Trabajos remote medical billing en Plano, TexasCrear alertas

CSI Companies is seeking an experienced Professional Fee (ProFee) Coder with a strong background in Mental Health and/or Primary Care coding. This role is responsible for accurately reviewing, assigning, and validating CPT, ICD-10-CM, and HCPCS codes for outpatient provider services to ensure compliance with federal regulations and payer-specific guidelines. The ideal candidate brings strong knowledge of behavioral health documentation standards, E/M coding guidelines, and regulatory compliance within physician practice or outpatient settings. This role requires high accuracy, productivity, and the ability to work independently in a remote environment. Hours: 40 hours/week – Monday to Friday, standard business hours Location: Remote (CST) – Must reside in Texas Pay: Competitive Market Rate Position Type: Consultant – No C2C Work Authorization: Visas are acceptable (any EAD). Candidates must be eligible to work on W2 and must not require sponsorship for at least 6–12 months. What you’ll do: • Review and assign accurate CPT, ICD-10-CM, and HCPCS codes for professional fee services in mental health and/or primary care, • Ensure compliance with CMS guidelines, payer policies, and regulatory requirements, • Interpret provider documentation to support appropriate code selection and optimal reimbursement, • Accurately code Evaluation & Management (E/M) services in accordance with current guidelines, • Identify documentation deficiencies and communicate queries to providers when necessary, • Maintain productivity and quality standards as defined by the organization, • Participate in coding audits and quality assurance reviews, • Stay current with annual coding updates, regulatory changes, and payer policy revisions, • Collaborate with billing, compliance, and revenue cycle teams to resolve coding-related denials and discrepancies What we’re looking for: • Active CPC, CCS-P, or equivalent coding certification, • Minimum 2+ years of Professional Fee (ProFee) coding experience, • Direct coding experience in Mental Health (Behavioral Health/Psychiatry) and/or Primary Care, • Strong understanding of E/M guidelines (2021+ changes), • Knowledge of ICD-10-CM, CPT, and HCPCS coding systems, • Experience working in EMR/EHR systems, • Strong attention to detail and ability to maintain high coding accuracy, • Excellent written and verbal communication skills Who Should Apply? This opportunity is ideal for certified Professional Fee coders with hands-on experience in mental health and/or primary care who are confident navigating E/M guidelines and complex provider documentation. Candidates who thrive in structured, productivity-driven environments and take pride in coding accuracy, compliance, and attention to detail will be successful in this role. Professionals who are comfortable working independently in a remote setting, proactively communicating with providers regarding documentation clarification, and contributing to revenue integrity and regulatory compliance initiatives are strongly encouraged to apply. About Us: CSI Companies is a recruiting firm established in 1994 that has been awarded “Best of Staffing” for over a decade. We provide outstanding services to the world’s leaders in the healthcare field as well as other organizations. For consideration, please submit your resume with all of your relevant experience included on it for immediate consideration. Only those candidates identified for an interview will be contacted. Benefits Offered: • Weekly pay, • Medical, dental, and vision coverage, • Voluntary Life and AD&D coverage, • Paid Training, • Opportunity for advancement upon performance and availability

Job Summary and Candidate Overview: TransEleven Claims Managers is looking for a qualified attorney to join our team in the role of Senior Claims Counsel, handling a high volume of claim files in multiple PL/GL practice areas. Our hiring preference is for candidates who live in Texas, Oklahoma or neighboring states, however this position is 100% remote after initial training at our corporate offices in Allen, TX. We desire attorneys that have worked for another third-party claims administrator, insurance carrier, captive firm or insurance defense firm handling professional and general liability claims. Company Overview: TransEleven Claims Managers (TCM) is a third-party administrator (TPA) that provides comprehensive claims administration, litigation management and program development services to foreign and domestic insurers, risk retention groups, captive insurers, self-insureds and other entities in the business of managing risk. We are a Lloyd's approved Delegated Claims Administrator (DCA). Our CEO was recently named London Market Professional of the Year and we have an exceptional reputation in the industry as experts in the London Market. With our team of highly skilled attorneys, we specialize in providing claims administration and litigation management services for programs placed by coverholders authorized to utilize the London Insurance Market. What sets TransEleven apart from other claims administrators is 100% of our files are handled by licensed attorneys. As a result, we have earned an exceptional reputation in both the domestic and global insurance industry and have experienced unprecedented growth since the company was founded in 2014. We provide our services in over 25 practice areas, with an emphasis in Professional and General Liability risk exposures. A few of our practice areas include professional E&O for multiple professions such as architects and engineers, healthcare liability (PL/GL) such as long-term care and allied health, general liability (GL) such as products and construction defects, excess liability (PL/GL) and insurance coverage analysis. For more information visit: Job Responsibilities (Summary): TCM is looking for an experienced attorney to join our team in the role of Senior Claims Counsel. In this position you will oversee claims administration and litigation management for a portfolio of claim files, from initial coverage and claims analysis through resolution, including retaining and management of outside counsel, negotiations, mediations, settlement conferences, invoice and expense management and complex reporting to all parties. The right candidate must be able to engage in high-level problem solving, legal analysis and negotiations. Qualifications: • JD (Juris Doctor) from an accredited law school, • Licensed as an attorney (in good standing) in at least one state (valid State Bar member), • A minimum of 4 years of experience in insurance litigation, insurance defense, professional liability claims administration or litigation management, • Licensed Insurance Adjuster (or willingness to obtain this and any other required insurance or legal certifications), • Excellent verbal communication skills, • Exceptional writing skills due to the level of report writing required by clients (writing samples may be requested), • Command of Office 365 software (Outlook, Word, Excel, SharePoint, etc.), • Experience working with claims software and file management systems (e.g., FileHandler Enterprise) and billing, • Ability to work independently and as a part of a close-knit team, • Commitment to ethical legal practices and compliance with all regulatory and professional standards. What We Offer: TransEleven offers a competitive salary and benefits package which includes: medical, dental and vision insurance, life and disability coverage, 401k with a company contribution and flex scheduling. We offer a supportive work environment, with the opportunity to work entirely remote after a training and performance evaluation period (outside of any required client travel or required company meetings or outings). Join our team of talented attorneys and you'll be handsomely rewarded, as well as challenged, with a unique legal career that offers a true work-life balance. Benefits: • 401(k), • 401(k) matching, • Additional Profit sharing (discretionary, based on company performance), • Additional Annual bonus (discretionary, based on personal performance), • Health, Dental and Vision Insurance, • Life insurance, • Flexible schedule, • Paid time off, • 100% Remote work Are you tired of trying cases, discovery and the grind of law firm life? Are you being called back to the office full-time with no remote work opportunity? If so, working with TransEleven may be an incredible opportunity. Come join one of the most respected third-party claims administrators in the US? Compensation/Pay: Base range $120-$150k per year, but salary is negotiable for the right candidate, with the right experience.

