Claims EDI & Revenue Cycle Specialist
ACH EMPLOYMENT SERVICES LLC
ACH EMPLOYMENT SERVICES LLC is seeking a Revenue Cycle EDI Coordinator in Houston, Texas. The ideal candidate will manage EDI processes, assist with claims submissions, and resolve any electronic transactions issues in a healthcare environment. This role requires a Bachelor’s degree, strong technical skills, and a solid understanding of EDI standards. Responsibilities include collaborating with internal and external teams to improve claims efficiency and adhere to industry regulations. #J-18808-Ljbffr ACH EMPLOYMENT SERVICES LLC
$95k - $125k
Position Details Position: Revenue Cycle Management - Setup & Billing Manager Department... ...a team of billers and a setup specialist, ensuring clean claims, accurate EMR maintenance, and seamless... ...codes, modifiers, and payors Lead EDI, ERA, and EFT enrollments and troubleshoot...EDIClaimsWork at officeRemote work- Position Summary: The Revenue Cycle EDI Coordinator is responsible for managing and maintaining all electronic data interchange (EDI) processes for claims submissions; ERA and EFT enrollments; web portals for insurance carriers, claim submission clearhouses, assisting...EDIClaimsWork at office
- Position Summary The Associate Director of Revenue Cycle - Billing and Coding is responsible for... ...Ensure timely and efficient medical claims billing with monitoring of medical coding... ...reduction of initially denied claims. EDI Management: Complete oversight and tracking...EDIClaimsLive inWork at office
- ...At Houston Methodist, the Revenue Cycle Specialist is responsible for providing direct and indirect revenue cycle support to the Revenue Cycle... ...all outstanding third-party primary and secondary insurance claims for professional services. This Specialist is required to perform...Claims
- Description The Revenue Cycle Specialist is responsible for managing assigned accounts to maximize reimbursement by resolving denied and underpaid claims. This position reviews payer responses, researches claim issues, rebills corrected claims, prepares and submits appeals...ClaimsWork at officeFlexible hours
- ...A healthcare solutions provider is seeking experienced Revenue Cycle professionals to manage accounts receivable and denial management. Ideal... ...of payer guidelines. Responsibilities include following up on claims and denials, interpreting EOBs, and ensuring compliance with...ClaimsRemote workFlexible hours
- ...Medical Collections Specialist- Houston, Texas Senior Psych Care provides fully integrative... ...and treatment. We are looking for a Revenue Cycle Specialist I to add to our team in the... ...Monitor and follow up on outstanding claims using phone, payer portals, and written...ClaimsTemporary workImmediate start
- A leading healthcare provider in Houston seeks a Revenue Cycle Specialist responsible for revenue cycle support and claims resolution. The ideal candidate should have a minimum of five years in commercial insurance follow-up, along with a high school diploma or equivalent...Claims
- BRSi in Houston, Texas, is hiring a Revenue Cycle Specialist responsible for managing accounts to maximize reimbursement by resolving denied and underpaid claims. The role includes reviewing payer responses, researching claim issues, and following through on accounts for...Claims
- ...Revenue Cycle Specialist II Senior PsychCare has an immediate opportunity for a Revenue Cycle Specialist II to support our Billing Team in... ...Specialist II is responsible for processing follow-up actions on claims denied for eligibility-related reasons and responding to...ClaimsFull timeContract workTemporary workLocal areaImmediate startMonday to Friday
$18 - $21 per hour
...range $18.00/hr - $21.00/hr Overview We are seeking experienced Revenue Cycle professionals to support ongoing AR and denial management... ...environment. Key Responsibilities Work within EPIC to follow up on claims and denials Interpret EOBs and payment postings to identify...ClaimsImmediate startRemote work$20 - $22 per hour
Medical AR Collections & Revenue Cycle Specialist Hornet Staffing, Inc. (a GEE Group company) - Houston, TX, 77092 (Onsite) Join a reputable... ...Description & Responsibilities Experience in resolving insurance claims denials Must have Insurance verification, billing,...ClaimsHourly payWork at officeWeekend work- ...Revenue Integrity Specialist USPI Memorial Hermann Surgical Hospital Kingwood, is seeking a motivated... ...performer with solid knowledge of revenue cycle functions to lead the analysis and... ...charge capture and to ensure hospital claims are processed efficiently and accurately...ClaimsWork at office
- ...Inc. in Houston, TX, is seeking a Medical AR Collections & Revenue Cycle Specialist to join an established healthcare organization. This in-office... .... Key responsibilities include resolving insurance claims denials and collecting balances from payers while adhering...Work at officeWeekend work
$75k - $80k
Privia Medical Group is hiring a Senior Manager, Revenue Cycle Management in Houston. This hybrid role involves overseeing the claims submission process, managing teams, and ensuring performance metrics are met. Candidates should have substantial experience in revenue...Claims- Signature Performance is seeking an EPIC Revenue Cycle Optimization Analyst in Houston, Texas. This role involves optimizing and supporting EPIC revenue cycle modules to enhance financial performance for clients. The ideal candidate will have extensive experience in healthcare...
