billing, EOB and insurance verification. • Minimum 1+ years experience in Government Payor follow- up (Required), • Ability to work independently and prioritize monthly workflow (Required), • Knowledge of Medical Terminology, CPT Codes, HCPCS, Revenue Codes, Modifiers and Diagnosis Codes (Required), • Payer portal and clearinghouse experience (Required), • Ability to work independently and prioritize monthly workflow (Required), • Mental Health experience (Preferred) What we offer: • Paid Time Off and Paid Holidays, • Comprehensive benefits packages including Medical, Dental, Vision, 401k, Long Term and Short-Term Disability, Life Insurance, • Healthcare coverage available 1st day of the month following full-time employment. All interested candidates are encouraged to apply. Apply today and START NEXT WEEK!!!

Job DescriptionDescription: We are seeking a friendly and organized Front Office Assistant to join our team and serve as the first point of contact for our patients. In this role, you’ll be responsible for greeting and checking in patients, managing registration, verifying insurance benefits, scheduling and confirming appointments, collecting co-pays, and answering incoming calls. Your ability to multitask and deliver excellent customer service will help ensure a smooth and welcoming experience for every patient. If you thrive in a fast-paced environment and enjoy working as part of a supportive team, we’d love to hear from you! Benefits: • Insurances: Life, medical, dental, short-term term and long-term disability, • 401K, • Free Parking, • PTO, • Holidays, • Competitive Salary, • Employee Assistance Program, • Tuition Reimbursement, • Continuing Medical Education Allowance, • Pet Insurance, • Employee Discounts, • Welcome all patients and visitors by greeting them in person, answering inquiries and directs them through the registration process., • Utilize a multi-line phone system, fax machine, printer, copier, and scanner to process patients through the registration process., • Answer phones and transfer phone calls to corresponding employees., • Register patients, verifying insurance eligibility as needed, and collecting payments through various software systems., • Collect all insurance information, verify patient demographics, process payments, post patient balances., • Schedule patient appointments., • Maintain a neat and clean work environment and professional appearance and adherence to relevant health and safety procedures., • Discharge Patients, assist office and clinical staff and close office at end of shift., • Assist in the coverage of Front Office duties in other locations as needed or required., • A qualified candidate is a professional, dependable, flexible and self-motivated person.?, • Must have?knowledge health insurance, including HMOs, PPOs, Medicare, Medicaid, etc., • Must be able to multi-task, possess good computer skills, have a good attitude, be personable, and flexible.?, • Must have knowledge of basic computer software, and the ability to learn billing software and electronic medical records required, • Must be able to communicate well with patients and medical staff, • Prefer 1 or more years of experience as front office assistant in a health care setting., • Minimum high school diploma COMMENTS: This description is intended to describe the essential job functions, the general supplemental functions and the essential requirements for the performance of this job. It is not an exhaustive list of all duties, responsibilities and requirements of a person so classified. Other functions may be assigned and management retains the right to add or change the duties at any time. Medical Center | Memorial City | Sugar Land | Katy | Willowbrook | Southwest /Northwest | Southeast/League City | Pearland |Precision | Pasadena | Cypress | Corpus Christi/ Rockport

Medical Director – Medicare Programs Remote | Approx. $300,000 base + significant bonus potential About the Opportunity: A leading national healthcare contractor is seeking a Medical Director to provide clinical leadership and decision-making support for Medicare operations. This position plays a critical role in developing and enforcing coverage determinations, reviewing complex claims, and promoting evidence-based medical policy. The role is ideal for a physician, especially those with a background in Physical Medicine and Rehabilitation (PM&R), who wishes to transition from direct patient care into a leadership position influencing medical necessity and healthcare compliance at scale. Key Responsibilities: • Clinical Leadership:, • Provide medical expertise for claim reviews, appeals, and Medicare policy development. Serve as a subject matter expert across multiple specialties., • Policy Development:, • Collaborate with the Centers for Medicare & Medicaid Services (CMS) and other contractors to create, revise, and maintain Local Coverage Determinations (LCDs) and related guidance., • Program Integrity:, • Identify trends in billing or compliance issues and work with investigative teams to address improper claims., • Medical Review & Appeals:, • Oversee quality assurance in pre- and post-payment medical review determinations and assist with administrative law proceedings when necessary., • Provider Education:, • Lead outreach and training for healthcare providers and professional associations to ensure adherence to Medicare policies and evidence-based practices. Travel is minimal (approximately 3–4 weeks per year), and the position is fully remote with occasional in-person meetings or conferences. Required Qualifications: • MD or DO from an accredited institution., • Active, unrestricted medical license in at least one U.S. state (must be eligible for additional licensure where required)., • Board Certification in a specialty recognized by the American Board of Medical Specialties (minimum three years)., • At least three years of experience as an attending physician., • Prior experience within the Medicare, health insurance, or utilization review environment., • Strong understanding of clinical evidence evaluation and medical necessity determination within fee-for-service structures., • Excellent communication and collaboration skills across technical, regulatory, and clinical teams., • Computer proficiency (MS Office, data analysis tools, virtual collaboration platforms). Preferred Qualifications: • Background in PM&R, Internal Medicine, Oncology, Radiology, Ophthalmology, or Infectious Disease., • Five or more years of clinical practice experience., • Prior experience as a Medical Director in a Medicare or commercial payer organization., • Familiarity with HCPCS, CPT, and ICD-10 coding standards., • Advanced degree or coursework in healthcare administration or systems management (MBA, MHA, MS)., • Experience performing systematic literature reviews or using GRADE methodology. Compensation & Benefits: • Base salary: Approximately $300,000, flexible depending on experience., • Bonus structure: Significant performance-based bonuses., • Benefits: Comprehensive health coverage, generous retirement contributions, paid time off, and strong professional development support., • Schedule: Full-time, remote position with flexible hours. Why Join: This is an opportunity to move beyond clinical work while continuing to make a direct impact on patient access and policy integrity at a national level. Join a mission-driven organization that values medical expertise, promotes collaboration, and advances fairness and compliance within the U.S. healthcare system.

