Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

Medicare Claims & Reimbursement Specialist

US Renal Dialysis

U.S. Renal Care in Plano, TX is seeking a Reimbursement Representative to reconcile Medicare/Commercial patient balances in line with reimbursement policies. The role emphasizes accurate review of EOB/EOMB, denial resolution, and timely claims payment. Essential duties include reviewing EOBs, addressing claim denials, following up on unpaid balances, communicating with payors, and assisting with adjustments and write-offs as needed. #J-18808-Ljbffr

Vacancy posted 1 day ago
Similar jobs that could be interesting for youBased on the Medicare Claims & Reimbursement Specialist in Plano, TX vacancy
  •  ...Healthcare Claims Denial & AR Management Specialist Contract to Hire Onsite - Addison TX 75001 About the Company...  ...healthcare providers maximize reimbursement accuracy and efficiency. They partner...  ...payer rules (commercial, Medicare, Medicaid) Solid understanding of... 
    Reimbursement
    Contract work

    Catapult Solutions Group

    Addison, TX
    5 days ago
  • $48k - $55k

     ...Responsibilities: To provide Absence case management and claim adjudications, based on medical documentation and the...  ...Professional Growth: Commuter Benefits & Certification & Training Reimbursement. • Time Off: Vacation, Time Off, Sick Leave & Holidays. •... 
    Reimbursement
    Temporary work

    Tata Consultancy Services

    Plano, TX
    1 day ago
  • $48k - $55k

     ...Job Description To provide Absence case management and claim adjudications, based on medical documentation and the applicable Disability...  ...Growth: Commuter Benefits & Certification & Training Reimbursement. Time Off: Vacation, Time Off, Sick Leave & Holidays. Legal &... 
    Reimbursement
    Temporary work

    Tata Consultancy Services

    Plano, TX
    5 days ago
  •  ...Job Description Auto Bodily Injury Claims SpecialistJoin a Team That Makes a DifferenceAre...  ...a skilled Auto Bodily Injury Claims Specialist to join our growing team.In this role,...  ...Paid Time Off and Paid HolidaysTuition Reimbursement and Training ProgramsWellness... 
    Reimbursement
    Work at office
    Remote work
    Flexible hours

    Lonestar

    Richardson, TX
    14 days ago
  • $24.5 - $26 per hour

     ...join our amazing team and work remote from home! The Default FHA Claims QA Analyst II will work under moderate supervision,...  ...you'll get paid to help Carrington and Vylla grow. Educational Reimbursement. Carrington Charitable Foundation contributes to the community... 
    Reimbursement
    Remote work
    Work from home

    Carrington

    Plano, TX
    2 days ago
  •  ...territory expansion strongly preferred. Knowledge of additional property and casualty products desired. A bachelor's degree or equivalent experience. P&C license not required, however is highly sought after, and eligible for reimbursement if obtained upon hire.... 
    Reimbursement
    Work at office
    Home office

    Novacore

    Plano, TX
    4 days ago
  • $67k - $126k

    Schedule: Full-Time Salary Range: USD $67000.00 - $126000.00 Job Category: Claims Description The Senior Claims Specialist works within a Claims Team, using the latest technology to review, analyze and process claims that are routinely characterized as moderately... 
    Full time
    Work experience placement
    Work at office
    Local area

    Liberty Mutual Insurance

    Plano, TX
    1 day ago
  • $23 - $26 per hour

     ...Employee referral bonuses so you’ll get the opportunity to work with friends (and get some extra cash in your pocket!). Educational Reimbursement. Carrington Charitable Foundation contributes to the community through causes that reflect the interests of Carrington... 
    Reimbursement
    Hourly pay
    Extra income
    Remote work
    Work from home