$75k - $80k
Privia Health in Houston, Texas is hiring a Senior Manager for Revenue Cycle Management to oversee operations aimed at optimizing physician... ...presence with remote flexibility, requiring expertise in claims management, supervising staff, and ensuring all Accounts Receivables...ClaimsWork at officeRemote work- ...Houston is looking for a Senior Medical Accounts Receivable & Revenue Cycle Specialist. The ideal candidate will have 8-10 years of experience in... ...Responsibilities include managing AR operations, analyzing claims, and ensuring compliance with healthcare standards. A...Claims
$110k - $125k
...Revenue Cycle Manager About The Opportunity Join a growing healthcare platform that is rebuilding... ...gaps in current billing, coding, claims, denials, payment follow‑up, collections... ...internal billers, outsourced RCM teams, and specialist billing resources. Create structure,...ClaimsWork at officeLocal areaRemote work- The Harris Center for Mental Health and ID in Houston is seeking a Revenue Representative - Appeals and Collection to enhance insurance collections and denial processing for healthcare claims. This role ensures timely payments by resolving denials, analyzing claim details...Claims
- ...seeking an experienced Senior Medical Accounts Receivable (AR) & Revenue Cycle Specialist with strong expertise in Gastroenterology, Endoscopy,... ...Analyze aging reports and aggressively resolve outstanding claims and denied accounts. Handle denials, underpayments, appeals...Claims
$113.28k - $151.37k
...successfully meet the critical challenges of timely revenue collection from payers. Establish and... ...compliance at the core of all revenue cycle policies and procedures. Duties/... ...Management experience emphasizing intake, claims processing, collections, and payment posting...ClaimsPermanent employmentFull timeTemporary workWork at officeLocal areaFlexible hours- ...care services. Position Summary The A/R Specialist is responsible for the company's third-party medical claims processing and assisting patients and office... ...medical billing, collections and payment posting, revenue cycle, third party payers, Medicare; and strong...ClaimsPermanent employmentTemporary workWork at office1 day per week
$75k - $80k
...the direction of the Associate Director, Director, or AVP of Revenue Cycle Management, the Senior Manager, Revenue Cycle Management, is responsible... .... Additionally, they will take steps necessary to resolve all claim issues or questions that escalates to the RCM team. Resolution...ClaimsFull timeWork at officeLocal areaRemote workWork from homeHome office- Gryphon Healthcare is a Houston-based revenue cycle management company serving healthcare providers... ...for our clients. Position Summary IDR Claim Specialist is responsible for analyzing,... ...HIPAA guidelines and regulations EMR, EDI and Commercial Insurance Company systems...EDIClaimsWork at officeImmediate startFlexible hours
- ...you come in. The Certified Coding Specialist working in our Ob/Gyn Department is... ...Location: UTHealth Houston Ob/Gyn Revenue Cycle - Remote (following in person training)... ...: Resolves Epic Coding and Optum Claims Manager edits. Responsible for reviewing...ClaimsFull timeFor contractorsWork at officeRemote work
- ...Healthcare Gryphon Healthcare is a Houston-based revenue cycle management company serving healthcare... ...to ensure proper submission of claims. Identify coding and billing errors, analyze... ...Electronic Medical Records Systems, EDI and commercial insurance company systems...EDIClaimsFull timeWork at officeRemote workFlexible hours
$90k - $125k
...Health Record (EHR) system and our end-to-end Revenue Cycle Management (RCM) platform — spanning the... ...and charge capture, through claim submission to commercial payers and Medicare... ...interoperability standards such as HL7 v2, FHIR, X12 EDI transactions (837, 835, 270/271, 276/277)...EDIClaimsFull timeWork at office$90k - $145k
...Sciences practice, you will serve as a subject matter resource on revenue cycle management, reimbursement analytics, denial management, and... ...system (e.g., EPIC, Cerner, Athenahealth) and clearinghouse/claims data environments. You are familiar with CPT, ICD‑10, HCPCS,...ClaimsFull timeContract work- ...Employment Type: Full-Time Join Our Revenue Cycle Team Nexus Health Systems is seeking an... ...and timely billing of inpatient hospital claims to government and commercial payers. We... ...electronic remittance advice (ERA), and EDI transactions. Experience billing for...EDIClaimsFull timeWork at office
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