At Zelis, we Get Stuff Done. So, let's get to it! A Little About Us Zelis is modernizing the healthcare financial experience across payers, providers, and healthcare consumers. We serve more than 750 payers, including the top five national health plans, regional health plans, TPAs and millions of healthcare providers and consumers across our platform of solutions. Zelis sees across the system to identify, optimize, and solve problems holistically with technology built by healthcare experts - driving real, measurable results for clients. A Little About You You bring a unique blend of personality and professional expertise to your work, inspiring others with your passion and dedication. Your career is a testament to your diverse experiences, community involvement, and the valuable lessons you've learned along the way. You are more than just your resume; you are a reflection of your achievements, the knowledge you've gained, and the personal interests that shape who you are. Position Overview As part of the Price Optimization division, this role is responsible for conducting post-service, pre-payment and post pay comprehensive inpatient DRG Quality Assurance reviews in an effort to increase the savings achieved for Zelis clients. Conduct reviews on inpatient DRG claims as they compare with medical records utilizing ICD-10 Official Coding Guidelines, AHA Coding Clinic evidence based clinical criteria and client specific coverage policies. What you'll do: • Perform comprehensive inpatient DRG validation Quality Assurance reviews to determine accuracy of the DRG billed, based on industry standard coding guidelines and the clinical evidence supplied by the provider in the form of medical records such as physician notes, lab tests, images (x-rays etc.), and with due consideration to any applicable medical policies, medical best practice, etc., • Implement and conduct quality assurance program to ensure accurate results to our clients, • Manage assigned claims and claim report, adhering to client turnaround time, and department Standard Operating Procedures, • Serve as the Subject Matter Expert on DRG validation to team members and other departments within the organization, • Prepare and conduct training for new team members, • Identify new DRG coding concepts to expand the DRG product, • Meet and/or exceed all internal and department productivity and quality standards, • Must remain current in all national coding guidelines including Official Coding Guidelines, AHA Coding Clinic and AMA CPT Assistant, • Recommend efficiencies and process improvements to improve departmental procedures, • Maintain awareness of and ensure adherence to Zelis standards regarding privacy What you'll bring to Zelis: • Registered Nurse licensure preferred, • Inpatient Coding Certification required (i.e., CCS, CIC, RHIA, RHIT), • 5+ years reviewing and/or auditing ICD-10 CM, MS-DRG and APR-DRG claims preferred, • Solid understanding of audit techniques, identification of revenue opportunities and financial negotiation with providers, • Experience and working knowledge of Health Insurance, Medicare guidelines and various healthcare programs, • Strong understanding of hospital coding and billing rules, • Clinical and critical thinking skills to evaluate appropriate coding, • Strong organization skills with attention to detail, • Excellent communication skills both verbal and written, and skilled at developing and maintaining effective working relationships., • Demonstrated thought leadership and motivation skills, a self-starter with an ability to research and resolve issues Please note at this time we are unable to proceed with candidates who require visa sponsorship now or in the future. Location and Workplace Flexibility We have offices in Atlanta GA, Boston MA, Morristown NJ, Plano TX, St. Louis MO, St. Petersburg FL, and Hyderabad, India. We foster a hybrid and remote friendly culture, and all our employee's work locations are based on the needs of the position and determined by the Leadership team. In-office work and activities, if applicable, vary based on the work and team objectives in accordance with Company policies. Base Salary Range $95,000.00 - $120,650.00 At Zelis we are committed to providing fair and equitable compensation packages. The base salary range allows us to make an offer that considers multiple individualized factors, including experience, education, qualifications, as well as job-related and industry-related knowledge and skills, etc. Base pay is just one part of our Total Rewards package, which may also include discretionary bonus plans, commissions, or other incentives depending on the role. Zelis' full-time associates are eligible for a highly competitive benefits package as well, which demonstrates our commitment to our employees' health, well-being, and financial protection. The US-based benefits include a 401k plan with employer match, flexible paid time off, holidays, parental leaves, life and disability insurance, and health benefits including medical, dental, vision, and prescription drug coverage. Equal Employment Opportunity Zelis is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment 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. We welcome applicants from all backgrounds and encourage you to apply even if you don't meet 100% of the qualifications for the role. We believe in the value of diverse perspectives and experiences and are committed to building an inclusive workplace for all. Accessibility Support We are dedicated to ensuring our application process is accessible to all candidates. If you are a qualified individual with a disability or a disabled veteran and require a reasonable accommodation with any part of the application and/or interview process, please email ___. Disclaimer The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified. All personnel may be required to perform duties outside of their normal responsibilities, duties, and skills from time to time.

Job Description The Reny Company's healthcare claims data entry personnel is a professional who combines experience in data entry, health insurance and medical billing with business insight and a passion for great service. The data entry personnel will ensure the highest level of accuracy of data entry into our bill review system for claims processing. THIS IS NOT A REMOTE POSITION BEFORE APPLYING, PLEASE MAKE SURE THAT YOU MEET THE BELOW REQUIREMENTS: • At least 1 years' experience in a healthcare/medical setting that required a high volume of data entry (hospital, health plan, clinic, other healthcare organization, etc.)., • Ability to type 40 Words per Minute (WPM) or 10,000 Keystrokes per Hour (KSPH)., • Proficient in using Microsoft Word and Excel., • Comfortable being in a position that requires strictly data entry/computer work. Job Description • Performs high volume data entry (Average: 10,000+ KSPH)., • Perform basic management of electronic files (i.e., print, copy, transfer and delete)., • Accesses information from a computer and/or maintains a computer database., • Enters data for envelopes, labels, form letters and correspondence., • Formats and produces documents., • Works with numbers (i.e., add, subtract, multiply and divide)., • Detects and correct errors., • Uses Microsoft Word processing, spreadsheets, database or other software on a computer., • Can also use basic office equipment (including a photocopy machine, facsimile machine, binding machine, etc.) and has the ability to follow instructions. Requirements • At least 2 years' experience in a healthcare/medical setting that required a high volume of data entry (hospital, health plan, clinic, other healthcare organization, etc.)., • Ability to type 40 Words per Minute (WPM) or 10,000 Keystrokes per Hour (KSPH)., • Proficient in using Microsoft Word and Excel.

At Zelis, we Get Stuff Done. So, let's get to it! A Little About Us Zelis is modernizing the healthcare financial experience across payers, providers, and healthcare consumers. We serve more than 750 payers, including the top five national health plans, regional health plans, TPAs and millions of healthcare providers and consumers across our platform of solutions. Zelis sees across the system to identify, optimize, and solve problems holistically with technology built by healthcare experts - driving real, measurable results for clients. A Little About You You bring a unique blend of personality and professional expertise to your work, inspiring others with your passion and dedication. Your career is a testament to your diverse experiences, community involvement, and the valuable lessons you've learned along the way. You are more than just your resume; you are a reflection of your achievements, the knowledge you've gained, and the personal interests that shape who you are. Position Overview At Zelis, the DRG Clinical Dispute Reviewer role is responsible for the resolution of facility and provider disputes as they relate to DRG validation. They will be responsible for reviewing facility inpatient and outpatient claims for Health Plans and TPA's to ensure adherence to proper coding and billing, analyzing inpatient DRG claims based on industry standard inpatient coding guidelines, and supporting the Office of the Chief Medical Officer in managing disputes related to clinical claim reviews. This position is a production-based role with production and quality metric goals. What you'll do: * Review provider disputesforDRGCoding andClinicalValidation(MS and APR) * Reviewandsubmitexplanation of dispute rationale back to providersbased on dispute findings within the designatedtimeframeto ensure client turnaround times are met. * Accountable for daily management ofclaim dispute volume, adhering to client turnaround time, and department Standard Operating Procedures * Serve assubject matter expert fortheExpert ClaimReviewTeamonday-to-dayactivitiesincludingtroubleshooting and review fordata accuracy. * Serve as a subject matter expert for content andbill reviews and provide support whereneededforinquiriesandresearch requests. * Create andpresenteducation toExpert ClaimReview Teamsand otherdepartmentsdispute findings. * Researchandanalysisof content forDRGreviews. * Use of strong coding and industry knowledge to create andmaintainclaimreview content, including but not limited to DRG Reviewer Rationales, DRG Clinical Validation Policiesand Dispute Rationales * Perform regulatory research from multiple sourcesto keep abreast of compliance enhancements andadditionalbill reviewopportunities. * Support for client facing teams as needed relating to client inquiriesrelated to provider disputes. * Utilize the most up-to-date approved Zelis medical coding sources forclaimreviewmaintenance. * Communicate and partner with CMO andmembers ofExpert ClaimReview Product and Operations teamsregardingimportant issuesand trends. * Ensure adherence to quality assurance guidelines. * Monitor, research, and summarize trends, coding practices, and regulatory changes. * Actively contributenew ideasand support ad hoc projects, including time-sensitive requests. * Ensure adherence to quality assurance guidelines. * Maintain awareness of and ensure adherence to ZELIS standardsregardingprivacy. What you'll bring to Zelis: * 5+ years reviewing and/or auditing ICD-10 CM, MS-DRG and APR-DRG claimspreferred * Current, activeInpatient Coding Certification required (ie. CCS,CIC,RHIA, RHIT,CPC or equivalent credentialing). * Registered Nurse licensurepreferred * Bachelor's Degree Preferred in business,healthcare,or technologypreferred. * Solid understanding of audit techniques, identification of revenue opportunities and financial negotiation with providers * Experience and working knowledge of Health Insurance, Medicareguidelinesand various healthcareprograms * Understanding of hospital coding and billing rules * Clinical skills to evaluateappropriate MedicalRecord Coding * Experience performing regulatory research from multiple sources, formulating an opinion,and presenting findings inanorganized,concise manner. * Background and/or understanding of the healthcare industry. * Knowledge of National Medicare and Medicaid regulations. * Knowledge of payer reimbursement policies. * Creative problem-solving skills,leveraginginsightsand input from other parts of an organization. * Consistentlydemonstrateabilityto act and react swiftly to continuous challenges and changes. * Excellent analytical skills with data and analytics related solutions. * Excellent communication skills. * Strong organization and project/process management skills. * Strong initiative, self-directedand self-motivation. * Good negotiation, problem solving,planningand decision-making skills. * Ability to manage projects simultaneously and achieve goals. * Excellent follow through, attention to detail, and time management skills. Please note at this time we are unable to proceed with candidates who require visa sponsorship now or in the future. Location and Workplace Flexibility We have offices in Atlanta GA, Boston MA, Morristown NJ, Plano TX, St. Louis MO, St. Petersburg FL, and Hyderabad, India. We foster a hybrid and remote friendly culture, and all our employee's work locations are based on the needs of the position and determined by the Leadership team. In-office work and activities, if applicable, vary based on the work and team objectives in accordance with Company policies. Base Salary Range $95,000.00 - $127,000.00 At Zelis we are committed to providing fair and equitable compensation packages. The base salary range allows us to make an offer that considers multiple individualized factors, including experience, education, qualifications, as well as job-related and industry-related knowledge and skills, etc. Base pay is just one part of our Total Rewards package, which may also include discretionary bonus plans, commissions, or other incentives depending on the role. Zelis' full-time associates are eligible for a highly competitive benefits package as well, which demonstrates our commitment to our employees' health, well-being, and financial protection. The US-based benefits include a 401k plan with employer match, flexible paid time off, holidays, parental leaves, life and disability insurance, and health benefits including medical, dental, vision, and prescription drug coverage. Equal Employment Opportunity Zelis is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment 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. We welcome applicants from all backgrounds and encourage you to apply even if you don't meet 100% of the qualifications for the role. We believe in the value of diverse perspectives and experiences and are committed to building an inclusive workplace for all. Accessibility Support We are dedicated to ensuring our application process is accessible to all candidates. If you are a qualified individual with a disability or a disabled veteran and require a reasonable accommodation with any part of the application and/or interview process, please email ___. Disclaimer The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified. All personnel may be required to perform duties outside of their normal responsibilities, duties, and skills from time to time.