Required: Pharmacy insurance and benefit verification, PBM and Medical contracts, knowledge/understanding of Medicare, Medicaid, and commercial insurance, pharmacy test claim and NCPDP claim rejection resolution, coordination of benefits, NDC medication billing, pharmacy or healthcare-related knowle

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, • 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 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 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 Description Dean's Professional Services is now hiring a qualified Medical Insurance Specialist to work for a Facility in Houston, TX. We are on a mission to create care that is more convenient and professional, with solutions that are value-based. To accomplish this, we are looking for individuals who share our sense of excellence and are ready to embrace new opportunities. Position Summary: The Medical Insurance Specialist is responsible for managing claims submission, denial resolution, payment posting, and aged accounts receivable (A/R) follow-up. This role supports accurate and timely revenue cycle operations while ensuring compliance with payer requirements and organizational policies. Key Responsibilities: • Proficient in handling insurance appeals, denials, and Explanation of Benefits (EOB) follow-up., • Demonstrated expertise in Medicare and Medicaid policies, procedures, and billing requirements., • Ensures accurate claim resolution and timely reimbursement through effective communication and follow-up with payers., • Maintains comprehensive understanding of payer guidelines and regulatory compliance standards., • Assist with aged A/R cleanup for accounts over 30/60/90+ days., • Maintain documentation of billing activities, claim status, and payer communications., • Collaborate with team members and other departments to support efficient revenue cycle processes., • High school diploma or GED required; Associate's degree in healthcare administration, billing, or related field preferred., • 2+ years of experience in medical billing and revenue cycle management., • Knowledge of Medicaid, Medicare, and commercial insurance billing practices., • Strong organizational and problem-solving skills with attention to detail., • Excellent communication and customer service skills., • Proficiency in billing software and Microsoft Office (Excel, Word, Outlook)., • EPIC (REQUIRED), • FQHC (Preferred), • Familiarity with denial management and claims reconciliation processes., • Ability to handle sensitive patient information with professionalism and confidentiality., • Strong analytical skills to identify billing errors and resolve issues., • Schedule/Shift: 8-hour shifts, must be flexible., • Starting at $21.00/Hourly (Based on Experience) + benefits., • Full benefits: healthcare, dental, vision, and 401k program. #HC123

