Claims Specialist Jobs in Austin, TX
Curative HR LLC
Austin, TX
This role serves as a key liaison between members, providers, and internal teams to protect members from inappropriate financial liability, including compliance with the No Surprises Act (NSA) and applicable state balance billing laws. Curative is building the future of health insurance with a first-of-its-kind employer-based plan designed to remove financial barriers and make care truly accessible: one monthly premium with $0 copays and $0 deductibles*.
Humana
$223800 - $313100
Austin, TX
The Medical Director may speak with contracted external physicians, physician groups, facilities, or community groups to support regional market priorities, which may include an understanding of Humana processes, as well as a focus on collaborative business relationships, value-based care, population health, or disease or care management. The Medical Director’s work includes computer-based review of moderately complex to complex clinical scenarios, review of all submitted clinical records, prioritization of daily work, communication of decisions to internal associates, and possible participation in care management.
NavitasPartners
Austin, TX
Experience in claims operations such as group disability, employee benefits, workers’ compensation, claim management, overpayment recovery, or leave management. Gather required documentation from claimants, medical professionals, and relevant sources (quantitative review).
e-MDs
Austin, TX
Essential Duties and Responsibilities•Working of aged accounts•Complex denial research•Participate in client meetings•Answer patient, client, or insurance carrier questions regarding claims•Maintain the strictest confidentiality in accordance with all HIPAA guidelines/regulations•Stay abreast of code changes, updates to reimbursement guidelines, and coverage policies Summary of JobThe role of a Collection Specialist in the Revenue Cycle Management department is to follow up on any unpaid insurance claims.
Texas Oncology
Austin, Texas
Texas Oncology is the largest community oncology provider in the country and has approximately 530 providers in 280+ sites across Texas, our founders pioneered community-based cancer care because they believed in making the best available cancer care accessible to all communities, allowing people to fight cancer at home with the critical support of family and friends nearby. Demonstrates positive interpersonal relations in dealing with fellow employees, supervisors, physicians, patients as well as outside contacts so that productivity and positive employee/patient relations are maximized.
Southwest Dermatology & Vein
Austin, TX
We are continually building a team of dedicated, hard-working staff who are committed to providing our patients an outstanding level of service. We are committed to providing the utmost in customer service and creating an inviting, personal experience for each patient and the community we serve.
Aspire Allergy & Sinus
Austin, Texas
The Medical Records Specialist plays a critical role in supporting revenue cycle operations by ensuring timely, accurate, and compliant handling of medical record requests. Workflow & Request Management Manage multiple record requests simultaneously while maintaining accuracy and timeliness .
CommUnityCare Health Centers
Austin, Texas
Overview: The Charge Review Specialist Senior works a part of a centralized Revenue Cycle team to process accurate code assignments for paper and /or electronic claims and required billing data elements prior to charges being processed for payment and revenue reporting, including coding /edit reviews. Active participation as a member of the Revenue Cycle Team in assisting others as needed to ensure all daily activities are completed, company goals are achieved, and continuous improvements and cost efficiencies are identified and pursued.
Harbor Health
Austin, TX
This role will be responsible for: Provides initial customer service to all patients including but not limited to, greeting patients, scheduling and confirming patient appointments using a multi-line phone, performing data entry into the electronic medical record system for patient information, and creating patient files. Their duties include scheduling patient appointments according to provider availability, explaining intake forms to new patients and processing payments after treatment.
Harbor Health
Austin, TX
This role will be responsible for: Provides initial customer service to all patients including but not limited to, greeting patients, scheduling and confirming patient appointments using a multi-line phone, performing data entry into the electronic medical record system for patient information, and creating patient files. Their duties include scheduling patient appointments according to provider availability, explaining intake forms to new patients and processing payments after treatment.
Harbor Health
Round Rock, TX
This role will be responsible for: Provides initial customer service to all patients including but not limited to, greeting patients, scheduling and confirming patient appointments using a multi-line phone, performing data entry into the electronic medical record system for patient information, and creating patient files. Their duties include scheduling patient appointments according to provider availability, explaining intake forms to new patients and processing payments after treatment.
Harbor Health
Austin, TX
This role will be responsible for: Provides initial customer service to all patients including but not limited to, greeting patients, scheduling and confirming patient appointments using a multi-line phone, performing data entry into the electronic medical record system for patient information, and creating patient files. Their duties include scheduling patient appointments according to provider availability, explaining intake forms to new patients and processing payments after treatment.
HCA Healthcare
Austin, TX
Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. Under the supervision of the Business Office Manager/Business Office Supervisor, you will obtain payment from third party payers and self-pay accounts to enhance cash flow and gather reimbursement based on established contracts.