At Zelis, we Get Stuff Done. So, let's get to it! A Little About Us Zelis is modernizing the healthcare financial experience across payers, providers, and healthcare consumers. We serve more than 750 payers, including the top five national health plans, regional health plans, TPAs and millions of healthcare providers and consumers across our platform of solutions. Zelis sees across the system to identify, optimize, and solve problems holistically with technology built by healthcare experts - driving real, measurable results for clients. A Little About You You bring a unique blend of personality and professional expertise to your work, inspiring others with your passion and dedication. Your career is a testament to your diverse experiences, community involvement, and the valuable lessons you've learned along the way. You are more than just your resume; you are a reflection of your achievements, the knowledge you've gained, and the personal interests that shape who you are. Position Overview The Lead Data Engineer - Finance & Accounting focus owns the design, development, and delivery of scalable, cloud-native data services supporting finance treasury and accounting functions, including financial reporting, reconciliation, billing, and operational accounting use cases. This role combines hands-on data engineering, technical leadership, and end-to-end project ownership, with accountability from solution design through production delivery. The ideal candidate brings strong finance and accounting domain experience, deep expertise in AWS and Snowflake, and a proven ability to architect data platforms that ensure accuracy, traceability, and audit readiness while leading complex initiatives and mentoring engineers. What You'll Do: * Own end-to-end delivery of finance and accounting data service solutions, from requirements and architecture through implementation, testing, deployment, and support * Design and implement Snowflake-based financial data architectures, including accounting-ready data models and DBT transformation pipelines * Build and maintain high-reliability data pipelines supporting financial reporting, reconciliations, close processes, and downstream analytics * Lead cloud data engineering initiatives across the data platform supporting general ledger, revenue, payments, claims, billing, and operational finance workflows * Serve as technical lead on finance-focused projects, setting engineering standards, making architectural decisions, and ensuring delivery quality and timelines * Partner closely with Finance, Accounting, FP&A, and Analytics teams to translate business and accounting requirements into scalable data products * Ensure financial data integrity, auditability, and traceability, including controls, lineage, and reconciliation logic * Mentor and guide data engineers through code reviews, design reviews, and hands-on technical leadership * Establish and enforce data quality, observability, and governance practices aligned to financial and regulatory expectations * Support migration of financial data platforms from on-premises systems to cloud-based solutions * Drive Agile delivery practices, participating in sprint planning, standups, retrospectives, and release management * Uphold data privacy, security, and compliance standards relevant to financial and healthcare data What You'll Bring to Zelis: * 7+ years of experience in data engineering, with 2+ years in a technical lead or ownership role * Demonstrated experience developing data solutions for finance and accounting domains, such as general ledger, revenue, payments, claims, billing, or financial reporting * Proven experience designing and delivering Snowflake cloud data warehouse solutions * Strong cloud engineering experience supporting financial data platforms, including data lakes, pipelines, and cloud-native services * Advanced SQL expertise, including complex joins, performance tuning, and reconciliation logic * Experience building and managing enterprise financial data warehouses and data lakes * Hands-on experience migrating financial data systems from on-premises SQL platforms to cloud environments * Strong understanding of financial data modeling, ETL/ELT patterns, and analytics architecture * Demonstrated leadership, mentorship, and cross-functional collaboration skills * Excellent communication skills with both technical teams and finance/accounting stakeholders * Experience working in Agile/Scrum environments and facilitating ceremonies Preferred Skills: * 5+ years working with modern ETL/ELT tools (DBT strongly preferred) * Experience with columnar MPP cloud data warehouses (Snowflake) * Proficiency in the creation, performance tuning and reverse engineering of complex SQL queries and stored procedures * Python proficiency for data engineering, automation, and financial data processing a plus * Experience supporting financial close, reconciliations, audit reporting, and executive financial reporting * Familiarity with real-time or near-real-time financial data processing * Working knowledge of Git, CI/CD pipelines, Azure DevOps, Jira, and Confluence * Experience using AI-assisted development tools (e.g., Cortex AI, Cursor) to improve development velocity and code quality * Healthcare finance, payments, or regulated financial systems experience Independence/ Accountability: * Operates with minimal day-to-day supervision * Takes full ownership of finance-focused data initiatives and outcomes * Independently prioritizes work across multiple financial and technical initiatives * Regularly aligns goals, risks, and delivery status with leadership * Comfortable working under pressure while supporting time-sensitive financial reporting cycles Problem Solving: * Proactively identifies financial data risks, reconciliation gaps, and data quality issues * Designs and implements scalable, audit-ready solutions * Demonstrates strong organizational and project management skills * Maintains exceptional attention to detail with awareness of financial and downstream business impact Please note at this time we are unable to proceed with candidates who require visa sponsorship now or in the future. Location and Workplace Flexibility We have offices in Atlanta GA, Boston MA, Morristown NJ, Plano TX, St. Louis MO, St. Petersburg FL, and Hyderabad, India. We foster a hybrid and remote friendly culture, and all our employee's work locations are based on the needs of the position and determined by the Leadership team. In-office work and activities, if applicable, vary based on the work and team objectives in accordance with Company policies. Base Salary Range $127,000.00 - $160,550.00 At Zelis we are committed to providing fair and equitable compensation packages. The base salary range allows us to make an offer that considers multiple individualized factors, including experience, education, qualifications, as well as job-related and industry-related knowledge and skills, etc. Base pay is just one part of our Total Rewards package, which may also include discretionary bonus plans, commissions, or other incentives depending on the role. Zelis' full-time associates are eligible for a highly competitive benefits package as well, which demonstrates our commitment to our employees' health, well-being, and financial protection. The US-based benefits include a 401k plan with employer match, flexible paid time off, holidays, parental leaves, life and disability insurance, and health benefits including medical, dental, vision, and prescription drug coverage. Equal Employment Opportunity Zelis is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment 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. We welcome applicants from all backgrounds and encourage you to apply even if you don't meet 100% of the qualifications for the role. We believe in the value of diverse perspectives and experiences and are committed to building an inclusive workplace for all. Accessibility Support We are dedicated to ensuring our application process is accessible to all candidates. If you are a qualified individual with a disability or a disabled veteran and require a reasonable accommodation with any part of the application and/or interview process, please email ___. Disclaimer The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified. All personnel may be required to perform duties outside of their normal responsibilities, duties, and skills from time to time.