    Carrington

    Plano, TX
    4 days ago
  •  ...offer the GEICO Pledge: Great Company, Great Culture, Great Rewards, and Great Careers.Your Impact at GEICOAs an Experienced Auto Claims Specialist, you’ll leverage your expertise to manage cases and contribute to your team’s success. You’ll be at the heart of our... 
    Hourly pay
    Work at office
    Local area
    Immediate start
    Flexible hours
    Weekend work
    Afternoon shift

    GEICO

    Richardson, TX
    9 hours ago
  •  ...Join Lonestar in Richardson, TX 75051, as an Auto Bodily Injury Claims Specialist and embrace a role that offers the thrill of tackling complex cases while championing customer well-being. You'll be empowered to innovate solutions, ensuring clients receive the support... 
    Work at office
    Work from home
    Monday to Friday
    Flexible hours

    EmergencyMD

    Richardson, TX
    4 days ago
  •  ...valuable relationships across the company, while still enjoying the flexibility of remote work for focused tasks and projects. The Claims Specialist works within a Claims Team, using the latest technology to manage an assigned caseload of routine to moderately complex claims... 
    Work experience placement
    Work at office
    Local area
    Remote work

    Liberty Mutual Insurance

    Plano, TX
    3 days ago
  •  ...Liberty Mutual Insurance in Plano, TX is seeking an experienced Senior Energy Claims Counsel to lead full lifecycle handling of complex Commercial Energy claims, perform coverage analysis, supervise investigations, set reserves, and negotiate settlements when warranted... 

    Liberty Mutual Insurance

    Plano, TX
    2 days ago
  • $95k - $105k

     ...more complex first and third‑party commercial insurance property claims. Job Responsibilities Evaluates each claim in light of facts;...  ...offer a comprehensive benefit package, which includes tuition reimbursement and a generous 401K match. EEO Statement Tokio Marine Group of... 
    Work at office
    Remote work

    First Insurance Company of Hawaii

    Plano, TX
    3 days ago
  •  ...CNA is hiring a General Liability Claims Specialist in Plano, TX with a hybrid schedule. You will manage commercial claims of moderate to high complexity, verify coverage, and coordinate investigations with insureds, claimants, and partners. The role requires a Bachelor... 

    CNA

    Plano, TX
    4 days ago
  • $100k

     ...seeking an experienced Senior Claims Analyst with deep expertise...  ...(Diagnosis-Related Group) reimbursement methodology. This individual...  ...Coder (CPC), Certified Coding Specialist (CCS), Certified Medical...  ...reference-based pricing (RBP), Medicare fee schedules, and out-of-network... 
    Reimbursement
    Full time
    Contract work

    SmartLight Analytics

    Plano, TX
    5 days ago
  • $54k - $103k

     ...potential. This individual contributor position works under moderate direction, and within defined authority limits, to manage commercial claims with moderate to high complexity and exposure for a specific line of business. Responsibilities include investigating and resolving... 
    Work experience placement
    Work at office
    Local area
    Flexible hours

    CNA Insurance

    Plano, TX
    2 days ago
  • $95k - $105k

     ...Top 50 and rated A++ by A.M.Best. We are looking for a Claims Specialist – Professional Liability to join our team! JOB SUMMARY...  ...offer a comprehensive benefit package, which includes tuition reimbursement and a generous 401K match. Our rich history of outstanding... 
    Work at office
    Remote work

    Philadelphia Insurance Companies

    Plano, TX
    4 days ago
  • $47k - $78k

    01460 Continental Casualty Company in Plano, Texas is seeking an individual to manage commercial claims with low to moderate complexity. The role focuses on investigating, evaluating, and resolving claims effectively while providing exceptional customer service in a flexible... 
    Flexible hours

    01460 Continental Casualty Company

    Plano, TX
    3 days ago
  •  ...Travelers is seeking a Claims Support professional to assist with customer engagements in the claim department. You will triage inquiries, route calls, and respond to questions about claim status and payments, while supporting document handling and coordination with various... 