Baylor Scott & White Health
Austin, TX
Assists patients and visitors by performing duties like check-in, check-out, scheduling, insurance verification, and answering phone inquiries. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include: + Eligibility on day 1 for all benefits.
Baylor Scott & White Health
Austin, TX
Assists patients and visitors by performing duties like check-in, check-out, scheduling, insurance verification, and answering phone inquiries. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include: + Eligibility on day 1 for all benefits.
Baylor Scott & White Health
Austin, TX
Ability to examine unpaid third-party claims and delinquent accounts to establish appropriate follow-up actions to ensure payment. + Monitors team members' participation to ensure the training provided is being utilized and if any additional training is needed.
Baylor Scott & White Health
Round Rock, TX
Ability to examine unpaid third-party claims and delinquent accounts to establish appropriate follow-up actions to ensure payment. + Monitors team members' participation to ensure the training provided is being utilized and if any additional training is needed.
Option Care
$17.87 - $29.78
Austin, TX
The Specialist, Patient Registration is responsible for facilitating new patient’s transition to Option Care Health services with the goal of delivering a consistent onboarding experience where patients and referral partners feel Option Care Health makes it easy to transition care. Secures patient’s upfront payment including assisting patients to find avenues for payment where needed (identifies opportunities and directs patient to financial assistance program).
UPLIFT Desk
$22 - $25
Austin, Texas
From helping customers design their ideal workspace to resolving post-delivery issues or warranty concerns, your goal is to deliver accurate solutions with professionalism and empathy while meeting daily productivity expectations. As the ecommerce industry leader in height-adjustable desks, we’ve grown by delivering innovative, customer-focused solutions that promote health, productivity, and well-being.
Addison Group
$20 - $26
Austin, TX
The ideal candidate will be comfortable communicating with insurance companies and legal professionals, resolving denied claims, and ensuring accurate, timely reimbursement for DME services. This client specializes in durable medical equipment and is known for its supportive work environment, team-focused culture, and commitment to process improvement and growth.
Addison Group
$20 - $24
Austin, TX
About the Role: Addison Group is partnering with a growing healthcare organization to find a Full Cycle Medical Biller/Collector with a strong focus on Accounts Receivable (AR) collections. This is a great opportunity for someone who thrives in a fast-paced environment and enjoys working independently to drive results.
mylife2liveinc
$39180 - $57680
Austin, TX
Have you thought about becoming a certified medical billing and coding specialist but it’s just too expensive at the $1000-$50,000 cost, it takes WAY too long to finish, AND all without any assistance in actually finding work???. We are seeking 20 people to join our team in our next wave, which begins on 9 September 2019, to become Certified Medical Billing and Coding Specialists for a new client!
Heritage Construction Co., LLC
Austin, TX
Background: We love hiring former athletes, military veterans, and hospitality/service pros—people who know how to work hard and communicate. Heritage Roofing & Construction is looking for ambitious individuals to join our team as Roofing Restoration Specialists.
Aspire Allergy & Sinus
Austin, Texas
In this position, you will serve as a primary point of contact for patient billing inquiries, assisting patients and clinic staff with questions related to statements, insurance processing, balances, and payments. The role involves handling inbound calls, responding to emails, reviewing patient accounts, and helping resolve billing questions.
Intermountain Health
$26.93 - $40.98
Austin, TX
This role plays a key part in CMS Stars initiatives, including but not limited to medication adherence, MTM (Medication Therapy Management), SUPD (Statin Use in Persons with Diabetes), and other targeted projects aimed at improving CMS Star Ratings. + Frequent interactions with providers, colleagues, customers, patients/clients and visitors that require employee to verbally communicate as well as hear and understand spoken information, needs, and issues quickly and accurately.
AMERICAN SENIOR BENEFITS LLC
$41500 - $101000
Cedar Park, Texas
At American Senior Benefits, where we put people back in the people business, we are at the front line in our communities, helping to protect retirement income, and educating seniors on safeguards available to them. Create custom solutions using our toolbox of over 220 top-named carriers.
Cognizant
$113000 - $120000
Austin, TX
Product Specialist , you will make an impact by configuring and maintaining QNXT systems to support provider contracts, benefits, and fee schedules. Regardless of your working arrangement, we are here to support a healthy work-life balance through our various wellbeing programs.
Judge Group
$55000 - $60000
Austin, TX
By providing your phone number, you consent to: (1) receive automated text messages and calls from the Judge Group, Inc. and its affiliates (collectively "Judge") to such phone number regarding job opportunities, your job application, and for other related purposes. Manage the entire revenue cycle including eligibility verification, coding, claim submission, denial management, appeals, aged AR resolution, credentialing, and month‑end reconciliation.