At Zelis, we Get Stuff Done. So, let's get to it! A Little About Us Zelis is modernizing the healthcare financial experience across payers, providers, and healthcare consumers. We serve more than 750 payers, including the top five national health plans, regional health plans, TPAs and millions of healthcare providers and consumers across our platform of solutions. Zelis sees across the system to identify, optimize, and solve problems holistically with technology built by healthcare experts - driving real, measurable results for clients. A Little About You You bring a unique blend of personality and professional expertise to your work, inspiring others with your passion and dedication. Your career is a testament to your diverse experiences, community involvement, and the valuable lessons you've learned along the way. You are more than just your resume; you are a reflection of your achievements, the knowledge you've gained, and the personal interests that shape who you are. Position Overview As part of the Price Optimization division, this role is responsible for conducting post-service, pre-payment and post pay comprehensive inpatient DRG reviews based on industry standard inpatient coding guidelines and rules, evidence based clinical criteria plan, and policy exclusions. Conduct reviews on inpatient DRG claims as they compare with medical records ICD-10 Official Coding Guidelines, AHA Coding Clinic and client specific coverage policies. Conduct prompt claim review to support internal inventory management to achieve greatest savings for clients. What you will do: • Perform comprehensive inpatient DRG validation reviews to determine accuracy of the DRG billed, based on industry standard coding guidelines and the clinical evidence supplied by the provider in the form of medical records such as physician notes, lab tests, images (x-rays etc.), and with due consideration to any applicable medical policies, medical best practice, etc., • Perform readmission reviews, including evaluating prior and current admissions to determine preventability, relatedness, and compliance with readmission policies., • Based on the evidence presented in the medical records, determine, and record the appropriate (revised) Diagnosis Codes, Procedure Codes and Discharge Status Code applicable to the claim., • Using the revised codes, regroup the claim using provided software to determine the 'new DRG', • Where the regrouped 'new DRG' differs from what was originally claimed by the provider, write a customer facing 'rationale' or 'findings' statement, highlighting the problems found and justifying the revised choices of new codes and DRG, based on the clinical evidence obtained during the review, • Document all aspects of audits including uploading all provider communications, clinical rationale, and/or financial research, • Identify new DRG coding concepts to expand the DRG product., • Manage assigned claims and claim report, adhering to client turnaround time, and department Standard Operating Procedures, • Meet and/or exceed all internal and department productivity and quality standards, • Recommend new methods to improve departmental procedures, • Achieve and maintain personal production and savings quota, • Maintain awareness of and ensure adherence to Zelis standards regarding privacy What you will bring: • RN or LVN required, • Inpatient Coding Certification required (CCS, CIC) within 4 - 6 months of hire date, • 1 -3 years reviewing and or auditing ICD-10 CM, MS-DRG and APPR-DRG claims preferred, • Experience and working knowledge of Health Insurance, Medicare guidelines and various healthcare programs, • Experience performing readmission reviews, including evaluating relatedness, preventability, and compliance with readmission policies, • Understanding of hospital coding and billing rules, • Clinical skills to evaluate appropriate Medical Record Coding, • Experience conducting root cause analysis and identifying solutions, • Strong organization skills with attention to detail, • Outstanding verbal and written communication skills Please note at this time we are unable to proceed with candidates who require visa sponsorship now or in the future. Location and Workplace Flexibility We have offices in Atlanta GA, Boston MA, Morristown NJ, Plano TX, St. Louis MO, St. Petersburg FL, and Hyderabad, India. We foster a hybrid and remote friendly culture, and all our employee's work locations are based on the needs of the position and determined by the Leadership team. In-office work and activities, if applicable, vary based on the work and team objectives in accordance with Company policies. Base Salary Range $79,000.00 - $99,750.00 At Zelis we are committed to providing fair and equitable compensation packages. The base salary range allows us to make an offer that considers multiple individualized factors, including experience, education, qualifications, as well as job-related and industry-related knowledge and skills, etc. Base pay is just one part of our Total Rewards package, which may also include discretionary bonus plans, commissions, or other incentives depending on the role. Zelis' full-time associates are eligible for a highly competitive benefits package as well, which demonstrates our commitment to our employees' health, well-being, and financial protection. The US-based benefits include a 401k plan with employer match, flexible paid time off, holidays, parental leaves, life and disability insurance, and health benefits including medical, dental, vision, and prescription drug coverage. Equal Employment Opportunity Zelis is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment 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. We welcome applicants from all backgrounds and encourage you to apply even if you don't meet 100% of the qualifications for the role. We believe in the value of diverse perspectives and experiences and are committed to building an inclusive workplace for all. Accessibility Support We are dedicated to ensuring our application process is accessible to all candidates. If you are a qualified individual with a disability or a disabled veteran and require a reasonable accommodation with any part of the application and/or interview process, please email ___. Disclaimer The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified. All personnel may be required to perform duties outside of their normal responsibilities, duties, and skills from time to time.

At Zelis, we Get Stuff Done. So, let's get to it! A Little About Us Zelis is modernizing the healthcare financial experience across payers, providers, and healthcare consumers. We serve more than 750 payers, including the top five national health plans, regional health plans, TPAs and millions of healthcare providers and consumers across our platform of solutions. Zelis sees across the system to identify, optimize, and solve problems holistically with technology built by healthcare experts - driving real, measurable results for clients. A Little About You You bring a unique blend of personality and professional expertise to your work, inspiring others with your passion and dedication. Your career is a testament to your diverse experiences, community involvement, and the valuable lessons you've learned along the way. You are more than just your resume; you are a reflection of your achievements, the knowledge you've gained, and the personal interests that shape who you are. Position Overview The Client Data Specialist at is a vital role focused on maintaining customer account accuracy and completeness, specifically related to payer contracts and fee schedules. This position supports our Client Success Managers and plays a key role in ensuring customer satisfaction and successful account readiness. What You'll Do: * Maintain up-to-date payer contracts and fee schedules for customer accounts. * Perform data discovery and entry tasks, including formatting spreadsheets and accurately modeling fee schedules. * Read, interpret, and understand payer contract terms. * Quickly complete task lists and provide timely updates on progress. * Deliver high-quality, detail-oriented work to ensure account readiness. * Communicate with clients about the details of their payer contracts. * Coordinate with internal teams for additional research, problem resolution & preventative measures. * Support escalated and complex issues further investigating solution and clearly communicating with stakeholders * Participate in team meetings and contribute to the development of client service strategies and high-quality client service experience. * Support other team members during peak times or when additional help is needed. What You'll Bring to Zelis: * Associates degree & 1 year or HS Diploma and 3 yrs * Good understanding of physician and/or hospital reimbursement methodologies. * Experience modeling fee schedules or working with physician and/or hospital billing. * Requires proficiency using AI tools skillfully with an understanding of how to develop/create intelligent prompts and/or agents. * Excellent verbal and written communication skills. * Excellent problem-solving abilities and attention to detail. * Proficiency in using CRM software and support tools. * Ability to manage multiple tasks and prioritize effectively. * Empathy and patience when dealing with clients. * Ability to work independently as well as part of a team. Please note at this time we are unable to proceed with candidates who require visa sponsorship now or in the future. Location and Workplace Flexibility We have offices in Atlanta GA, Boston MA, Morristown NJ, Plano TX, St. Louis MO, St. Petersburg FL, and Hyderabad, India. We foster a hybrid and remote friendly culture, and all our employee's work locations are based on the needs of the position and determined by the Leadership team. In-office work and activities, if applicable, vary based on the work and team objectives in accordance with Company policies. Base Salary Range $20.00 - $26.00 At Zelis we are committed to providing fair and equitable compensation packages. The base salary range allows us to make an offer that considers multiple individualized factors, including experience, education, qualifications, as well as job-related and industry-related knowledge and skills, etc. Base pay is just one part of our Total Rewards package, which may also include discretionary bonus plans, commissions, or other incentives depending on the role. Zelis' full-time associates are eligible for a highly competitive benefits package as well, which demonstrates our commitment to our employees' health, well-being, and financial protection. The US-based benefits include a 401k plan with employer match, flexible paid time off, holidays, parental leaves, life and disability insurance, and health benefits including medical, dental, vision, and prescription drug coverage. Equal Employment Opportunity Zelis is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment 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. We welcome applicants from all backgrounds and encourage you to apply even if you don't meet 100% of the qualifications for the role. We believe in the value of diverse perspectives and experiences and are committed to building an inclusive workplace for all. Accessibility Support We are dedicated to ensuring our application process is accessible to all candidates. If you are a qualified individual with a disability or a disabled veteran and require a reasonable accommodation with any part of the application and/or interview process, please email ___. Disclaimer The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified. All personnel may be required to perform duties outside of their normal responsibilities, duties, and skills from time to time.

Assist with resolution of OCE, medical necessity, discharge status, missing procedure charges, and other billing issues in coordination with the Central Business Office (CBO), medical staff, and other hospital departments. The role also involves resolving billing issues and expediting the billing pr

Job Description Locations Frisco Plano (geriatric experience preferred) Website: Salience Health is a multispecialty, outpatient clinic focused on providing collaborative care. Our goal is to help all patients reach functional remission and improve overall health outcomes. We believe mental and physical wellness are only achieved when treating patients holistically. The status quo of the healthcare system does not work for patients, so we have changed the way we treat patients and deliver care. Our providers have access to: • Transcranial magnetic stimulation (TMS), • Brain Mapping, • Neurocognitive Testing, • Neurofeedback, • Pharmacogenetic Testing, • Home Sleep Study, • Cognitive Behavioral Therapy Classes, • On-site Lab, • · Supervision, collaboration, & mentorship provided by a psychiatrist and primary care physician, • · Must be able to see new and established patients, • New Patient appointments are 60 minutes; F/U appointments are 20 minutes, • APP must be able to see patients from ages 16+, • · Understanding of DSM V Criteria and psychopharmacological management required, • · Ability to develop a differential diagnosis and complete medical workup required, • · Utilization of clinical data (vitals, labs, PHQ9, GAD7, WSAS, Epworth/Stop Bang) into decision making and treatment planning required, • · Participate in Interventional Psychiatry (training provided), • · Up to 20 patients/day are scheduled: our providers see an average 16-20 patients/day, • · Majority of patient visits will be completed In-Office; remote work is not available for this position, • · Must be proficient with computers, • · Understanding ICD-10 and CPT codes; basic understanding of Coding & Billing required, • · All providers rotate after hours call, • · Monthly meetings with APP team, Medical Director and Supervising Physician We are changing people's lives the Salience Way: OUR VISION: We will reconnect patients to a better quality of life. We believe every patient matters and is deserving of our full attention. OUR PROMISE: Dedicated to improving the overall health of our patients, we strive to be the medical provider of choice for patients who seek quality care, improved access, and convenient locations and hours. We focus on a positive, comprehensive patient experience, consisting of care provided by a focused, professional team, a cheerful environment, timeliness of appointments, and affordability of treatment. We promise to provide the highest quality of integrated health care to every patient regardless of race, gender, ethnicity, sexual orientation, or social status. Collaborative Team At Salience Health we utilize a “team care” model where providers from different specialties come together to coordinate each patient’s care. We believe that when all areas of the patient’s health is treated under one roof, providers can better care for, diagnose, and treat the whole patient. Patient-Centric Staff Our model is designed to keep the patient as our number one priority. We provide extensive patient education, engagement, and resources to ensure patients achieve improved behavioral health outcomes. Remission Driven With our primary motivation being patient remission, we provide state-of-the-art diagnostic assessments that help us provide uniquely tailored care and treatment plans for our patients to help us achieve that goal.OUR MISSION:\r\nSalience Health serves patients in our communities utilizing a collaborative, team approach to provide personalized health and wellness through comprehensive assessment and patient education to enable earlier disease intervention. We will Relentlessly Pursue Remission and Recovery Together, One Patient at a Time.\r\n\r\nWe are changing people's lives the Salience Way:\r\n\r\n VISION: \r\nWe will reconnect patients to a better quality of life. We believe every patient matters and is deserving of our full attention. \r\n\r\nOUR PROMISE:\r\nDedicated to improving the overall health of our patients, we strive to be the medical provider of choice for patients who seek quality care, improved access, and convenient locations and hours. We focus on a positive, comprehensive patient experience, consisting of care provided by a focused, professional team, a cheerful environment, timeliness of appointments, and affordability of treatment. We promise to provide the highest quality of integrated health care to every patient regardless of race, gender, ethnicity, sexual orientation, or social status.\r\n\r\n Collaborative Team\r\nAt Salience Health we utilize a “team care” model where providers from different specialties come together to coordinate each patient’s care. We believe that when all areas of the patient’s health is treated under one roof, providers can better care for, diagnose, and treat the whole patient.\r\n\r\n Patient-Centric Staff\r\nOur model is designed to keep the patient as our number one priority. We provide extensive patient education, engagement, and resources to ensure patients achieve improved behavioral health outcomes.\r\n\r\n Remission Driven\r\nWith our primary motivation being patient remission, we provide state-of-the-art diagnostic assessments that help us provide uniquely tailored care and treatment plans for our patients to help us achieve that goal.