    Travelers Canada

    Richardson, TX
    1 day ago
  • $54k - $103k

     ...individual contributor role operates under moderate direction and within defined authority limits. The position manages commercial claims of moderate to high complexity within the General Liability line of business. Responsibilities include investigating, evaluating, and... 
    Work experience placement
    Work at office
    Local area
    Flexible hours

    01460 Continental Casualty Company

    Plano, TX
    2 days ago
  •  ...global presence of 20,000 movie lovers working together to make unforgettable experiences. Role Summary The Workers’ Compensation Claims Specialist oversees and performs a full range of professional, strategic, and coordinative efforts for the Workers’ Compensation claims... 
    Hourly pay
    Daily paid

    Cinemark

    Plano, TX
    4 days ago
  •  ...Responsibilities Lead full lifecycle handling of complex Commercial Energy claims: conduct coverage analysis, supervise investigation, determine liability, set and adjust reserves, and negotiate or litigate settlements. Act as the claim owner with authority to authorize... 
    For contractors
    Work at office
    Home office

    Liberty Mutual Insurance

    Plano, TX
    1 day ago
  •  ...global presence of 20,000 movie lovers working together to make unforgettable experiences.Role Summary:The Workers’ Compensation Claims Specialist oversees and performs a full range of professional, strategic, and coordinative efforts for the Workers’ Compensation claims... 
    Hourly pay
    Daily paid
    Contract work

    Cinemark USA, Inc.

    Plano, TX
    4 days ago
  • Continental Casualty Company seeks an experienced commercial claims adjuster to manage moderate to high complexity General Liability claims in the United States. The role entails investigating, evaluating, and resolving claims per company protocols while upholding quality... 
    Work at office
    Flexible hours
    2 days per week

    01460 Continental Casualty Company

    Plano, TX
    5 days ago
  • A staffing agency is looking for an Insurance Claims Processor in Richardson, TX. The role involves processing paperwork to settle auto total loss claims, creating letters, reviewing communications per state regulations, and documenting progress. Attention to detail and... 

    Direct Staffing Inc

    Richardson, TX
    1 day ago
  •  ...Construction Liability Senior Claims Specialist If you're looking for a claims role where you can make a real impactnot just manage a deskthis is it. Our Construction Liability team handles moderate to high-exposure 3rd party bodily injury and general liability property... 
    Contract work
    For contractors
    For subcontractor
    Work at office
    Local area
    Remote work

    Liberty Mutual Insurance Group

    Plano, TX
    2 days ago
  •  ...CNA Insurance is seeking an experienced professional to manage commercial claims with moderate to high complexity. The role involves investigating coverage, reserving, and settlements, while maintaining strong customer relations. Hybrid work options are available across... 
    Work at office

    CNA Insurance

    Plano, TX
    2 days ago
  •  ...Claims Support Specialist Position: Claims Support Specialist - Richardson, TX Job Title: Claims Support Specialist - Department: Claims Administration Pay Grade: Overtime Eligibility: Non-Exempt - Date: November, 2025 Job Summary: The Claims Support Representative... 
    Hourly pay
    Full time
    Contract work
    Work at office

    Smart AutoCare

    Richardson, TX
    4 days ago
  •  ...CNA Insurance is seeking an experienced claims professional to manage highly complex commercial auto/general liability claims. This role requires coordinating all aspects of the resolution process, with a focus on high-quality outcomes and customer service. The position... 
    Work at office
    Flexible hours
    2 days per week

    CNA Insurance

    Plano, TX
    9 hours ago
  • $130k - $170k

     ...Job Title Commercial Auto Liability Claims Adjuster Overview Good things are happening at Berkshire Hathaway GUARD Insurance...  ...Medical, dental & vision starting day one ~401(k), tuition reimbursement & longevity bonuses Responsibilities This role... 
    Work at office
    Remote work
    Weekend work

    Conshohocken

    Plano, TX
    3 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Medicare Claims & Reimbursement Specialist. Be the first to apply!