Curative HR LLC
Austin, TX
Curative is building the future of health insurance with a first-of-its-kind employer-based plan designed to remove financial barriers and make care truly accessible: one monthly premium with $0 copays and $0 deductibles*. Curative is scaling rapidly and investing in AI-powered service, deeper member engagement, and a smart network designed for today’s workforce.
Curative HR LLC
Austin, TX
The Director Network Development oversees the development and management of insurance networks, focusing on improving affordability and quality outcomes while managing provider relationships and negotiation strategies in the NorthEast Region. Initiates, nurtures, and maintains effective channels of communication with matrix partners including but not limited to, Claims, Medical Management, Credentialing, Legal, Medical Economics, Compliance, Sales and Marketing.
Globe Life American Income Schreiter Organization
$58000 - $86400
Austin, TX
Cultivate long-term relationships with clients by periodically following up to review needs, update benefits, and address any changes in their circumstances, ensuring their continued satisfaction and trust. Deliver on-going support to union members by addressing their inquiries, assisting with benefit changes, and facilitating claims processing to ensure a seamless experience.
Option Care Health
$17.87 - $29.78
Austin, TX
Basic level skill in Microsoft Excel (for example: opening a workbook, inserting a row, selecting font style and size, formatting cells as currency, using copy, paste and save functions, aligning text, selecting cells, renaming a worksheet, inserting a column, selecting a chart style, inserting a worksheet, setting margins, selecting page orientation, using spell check and/or printing worksheets). + Basic level skill in Microsoft Word (for example: opening a document, cutting, pasting and aligning text, selecting font type and size, changing margins and column width, sorting, inserting bullets, pictures and dates, using find and replace, undo, spell check, track changes, review pane and/or print functions).
Colony Capital
$80000 - $90000
Austin, TX
The Advanced Planning Specialist plays a key operational role within the Planning Department, working alongside financial planning experts to support internal initiatives and advisor-facing projects across the RIA and Advisor Solutions businesses. Blending deep expertise and expansive resources with a boutique, client-first fiduciary philosophy, Focus helps individuals, families, and institutions navigate complex financial situations with highly personalized solutions tailored to their unique needs.
Intermountain Health
$21.84 - $33.23
Austin, TX
3. Works in all phases of provider enrollment, re-enrollment and expirables management ensuring the timely and accurate enrollment (and recredentialing) of providers in commercial and government payers. We care about your well-being – mind, body, and spirit – which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.
Allied Universal
Austin, Texas
You will deliver outstanding customer service, communicate clearly with staff and visitors, and support daily operations with integrity, teamwork, and a caring, reliable approach that reflects our agile and innovative culture. Join Allied Universal as a Security Officer at a professional office location, where you will monitor assigned areas, conduct routine patrols, and remain visible to help discourage security-related incidents.
Walgreens
AUSTIN, TX
Completes On-Shelf Availability (OSA) end-to-end process including warehouse and direct store delivery (DSD) for planogrammed departments, executing disposals, call-ins, and vendor returns before expiration, completes scan outs/ scan outs returns on all subscribed departments including vendor/ DSD departments and pharmacy scan outs. Models and shares customer service best practices with all team members to deliver a distinctive and delightful customer experience, including interpersonal habits (e.g., greeting, eye contact, courtesy, etc.) and Walgreens service traits (e.g., offering help proactively, identifying needs, servicing until satisfied, etc.).
MMC Group
Austin, TX
This includes but is not limited to handling inbound or outbound calls from/to Our client’s customers, CSII level Agents, or other individuals throughout the Company in order to assist in resolving a customer issue. This includes tracking claims and calls to the Dispute team to identify trends and provide 180 degree feedback to trainers, team leaders or other appropriate individuals .
Loyal Source
$140899 - $170892
Austin, TX
Your invaluable clinical insights will help facilitate access to treatment specialists, ensuring exceptional continuity of care for Veterans, helping them to move forward with their claim with confidence and dignity. Conduct Medical Disability Examinations: Perform focused evaluations of Veterans, including reviewing medical histories, conducting physical exams, and assessing the impact of service-related conditions.
CDM Smith
Austin, TX
In addition, during employment individuals may be required by CDM Smith or a CDM Smith client to successfully complete additional background checks, including motor vehicle record as well as drug testing. • Expert Testimony and Litigation Support: In cases of disputes or litigation, Specialist may be required to present their findings in court, provide expert testimony, and assist attorneys in building their cases.