Job Description Position: • 1 LTACH Commercial Collector Openings: 2 Pay Rate: $24–$26/hour Hours: Flexible start between 7–9 AM, 8-hour workday Position Summary: These roles support full-cycle medical collections and insurance follow-up for long-term acute care hospitals (LTACHs) and outpatient services. The ideal candidates will bring deep experience with UB-04s, have a strong understanding of reimbursement processes, and be comfortable working independently within a remote, productivity-driven environment. Key Responsibilities: • End-to-end claims management: follow-up, re-billing, appeals, edits, adjustments, and collections, • Contact insurance companies, government agencies, physician offices, and patients to resolve outstanding balances, • Review and address Explanation of Benefit (EOB) denials and remittance advice, • Process manual and electronic billing, • Work from templates to submit appeals and track status, • Analyze claims issues and calculate reimbursement based on contracts and fee schedules, • Maintain consistent documentation of activity and claim status, • Handle 18–20 claims per day on averageMust-Have Experience:, • 2+ years of medical collections, • Hands-on experience with UB-04 forms, • Previous work in hospital (IP) or outpatient settings, • Familiarity with fee schedules and payer reimbursement, • Knowledge of denial reasons, contractual adjustments, and appeal workflows, • Comfortable navigating Wellsky and HMS, • Proficient in basic Excel functionsNice-to-Have:, • LTACH collections experience, • Strong analytical and math skills, • Experience identifying and tracking claim trendsIdeal Candidate Profile:, • Stable work history – not a "job hopper", • Reliable, punctual, and seeks long-term growth, • Self-motivated and capable of managing workload independently, • Clear communicator who can explain their collections experience during interviews, • Respects training periods – no time off allowed during the first 90 days Addison Group is an Equal Opportunity Employer. Addison Group provides equal employment opportunities (EEO) to all employees and applicants without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, genetic information, marital status, amnesty, or status as a covered veteran, in accordance with applicable federal, state, and local laws. Reasonable accommodation is available for qualified individuals with disabilities upon request.

Job DescriptionCompany Description Big challenges need bold thinkers. If you’re someone who sees problems as opportunities, you’ll thrive here. RESPEC is 100% employee-owned, which means we take ownership of every challenge. Here, your ideas drive real solutions. Since 1969, we’ve tackled complex challenges in energy transition, infrastructure resilience, digital transformation, and sustainability. At RESPEC, you’ll work alongside clients to take on critical problems. Depending on your expertise, you might design infrastructure in remote locations, develop renewable energy solutions for global projects, or apply data-driven technology to improve mining and water systems. We bring deep technical knowledge, real-world experience, and a commitment to work that matters. If you're looking for a place where your contributions have real impact, you’ll fit right in. We do not accept unsolicited resumes from third-party recruiters. Job Description RESPEC seeks an experience Technical Billing Consultant I, for our Richardson, TX office. In this role, you will participate in and lead the implementation and configuration of Software-as-a-Service (SaaS) billing systems for our billing partners, ensuring that all configurations align with client requirements and technical environments. You will also play a key role in optimizing the order-to-cash process by ensuring seamless integration between billing, sales, and operations. This position requires a blend of technical expertise, strong communication skills, and a deep understanding of billing systems and processes to deliver tailored solutions that enhance client satisfaction and operational efficiency. Key Responsibilities • End-to-end implementation of SaaS billing systems for RESPEC billing partners., • Configure subscription plans, products, pricing models, rating rules, discounts, bill cycles, taxation, and more to meet client needs., • Set up and configure integrations with payment gateways (e.g., Stripe), tax engines (e.g., Avalara), Customer Relationship Management (CRM) systems (e.g., Salesforce), and Enterprise Resource Planning (ERP) systems (e.g., NetSuite)., • Conduct discovery sessions to understand client business models, billing requirements, and technical environments., • Provide training to client teams on platform usage, best practices, and troubleshooting., • Document system design and client system configurations thoroughly., • Collaborate with and support other billing team members to resolve client billing challenges., • Perform testing and validation to ensure the billing system is accurately configured according to documented requirements., • Participate in meetings to align order-to-cash processes and identify areas for improvement., • Provide input on system enhancements that can streamline the order-to-cash cycle. Qualifications Required Skills • Excellent written and oral communication skills to interact with clients and internal teams., • Strong organization and planning abilities to manage complex projects., • Ability to adapt to new technologies and learn quickly in a fast-paced environment, • Ability to manage multiple client projects simultaneously with attention to detail., • Knowledge of Java or other object-oriented programming languages for advanced development tasks., • Experience with SaaS billing systems to configure and optimize billing processes., • Experience with API development, particularly REST, for system integrations., • Experience in SQL for data management and analysis., • Experience with JavaScript for scripting and automation tasks., • Excellent analytical and problem-solving skills to address complex issues., • Ability to work with large datasets and perform data analysis to derive actionable insights., • Knowledge of accounting and revenue recognition, • Basic understanding of the order-to-cash process., • Experience with a commercially available SaaS billing system. Additional Information Compensation: Salary depends on experience and expertise. Compensation includes a comprehensive fringe-benefits package. RESPEC is a 100 percent employee-owned company and employees are eligible for participation in the Employee Stock Ownership Plan (ESOP) after a qualifying period. Primary location: Richardson, TX Featured benefits: • Flexible Work Schedules, • Paid Parental Leave, • 401(k) & ESOP (with company match up to 4%), • Professional Development and Training, • Tuition Reimbursement, • Employee Assistance Program