Job Description Our nationally accredited team is currently seeking a Clinic Manager to provide clinic support and care collaboration to current and future clients and their families! Our Mission: At Transitions Counseling and Consulting, we provide accessible, skilled mental health services for children, teenagers, and adults at convenient locations throughout Arizona. Our mission is to provide safe, high-quality mental health services in an ethical environment that embraces diversity and to train the next generation of therapists to also do so competently and confidently. We strive to be an organization that others enthusiastically recommend to their friends, families, and colleagues – whether for treatment, training, or a career – based on our empathy, technical skill, and the support we give to one another and all those we serve. What we provide: We focus on taking great care of our team so they can focus on taking great care of our clients! We offer the following benefits for full-time employees: • Competitive Compensation: $18.00-$21.00 per hour, full-time., • Generous Time Off: Receive 180+ hours off in your first year, including PTO, sick time, holidays, and your birthday., • Comprehensive Health Coverage: Choose from multiple BCBS medical plans, including access to Blue365 for discounts on apparel, fitness, travel, and more., • Dental & Vision Plans: Comprehensive coverage to keep you and your family covered., • Retirement Savings: 401(k) to help you plan for the future., • Health Savings Account (HSA): Employer-matched contributions to support your healthcare needs., • Dependent Care FSA: Tax-advantaged savings for childcare and dependent care expenses., • Wellness Resources: Access to the Sharecare wellness platform for health tools, resources, and personalized support., • Professional Growth: Advancement and specific focus opportunities, • Provide a warm welcome to clients both at check-in and through pre-appointment welcome calls., • Answer live phone calls, respond to communications, and route inquiries appropriately., • Support clients with patient portal setup and paperwork completion., • Complete post-appointment scheduling and contact clients to reschedule missed appointments., • Collect session copayments and ensure client payment methods are on file., • Verify and document client insurance and demographic information., • Accurately process records requests in a timely manner., • Retrieve, organize, and upload client forms and assessments into the EHR., • Serve as the administrative point of contact for licensing inspections, vendors, maintenance, and technology services., • Conduct monthly safety inspections and coordinate semi-annual fire drills., • Inventory and order clinic supplies as needed., • Assist with onboarding and offboarding tasks, including greeting new team members, issuing/collecting keys, and reviewing safety protocols, • Support clinic response during crises and participate in emergency procedures when necessary, • Minimum: High school graduate or equivalent, • Experience in a healthcare or behavioral health setting preferred, • Experience working with an electronic healthcare record (EHR) preferred, • Strong basic computing skills with Microsoft Office programs (Word, Excel), • Must have excellent organizational skills, ability to work well with frequent interruptions, and ability to communicate with a variety of others in a manner that is direct, clear, courteous, and tactful in person, by phone, and by email, • No suspension/exclusion/debarment from participation in federal health care programs (e.g., TriWest, TRICARE, Medicare, Medicaid, SCHIP, etc.).., • Provide current level one fingerprint clearance card issued by the Texas Department of Public Safety and renew as applicable.

Job DescriptionFind your perfect career fit with FYZICAL, an innovative company that is committed to your growth and success, when you join us at our Missouri City, TX location as our newest Physical Therapist (PT)! Are you a Physical Therapist with visions of providing cutting-edge services to your clients? Do you have great ideas that have been stifled by traditional PT practices? If so, this is the last stop on your job search. We are part of the world's fastest-growing physical therapy company and are looking for an innovator like you to add to our quality team at our Missouri City, TX, location! Our independent practices are headed by supportive leaders who are dedicated to building quality teams that work together to achieve success. Here, you will have the freedom to bypass traditional treatments, using our state-of-the-art technology to determine the best path for each patient's personalized plan. We provide the tools and continued education you need to increase your knowledge base, gain a new and unique perspective of the PT field and successfully grow your career. In our Physical Therapist (PT) role, your valued contributions to the community will make a lasting impact on the entire PT industry. If being on the leading edge of an industry you love is your goal, apply today for our Full Time Physical Therapist (PT) job opening! Salary: $90K-$95KResponsibilities • Perform new-patient evaluations/exams; assess physical activity limitations; diagnose patients., • Plan, prepare and administer skilled physical therapy treatment plans in accordance with physician orders, referrals, prescriptions, current standards of care, and by assessing and interpreting evaluations, records, and test results of patients., • Measure and track treatment effectiveness., • Educate patients and encourage continuation of home exercise programs that improve the patient’s overall health., • Provide patient care and related activities, in accordance with skill level and deemed appropriate by the Texas State Code of Laws and other governing entities such as Medicare., • Utilize timely patient flow in accordance with scheduled appointment times., • Promptly and thoroughly document and maintain clinical and administrative records, including but not limited to, daily notes, weekly reports, initial evaluations, treatment progress and responses, and discharge summaries., • Maintain confidentiality of patient personal health information in accordance with HIPAA compliance., • Adhere to company’s guidelines for billing of clinical and non-clinical services., • Adhere to the clinic mission, policies, standards, and goals., • Participate in educational workshops and presentations for community education and referral sources.Required Skills, • Graduation from an accredited PT program and current PT license in TX, • Able to create and implement outpatient balance and vestibular rehabilitation-setting treatment plans, • Ability to work efficiently/effectively in an autonomous environment, • 1+ year(s) of outpatient neuro/ortho center or vestibular rehab experience, • Must be self-motivated with a willingness to learn, • Passion for working with vestibular, balance, neurological, and fall-risk patient population, • Prefer at least one year working in outpatient neurological or orthopedic center, or previous vestibular rehab experience Benefits • Paid time off, • Continue education, • Opportunities for advancement