Loyal Source
$144830 - $174824
Austin, TX
The role involves reviewing the claim, performing focused assessments of claimed injuries, reviewing medical records, and potentially rendering a medical opinion based on the record review and completed Compensation & Pension (C&P) exam. Conduct Comprehensive Medical Disability Examinations: Perform thorough and focused medical evaluations of Veterans, including reviewing their medical history, conducting physical examinations, and assessing the impact of disabilities on their daily life and functional abilities.
Orthopaedic Specialists of Austin
Austin, TX
The DME Assistant plays a key role in ensuring accurate tracking of equipment, supporting patient education on product use, and maintaining organized documentation to facilitate insurance billing. Ability to maintain an appropriate work pace; follow instructions; organize and prioritize tasks; communicate effectively; solve problems; and handle multiple interruptions in a clinical setting.
People's Community Clinic
Austin, Texas
Certificate/License: Hold and maintain a current license to practice medicine in the State of Texas; Drug Enforcement Agency certification; Texas Department of Public Safety Controlled Substance registration; board certification in an appropriate medical specialty or commensurate experience as evaluated by the Chief Medical Officer. Provide cross-coverage for the care of clinic patients when the provider with the primary relationship with the patient is not available (e.g., responding to lab results or phone messages when the primary provider is not available).
Humana
$223800 - $313100
Austin, TX
Knowledge of the managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other Medical management organizations, hospitals/ Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management. + Evidence of analytic and interpretation skills, with prior experience participating in teams focusing on quality management, utilization management, case management, discharge planning and/or home health or post acute services such as inpatient rehabilitation.
Humana
$246100 - $344200
Austin, TX
To ensure Home or Hybrid Home/Office associates’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria: + At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested. Exercises independent judgment and decision making on complex issues regarding job duties and related tasks, and works under minimal supervision, Uses independent judgment requiring analysis of variable factors and determining the best course of action.
Highmark Health
Austin, TX
Leveraging your profound expertise in graph databases (e.g., Neo4j, ArangoDB, Amazon Neptune, Ontotext GraphDB), distributed graph processing frameworks (e.g., Apache Spark GraphX, Dask-Graph), and leading GML libraries (e.g., PyTorch Geometric, DGL, Spektral), you will conduct in-depth research, construct sophisticated predictive, prescriptive, and diagnostic models directly on graph structures. You will proactively identify opportunities to construct and leverage comprehensive healthcare knowledge graphs, integrating diverse patient, provider, claims, and clinical data to uncover hidden patterns, propagate insights through networks, and develop groundbreaking analytical solutions that exploit the rich, multi-modal structures within healthcare.
Humana
$223800 - $313100
Austin, TX
The Medical Director may speak with contracted external physicians, physician groups, facilities, or community groups to support regional market priorities, which may include an understanding of Humana processes, as well as a focus on collaborative business relationships, value based care, population health, or disease or care management. The Medical Director’s work includes computer-based review of moderately complex to complex clinical scenarios, review of all submitted clinical records, prioritization of daily work, communication of decisions to internal associates, and possible participation in care management.
Humana
$223800 - $313100
Austin, TX
The Medical Director may speak with contracted external physicians, physician groups, facilities, or community groups to support regional market priorities, which may include an understanding of Humana processes, as well as a focus on collaborative business relationships, value based care, population health, or disease or care management. The Medical Director’s work includes computer based review of moderately complex to complex clinical scenarios, review of all submitted clinical records, prioritization of daily work, communication of decisions to internal associates, and possible participation in care management.
Texas Oncology
Austin, undefined
Texas Oncology is the largest community oncology provider in the country and has approximately 530 providers in 280+ sites across Texas, our founders pioneered community-based cancer care because they believed in making the best available cancer care accessible to all communities, allowing people to fight cancer at home with the critical support of family and friends nearby. Under direct supervision, performs general business office functions that may include some or all of the following: billing and claim submissions; charge capture and payment posting; insurance verification and eligibility; obtaining pre-authorization; counseling patients and families on insurance and payment issues; and account follow-up and payment resolution.
Berry Street
Austin, TX
Berry Street empowers independent dietitians to accept insurance and grow thriving private practices by providing comprehensive credentialing, scheduling, referral, and technical support, as well as access to a vibrant, collaborative clinician community. Dietitians working with Berry Street are committed to these pillars of high-quality care: Evidence-based: We provide quality care based on the latest clinical research.
Central Health
Austin, Texas
Work closely with all departments, including but not limited to, Clinical Services, Nursing, Practice Leadership, Finance, IT, Training, Rev Cycle, and Billing to assist in accuracy of reported services and with chart reviews, as requested. Conduct prospective and retrospective chart reviews (i.e. baseline, routine periodic, monitoring, and focused) comparing medical record notes to reported CPT/HCPCS and ICD codes with consideration of applicable payer coding requirements.