Job Description The Reny Company's bill reviewer is a professional who combines experience in health insurance and medical billing with business insight and a passion for great service. Purpose of this role is to support Claims by analyzing medical, hospital, durable medical equipment, pharmacy, home health, etc. bills and records/reports to determine billing accuracy and appropriateness. This support is achieved by utilizing intelligent software and by understanding and applying knowledge of medical code billing and claims processing rules and regulations, billing practices, code sets, and state and Medicare adjustment reimbursement principles, knowledge of WC fee schedules. Support is also achieved by providing education and training regarding provider billing and documentation, identifying and bringing to management's attention any unusual or emerging procedures or billing anomalies. The bill reviewer will ensure the highest level of accuracy of data entry into our bill review system for claims processing. PLEASE DO NOT APPLY IF YOU DON'T HAVE THE EDUCATION AND MEDICAL BILL REVIEW EXPERIENCE Experience Requirements: Two or more years of experience in a medical bill review analyst position preferred. Medical coding knowledge needed. Prior experience in a payer environment working with claims systems and bill review software is a plus. Production Requirements: • Based upon situation or state specific issues meet 98% accuracy, 10,000+ keystrokes per hour Responsibilities: • Process medical bills for workers' compensation, Texas non subscription, maritime, occupational accident, and liability claims, • Data entry into system applying usual and customary, worker's compensation and liability ground rules and fee schedules, • Continuous enhancement of working knowledge of medical forms such as CMS-1500, UB-92, UBO4/DWC-9/DWC-10, • Increase knowledge of coding principles CPT, ICD-9 / ICD-10, DRG, Revenue codes, • Responsible for processing a minimum quota per day with an error rate of 98% or better, • Increase knowledge on pre-authorization guidelines in order to pay/deny bills accordingly, • Ensure all bill processing is specific to client requests, • May be asked to perform other duties as management deems necessary Education/Qualifications: Associates degree or equivalent work experience Certified Professional Coder certification such as CCA. CCS, CCS-P, CPC, CPC-P from a generally recognized professional organization such as AHIMA or AAPC • Two to three years of medical claims experience, • Trained in ICD10 preferred, • Workers’ Compensation experience preferred, • Fee Schedule knowledge and Medicare experience preferred, • Knowledgeable of Excel, Word, Outlook, etc., • Ability to multi-task effectively while meeting or exceeding aggressive deadlines, • Ability to work independently and in a team environment The Reny Company is an Equal Opportunity Employer. In order to provide equal employment and advancement opportunities to all individuals, employment decisions at The Reny Company will be based on merit, qualifications and abilities. Except where required or permitted by law, employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex, national origin, ancestry, citizenship, age, handicap or disability, marital status, medical condition or any other characteristic protected by applicable law. THIS IS NOT A REMOTE POSITION ONLY THOSE WITH RELEVANT EDUCATION AND MEDICAL BILL REVIEW EXPERIENCE NEED APPLY Company DescriptionThe Reny Company is a rapidly growing health care cost containment company, helping clients save money and better navigate our changing health care system. We specialize in medical bill review and negotiation services for workers compensation, non-subscribers, third party administrators, and maritime clients.The Reny Company is a rapidly growing health care cost containment company, helping clients save money and better navigate our changing health care system. We specialize in medical bill review and negotiation services for workers compensation, non-subscribers, third party administrators, and maritime clients.

Job Description At Armor, we are committed to making a meaningful difference in securing the cyberspace. Our vision is to be the trusted protector and de facto standard that cloud-centric customers entrust with their risk – trusted by over 1,500 organizations in more than 40 countries. We strive to continuously evolve to be the best partner of choice, breaking norms and tirelessly innovating to stay ahead of evolving cyber threats and reshaping how we deliver customer outcomes. Learn more at: SUMMARY At Armor, how we price, package, and position our products defines our growth and our ability to protect customers in an ever-changing cyber landscape. As an Armor Business Analyst, you won’t just analyze data – you’ll help shape the commercial strategy that drives our success. You’ll be the expert on pricing models, packaging tiers, and competitive dynamics, partnering with Product, Sales, Marketing, and Finance to ensure every offering is both compelling and strategically positioned to win. Your insights will directly influence revenue, adoption, and market share, making this role a core driver of how we compete and grow in cybersecurity. We value curiosity and initiative – you’ll be expected to seek out the data that makes us smarter, ensure its integrity, and translate it into clear, actionable intelligence for the business. ESSENTIAL DUTIES AND RESPONSIBILITIES Pricing and Packaging Strategy • Develop, maintain, and execute pricing models and frameworks for Armor’s product portfolio, • Design and optimize product bundles, packaging tiers, and feature sets to maximize revenue, adoption, and customer value, • Conduct market research and competitor analysis to identify trends, opportunities, and threats, • Ensure pricing and packaging meet market demands and cost targets., • Partner with Sales to provide competitive battlecards, win/loss analysis, and market intelligence, • Support GTM initiatives with pricing recommendations and competitive insights, • Collaborate with Product and GTM teams to identify opportunities and define strategic pricing initiatives, • Ensure accuracy, consistency, and reliability of pricing, packaging, and market data across systems, • Design product price integration with OSS and Billing, • Design and maintain clear, intuitive dashboards and visualizations that translate complex data into actionable insights, • Partner with business stakeholders to standardize data definitions and improve accessibility of key performance metrics, • Proven experience in pricing strategy, product packaging, and competitive intelligence.Preferably in a B2B cybersecurity or technology space., • Strong analytical skills with proficiency in CRM and analytics tools like HubSpot, Zuora, Excel, and similar tools., • Strategic thinking with the ability to translate complex data into actionable insights, • Excellent communication skills, with the ability to drive cross-functional collaboration, • Bachelor’s degree in Business, Finance, Economics, or a related field; MBA is a plus. Armor Core Values: • Commitment to Growth: A growth mindset that encourages continuous learning and improvement with adaptability in the face of challenges., • Integrity Always: Sustain trust through transparency + honesty in all actions and interactions regardless of circumstances., • Empathy In Action: Active understanding, compassion, and support too the needs of others through genuine connection., • Immediate Impact: Taking initiative with swift, informed actions to deliver positive outcomes. WORK ENVIRONMENT This role will operate in a hybrid structure, and the expectation is that the candidate will be on site Tuesday, Wednesday, and Thursday each week, with the remaining time managed remotely. Equal Opportunity Employer - It is the policy of the company to comply with all employment laws and to afford equal employment opportunity to individuals in all aspects of employment, including in selection for job opportunities, without regard to race, color, religion, sex, national origin, age, disability, genetic information, veteran status, or any other consideration protected by federal, state or local laws.

Job Description Job Title: Inpatient Coding Integrity Specialist III (CIS III) Location: Remote / Work From Home (U.S. – Richmond, VA Area Preferred) Schedule: Full-Time Compensation & Performance Metrics • Hourly Rate: $24.61 – $34.00 (Based on experience), • Productivity Standard: 1.8 charts per hour This is a fully remote, high-impact position suited for experienced coding professionals who excel at analyzing complex inpatient medical records and applying advanced coding methodologies. Key Responsibilities • Advanced Coding: Review complex inpatient medical records to accurately assign and sequence ICD-10-CM and ICD-10-PCS codes, • DRG Validation: Validate coding and DRG assignments in accordance with official guidelines and POA (Present on Admission) criteria, • Data Abstraction: Capture critical data elements such as physician details, discharge disposition, and query tracking, • Audit & Compliance: Resolve coding edits, investigate discrepancies, and support audit activities as needed, • Remote Productivity: Maintain high levels of accuracy and efficiency in a fully remote work environmentRequired Qualifications, • Experience: 3–5 years of recent acute care inpatient (DRG) coding experience required, • Note: Experience limited to LTAC, physician billing, or insurance coding will not be considered, • Certifications: RHIA, RHIT, or CCS (required), • Education: Associate’s or Bachelor’s degree in Health Information Management (HIM) or Health Information Technology (HIT) preferred, • Technical Expertise:, • ICD-10-CM & ICD-10-PCS, • DRG assignment and validation, • POA (Present on Admission) guidelines For more details contact at or Call / Text at 516-862-1169. About Navitas Healthcare, LLC certified WBENC and one of the fastest-growing healthcare staffing firms in the US providing Medical, Clinical and Non-Clinical services to numerous hospitals. We offer the most competitive pay for every position we cater. We understand this is a partnership. You will not be blindsided and your salary will be discussed upfront.

Job Description At McCarthy Holthus, and our affiliate companies, we have years of expertise in representing financial institutions across a wide range of banking law matters, and we’re looking for passionate, driven candidates to join our dynamic team! With offices in Arizona, Arkansas, California, Colorado, Nebraska, Nevada, New Mexico, Oregon, Texas, and Washington, we offer opportunities across multiple locations. Our workplace is more than just a job – it’s a supportive, collaborative environment where your contributions truly matter. You’ll be part of a team that values hard work, creativity, and dedication, while enjoying a strong sense of community. We offer performance-based bonuses, competitive compensation, and a range of incentives that reward your success. Plus, with generous benefits, enhanced employer contributions, and paid time off, we prioritize your well-being and work-life balance. Summary: Our Litigation Team supports attorneys by handling a range of tasks related to active legal cases. Responsibilities include tracking active litigation cases in our system and with the court, staff oversite, monitoring reporting, assisting staff with preparing and filing legal documents, monitoring scheduled hearings, trials and deadlines, assisting the attorney with correspondence for case resolution, monitoring billing requirements and deadlines, and providing case updates to clients. This role works closely with legal professionals to ensure timely and accurate handling of litigation cases. Key Responsibilities: • Tracking caseload staff distribution., • Monitor reporting for hearings, deadlines, and billing., • Monitor case dockets and documents from court cases., • Monitor Client systems., • Preparing and filing court documents in State, District, and Federal Courts., • Monitoring and calendaring hearings in our case management system, and schedule hearing coverage as needed., • Communicate case status updates to clients., • Request approvals from clients and update our system accordingly., • May perform other duties as assigned to support department goals., • 2-3 years of experience in a litigation assistant of paralegal role., • Experience in managing a team., • Proficient in electronic filing systems for both state and federal courts., • Strong written and verbal communication skills., • Highly organized and detail oriented., • Ability to manage tasks independently and prioritize effectively., • Working knowledge of state and federal court procedures. The work week is typically Monday through Friday, with business hours from 8:00 AM to 5:00 PM. Employees are required to be onsite 2-3 days per week following a 90-day training period and upon management approval. Salary Range: The salary for this position typically ranges from $29.00-$33.00 an hour, depending on qualifications, experience, and other factors. Please note that the final offer may differ based on the candidate's specific qualifications, skills, and experience, as well as internal equity and business needs. Benefits: McCarthy Holthus, and affiliated companies promote work/life balance with a robust wellness program, PTO, remote work, and flexible schedules (when available). Full-time employees become eligible for benefits following a 30-day waiting period, with benefit offerings that include medical, dental, vision, life, AD&D, EAP, STD, and LTD. Additionally the firm provides parental leave for both primary and non-primary caregivers as well. Also available are voluntary income protection benefits such as supplemental life, accident, critical illness, and short and long-term care insurances, as well as a 401(k)-retirement plan with a company match. Part-time employees may have access to some of these benefits, which may be on a pro-rated basis. Security Requirement: While performing the duties of this job, the employee is required to ensure the security and confidentiality of all sensitive information, including but not limited to threats or hazards to the security or integrity of sensitive information that could result in any harm or inconvenience to any customer, employee or company. Work Environment: A corporate office environment with a professional setting, characterized by a quiet to moderate noise level. Employees may work in individual or shared workspaces, with standard office equipment such as computers, printers, and telephones. Occasional meetings, collaborative discussions, and business activities may contribute to variations in noise levels. Next Steps: Ready to take the next step? Apply now and be part of our thriving team! Career Center | Recruitment Notices: The above information on this job description is designed to indicate the general nature and level of work performed by incumbents. Other duties and responsibilities not specifically described may be assigned from time to time, consistent with the knowledge, skills, and abilities of the incumbent. McCarthy Holthus is an Equal Opportunity Employer. We are committed to providing a work environment free from discrimination and harassment. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability status, protected veteran status, or any other characteristic protected by law. We celebrate diversity and are dedicated to creating an inclusive environment for all employees. Qualified applicants with a criminal history will be considered pursuant to the San Diego County Fair Chance Ordinance, the California Fair Chance Act, and other applicable state or local laws. You do not need to disclose your criminal history or participate in a background check until a conditional job offer is made. After making a conditional offer and running a background check, if there are concerns about a conviction directly related to the job, you will be given the chance to explain the circumstances, provide mitigating evidence, or challenge the accuracy of the background report. For more information about the Fair Chance Ordinance, visit the San Diego County Office of Labor Standards and Enforcement webpage. As part of our commitment to maintaining a lawful and compliant workforce, we participate in the E-Verify program. All candidates who accept a job offer will be required to complete the E-Verify process to verify their employment eligibility in the United States. Applications will be accepted until 3/31/2026.

At Zelis, we Get Stuff Done. So, let's get to it! A Little About Us Zelis is modernizing the healthcare financial experience across payers, providers, and healthcare consumers. We serve more than 750 payers, including the top five national health plans, regional health plans, TPAs and millions of healthcare providers and consumers across our platform of solutions. Zelis sees across the system to identify, optimize, and solve problems holistically with technology built by healthcare experts - driving real, measurable results for clients. A Little About You You bring a unique blend of personality and professional expertise to your work, inspiring others with your passion and dedication. Your career is a testament to your diverse experiences, community involvement, and the valuable lessons you've learned along the way. You are more than just your resume; you are a reflection of your achievements, the knowledge you've gained, and the personal interests that shape who you are. Position Overview At Zelis, the Itemized Bill Review Facility Reviewer is responsible for analyzing facility inpatient and outpatient claims for Health Plans and TPA's to ensure adherence to proper coding and billing guidelines. They will work closely with Expert Claim Review and Concept Development staff to efficiently identify billing errors and adhere to policies and procedures for claims processing. This is a production-based role with production and quality metric goals. What you'll do: * Conduct detailed review of hospital itemized bills for identification of billing and coding errors for all payor's claims * Contribute process improvement and efficiency ideas to team leaders and in team meetings * Translate client reimbursement policies into Zelis coding and clinical concepts * Understand payor policies and their application to claims processing * Prepare and upload documentation clearly and precisely identifying findings * Accurately calculate/verify the value of review and documentation for claim processing * Monitor multiple reports to track client specific requirements, turnaround time and overall claims progression * Maintain individual average productivity standard of 10 processed claims per day * Consistently meet or exceed individual average quality standard of 85% * Ability to manage a variety of claim types with charges up to $500,000 * Collaborate between multiple areas within the department as necessary * Follow standard procedures and suggest areas of improvement * Remain current in all national coding guidelines including Official Coding Guidelines and AHA Coding Clinic and share with review team * Maintain awareness of and ensure adherence to Zelis standards regarding privacy What you'll bring to Zelis: * CPC credential preferred * 1 - 2 years of applicable healthcare experience preferred * Working knowledge of health/medical insurance and handling of claims * General knowledge of provider claims/billing, with medical coding and billing experience * Knowledge of ICD-10 and CPT coding * Ability to manage and prioritize multiple tasks * Attention to detail is essential * Accountable for day-to-day tasks * Excellent verbal and written communication skills * Proficient in Microsoft Office Suite Please note at this time we are unable to proceed with candidates who require visa sponsorship now or in the future. Location and Workplace Flexibility We have offices in Atlanta GA, Boston MA, Morristown NJ, Plano TX, St. Louis MO, St. Petersburg FL, and Hyderabad, India. We foster a hybrid and remote friendly culture, and all our employee's work locations are based on the needs of the position and determined by the Leadership team. In-office work and activities, if applicable, vary based on the work and team objectives in accordance with Company policies. Base Salary Range $59,000.00 - $75,050.00 At Zelis we are committed to providing fair and equitable compensation packages. The base salary range allows us to make an offer that considers multiple individualized factors, including experience, education, qualifications, as well as job-related and industry-related knowledge and skills, etc. Base pay is just one part of our Total Rewards package, which may also include discretionary bonus plans, commissions, or other incentives depending on the role. Zelis' full-time associates are eligible for a highly competitive benefits package as well, which demonstrates our commitment to our employees' health, well-being, and financial protection. The US-based benefits include a 401k plan with employer match, flexible paid time off, holidays, parental leaves, life and disability insurance, and health benefits including medical, dental, vision, and prescription drug coverage. Equal Employment Opportunity Zelis is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment 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. We welcome applicants from all backgrounds and encourage you to apply even if you don't meet 100% of the qualifications for the role. We believe in the value of diverse perspectives and experiences and are committed to building an inclusive workplace for all. Accessibility Support We are dedicated to ensuring our application process is accessible to all candidates. If you are a qualified individual with a disability or a disabled veteran and require a reasonable accommodation with any part of the application and/or interview process, please email ___. Disclaimer The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified. All personnel may be required to perform duties outside of their normal responsibilities, duties, and skills from time to time.

Collections / Remote] - Anywhere in U.Flexible Schedule - M-F 7AM-4PM CST / Medical-Dental-Vision / PTO / 401k Matching - As an AR Follow Up Specialist, you will: Monitor and manage outstanding accounts receivable; Follow up with insurance companies on unpaid or denied claims; Resolve billing issue

Job Description At McCarthy Holthus, and our affiliate companies, we have years of expertise in representing financial institutions across a wide range of banking law matters, and we’re looking for passionate, driven candidates to join our dynamic team! With offices in Arizona, Arkansas, California, Colorado, Nebraska, Nevada, New Mexico, Oregon, Texas, and Washington, we offer opportunities across multiple locations. Our workplace is more than just a job – it’s a supportive, collaborative environment where your contributions truly matter. You’ll be part of a team that values hard work, creativity, and dedication, while enjoying a strong sense of community. We offer performance-based bonuses, competitive compensation, and a range of incentives that reward your success. Plus, with generous benefits, enhanced employer contributions, and paid time off, we prioritize your well-being and work-life balance. Summary: We are looking for detail-oriented candidate for our Billing Support Team with a desire to learn and grow with the firm. This job takes deductive reasoning, clear and concise communication, and problem-solving skills. This is a high volume, fast paced, full-time position. Key Responsibilities: • Request, receive, and track outstanding OTA fees, update internal case management system to ensure compliance with client expectations., • Review and or invoice files to confirm all necessary fee approvals are obtained, all necessary backup for costs are uploaded and entered and fees are accurate and in compliance with client or GSE fee schedules., • Run daily billing reports and process invoicing on a daily basis., • Confirm all costs and necessary backup is in the file and invoiced accordingly., • High attention to detail, accuracy, team player, good verbal/written skills., • Review notification of rejections/billing issues., • May perform other duties as assigned to support department goals., • Excellent communication skills., • Extremely detail oriented., • Ability to work independently and be a self-starter ., • Succeeds in working in a fast-paced, high volume, team environment. The work week is typically Monday through Friday, with business hours from 8:00 AM to 5:00 PM. Employees are required to be onsite 2-3 days per week following a 90-day training period and upon management approval. Salary Range: The salary for this position typically ranges from $21.00 to $24.00 an hour, depending on qualifications, experience, and other factors. Please note that the final offer may differ based on the candidate's specific qualifications, skills, and experience, as well as internal equity and business needs. Benefits: McCarthy Holthus, and affiliated companies promote work/life balance with a robust wellness program, PTO, remote work, and flexible schedules (when available). Full-time employees become eligible for benefits following a 30-day waiting period, with benefit offerings that include medical, dental, vision, life, AD&D, EAP, STD, and LTD. Additionally the firm provides parental leave for both primary and non-primary caregivers as well. Also available are voluntary income protection benefits such as supplemental life, accident, critical illness, and short and long-term care insurances, as well as a 401(k)-retirement plan with a company match. Part-time employees may have access to some of these benefits, which may be on a pro-rated basis. Security Requirement: While performing the duties of this job, the employee is required to ensure the security and confidentiality of all sensitive information, including but not limited to threats or hazards to the security or integrity of sensitive information that could result in any harm or inconvenience to any customer, employee or company. Work Environment: A corporate office environment with a professional setting, characterized by a quiet to moderate noise level. Employees may work in individual or shared workspaces, with standard office equipment such as computers, printers, and telephones. Occasional meetings, collaborative discussions, and business activities may contribute to variations in noise levels. Next Steps: Ready to take the next step? Apply now and be part of our thriving team! Career Center | Recruitment Notices: The above information on this job description is designed to indicate the general nature and level of work performed by incumbents. Other duties and responsibilities not specifically described may be assigned from time to time, consistent with the knowledge, skills, and abilities of the incumbent. McCarthy Holthus is an Equal Opportunity Employer. We are committed to providing a work environment free from discrimination and harassment. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability status, protected veteran status, or any other characteristic protected by law. We celebrate diversity and are dedicated to creating an inclusive environment for all employees. Qualified applicants with a criminal history will be considered pursuant to the San Diego County Fair Chance Ordinance, the California Fair Chance Act, and other applicable state or local laws. You do not need to disclose your criminal history or participate in a background check until a conditional job offer is made. After making a conditional offer and running a background check, if there are concerns about a conviction directly related to the job, you will be given the chance to explain the circumstances, provide mitigating evidence, or challenge the accuracy of the background report. For more information about the Fair Chance Ordinance, visit the San Diego County Office of Labor Standards and Enforcement webpage. As part of our commitment to maintaining a lawful and compliant workforce, we participate in the E-Verify program. All candidates who accept a job offer will be required to complete the E-Verify process to verify their employment eligibility in the United States. Applications will be accepted until 02/28/2026.

Billing / Remote] - Anywhere in U.Up to $24 per hour / Medical, dental & vision / 401k match / PTO / WFH reimbursement - As a Collections Associate at CRIO, Inc.Manage the process for collecting customer payments per invoice terms; Handle inbound and outbound e-mail and call communications; Establis

Job DescriptionDescription: The GREAT STATE TEAM is seeking Remote Health Care Customer Service Representatives to join our fast-growing teams! As a Health Care Customer Service Representative, you will be handling inbound and outbound calls in a high-tech environment, resolving general questions regarding insurance, financial assistance, and processing payments. This position is challenging but rewarding, fast paced, and in a team environment. Veterans and Military Spouses Encouraged to Apply Duties include but are not limited to: • Makes and answers calls in the name of the client to resolve billing and payment issues utilizing establish work queues and call pools as necessary, • Responds to requests for information by patient/account holders in a professional, thorough, explainable manner, • Acts to gain payment or arrangement of payment on behalf of the client as appropriate, • Follows client-specific protocols and policies when carrying out duties, • Investigates and responds to client enquiries as needed, • Enters and monitors payment arrangements, • 1+ years’ experience working in Call Center of Customer Service function where contact with the public was a part of daily duties, • Knowledge/experience of medical terminology, patient billing, healthcare insurance and/or healthcare administration preferred, • Ability to work successfully in a fast-paced, deadline-oriented environment, • Strong organization skills. The ability to work on multiple tasks simultaneously, • Demonstrates flexibility in scheduling and assignments, to include regular evening and Saturday work as the business requires, • Ability to work successfully and cooperatively within a team-based environment, • Broadband internet connection (No DSL, or Dial Up), • Hard wired connection required (no Wi-Fi, Wi-Fi hotspots) Cameras are required to remain on from the start of training through the end of each scheduled shift, excluding designated breaks and lunch periods. After training is completed, camera use will be required as directed by your supervisor or based on team expectations. Wage: • Bilingual Remote: $18.00/hr AND the opportunity to earn quarterly performance increases up to an additional $2.00/hr in your first 12 months!, • Competitive benefits include Health, Dental, Vision, Life and Disability Insurance, 401K w/employer match, and HSA/Flexible spending accounts, • Paid time off starting at 90 days and annual profit sharing, • 7 Paid Holidays – Thanksgiving, Christmas Day, Christmas Eve, New Year’s Day, Memorial Day, Fourth of July, and Labor Day, • Family Friendly Events, • Wellness Programs/Gym Reimbursement, • All necessary equipment and technical support provided, • Benefits eligibility is dependent upon FTE Status and Position *All offers of employment are contingent upon successful completion of all post offer processing. Your next great career move could be a click away. Apply now! State Collection Service is an Equal Opportunity Employer. All qualified applicants will be considered for employment regardless of age, race, color, creed, religion, sex, sexual orientation, national origin, ancestry, marital status, disability, military or veteran status, or any other classification protected by applicable law. By following the link to apply, you are acknowledging that we have permission to contact you via phone, text or email to communicate with you regarding this position. Remote workers must be based in the United States and must reside in one of the following states: AZ, NV, ID, MT, OH, TX, OK, KS, LA, AR, MO, IL, IA, MN, WI, MI, IN, KY, TN, MS, AL, GA, FL, NC, SC, PA, MD, NMRequirements:

Job Description Overview IMLC Required and active licensure in 20+ states. Fully Remote Concentra, one of the largest health care companies in the nation, is seeking a telemedicine physician for a virtual work environment. Your patients, as well as your medical and support team, will look to you for your excellent problem solving and clinical skills. As a Concentra Physician, you will be accountable for assessing patients and providing treatments while ensuring an exceptional and reassuring experience. The treatments you provide will make a tremendous difference in the lives of those who look to us for care and comfort. At Concentra, you not only are rewarded by helping thousands of patients feel better each year but also by the recognition you receive as a leader within the company. Your ideas will be heard and in addition to patient care, every physician has the opportunity to make an impact on procedures and policies. #LI-Remote Responsibilities JOB REQUIREMENTS: • Execute daily effective and optimal patient care management, • Ensure optimal execution of clinical model as well as identify indicators for clinical improvement while also confirming accurate records/billing, • Comply with State Practice Act/Rules and Regulations/ WC Regulations, • Access to appropriate internet connection speed as determined by the business Qualifications EDUCATION/CREDENTIALS: • Licensure requirements of the state of jurisdiction, • Unrestricted DEA license for state of jurisdiction, • Graduate of accredited MD or DO program of accredited university, • Board Certification in Family Medicine, Internal Medicine, Occupational Medicine Emergency Medicine or another related field, • Occupational Medicine experience preferred, • Preferred 2- 5 years of directly applicable experience in telemedicine, primary care, occupational medicine, emergency medicine or urgent care

We're currently looking for individuals across the country to take part in remote paid research, including remote focus groups, product trials, and consumer studies. Most research studies are conducted remotely at home, though some may be in-person. Comfort participating in remote, part-time studies

Wade Boulevard, Frisco, Texas, 75035.We are searching for candidates that meet the required qualifications and experience and are able to perform the essential duties and responsibilities.Provide administrative support to the Collin College continuing education executive director and their respectiv

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 do

We're currently looking for individuals across the country to take part in remote paid research, including remote focus groups, product trials, and consumer studies. Comfort participating in remote, part-time studies. Most research studies are conducted remotely at home, though some may be in-person

In-depth technical knowledge of ICD-10-CM/ICD-10-PCS guidelines/coding clinics, CPT coding conventions, DRG and APC assignment, medical terminology, anatomy, and disease processes. Conducts quality review of medical record abstracting and appropriate discharge disposition selection to ensure revenue

Our client, a Global Fortune 50 organization and one of world’s largest distributors of Healthcare systems, Medical supplies & Pharmaceutical products, seeks an accomplished. Location: Houston, TX (REMOTE). Abstracts clinical information from a variety of medical records and assigns appropriate IC

Review and audit employee personnel files for completeness and accuracy • Identify and categorize HR documents such as job titles, employment records, and medical records • Record and update data in tracking systems or spreadsheets • Flag discrepancies or missing documentation and collaborate

If you are a data entry clerk or someone just looking for a flexible part time remote work from home job, this is a great way to supplement your income. Remote Work From Home Data Entry Clerk - Part Time Market Research Panelists Our company is seeking individuals to participate in National & Local

The ideal candidate will bring 2-3 years of experience in legal billing or rate administration, a strong understanding of client fee arrangements, and hands-on experience with billing and e-billing platforms. Experience handling billing appeals, invoice adjustments, or compliance with client billing

Remote Work From Home Administrative Assistant Admin - Part Time Market Research Panelists Our company is seeking individuals to participate in National & Local Paid Focus Groups, Clinical Trials, and Market Research assignments. With most of our paid focus group studies, you have the option to part