NewClinical Quality Improvement Specialist -San Antonio, TX Vitas HealthcareClinical Quality Improvement Specialist -San Antonio, TXSan Antonio, TXPerforms quality monitoring activities (tracking, trending, and analysis) including, but not limited to: Hospice Quality Reporting Program (HQRP): data collection and analysis of data associated with HQRP components, including but not limited to: Consumer Assessment of Healthcare Providers and Systems survey (CAHPS), claims-based measures, Hospice Item Set and any future measures. Root Cause Analysis (RCA): co-facilitate RCA meeting with program management, ensure required documents are completed, document meeting on appropriate templates, submission of documents to required email distribution group, monitor effectiveness of corrective action plan and report outcomes to program leadership.
Casualty Claims Specialist First Chicago Insurance CompanyCasualty Claims SpecialistSan Antonio, TXThey will settle complex liability claims which require greater investigation and verification, as well as casualty claims including severe injuries which may result in extended disability or bodily injury as well as coverage related litigation. The Casualty Claims Specialist will have the following duties and responsibilities: Review & determine course of action on each file assigned, utilizing technical knowledge & experience for the purpose of supporting final disposition of a loss.
NewCasualty Claims Specialist First Chicago Insurance Company (FCIC)Casualty Claims SpecialistSan Antonio, TXFull timeThey will settle complex liability claims which require greater investigation and verification, as well as casualty claims including severe injuries which may result in extended disability or bodily injury as well as coverage related litigation. The Casualty Claims Specialist will have the following duties and responsibilities:Review & determine course of action on each file assigned, utilizing technical knowledge & experience for the purpose of supporting final disposition of a loss.
Medical Billing and Claims Specialist PEDIATRIC CARDIOLOGY CONSULTANTS OF SOUTH TEXASMedical Billing and Claims SpecialistLIVE OAK, TXFull timeGeneral Administrative Duties: Answer incoming phone calls, manage emails, and respond to patient inquiries regarding appointments, billing, or general clinic information. The ideal candidate will provide excellent customer service, manage patient check-in/check-out, prior authorizations and handle billing tasks.
Claims Specialist - General Liability The Hartford Insurance Group IncClaims Specialist - General LiabilitySan Antonio, TX$107,600–$161,400 / yearOur ideal candidate will have expertise in primary and excess bodily injury and property damage general liability claims including excess auto liability, products liability, premises liability, some personal and advertising claims and some pollution liability. The Claim Specialist will handle a caseload of complex, high-exposure claims under Excess General Liability and Environmental policies (primarily package policies that contain general liability and some professional liability coverage) from inception to final resolution.
Claims Specialist Senior - Injury The Progressive CorpClaims Specialist Senior - InjurySan Antonio, TX$77,000–$93,500 / yearFor ideas about how you might be able to protect yourself from job scams, visit our scam-awareness page at https://careers.progressive.com/pages/how-we-hire-faq-job-scams/ . Investigating complex and high-risk claims - which may be attorney represented or have additional litigation features - you'll consult with police officers, medical professionals, claimants and others involved in the accident.
Billing & Claims Specialist - Bilingual (Spanish) SafeRide HealthBilling & Claims Specialist - Bilingual (Spanish)San Antonio, TXReceive incoming calls from providers, customers, vendors, and internal groups, to successfully analyze the caller's needs, research information, answer questions, and resolved issues and/or disputes in a timely and accurate manner. Communicate and work with providers to get claims issues resolved and paid accurately and in accordance with healthcare/Medicare/Medicaid regulations, policies, and payment policies and guidelines.
Claims Specialist Cal-Tex Protective Coatings IncClaims SpecialistSan Antonio, TXPart timeResponsible for the claim adjudication process that includes the interpretation of warranty and service contracts, rendering coverage decisions, managing claim resolutions/issues, and ensuring work and payments are completed successfully. Make determination on transfer/renewal requests, communicate with customers on needed documents, audit documents for the request, and make final approval/denial decisions.
Auto and General Liability Claims Specialist The Hartford Insurance Group IncAuto and General Liability Claims SpecialistSan Antonio, TX$107,600–$161,400 / yearProviding support to field offices to assist field personnel with coverage and liability analysis, time limit demands, extra contractual exposure evaluations and other issues of complexity; Work with business partners to evaluate and address claim trends and developments; and. Candidates who live near one of our office locations (Hartford, CT, San Antonio, TX, Lake Mary, FL, Scottsdale, AZ, Alpharetta, GA, and Naperville, IL) will have the expectation of working in an office 3 days a week (Tuesday through Thursday).
Construction Defect Claims Specialist The Hartford Insurance Group IncConstruction Defect Claims SpecialistSan Antonio, TX$107,600–$161,400 / yearResponsibilities: The Claim Specialist must demonstrate the ability to independently and timely manage all aspects of the most complex, high-value claims exhibiting a detailed knowledge of each claim, a well-reasoned analytical focus, and a clear strategy for resolution. Experience handling complex construction defect coverage and liability issues on general liability and WRAP policies for general contractor, developer, owner, and construction manager claims.
Senior Casualty Claims Specialist - Central Time Zone Liberty Mutual Holding Company IncSenior Casualty Claims Specialist - Central Time ZoneSan Antonio, TXRemoteThe full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as employees grow and develop within the role. Some roles at Liberty Mutual have a corresponding compensation plan which may include commission and/or bonus earnings at rates that vary based on multiple factors set forth in the compensation plan for the role.
Claims Processing Specialist - Bilingual (Spanish) SafeRide IncClaims Processing Specialist - Bilingual (Spanish)San Antonio, TXReceive incoming calls from providers, customers, vendors, and internal groups to successfully analyze the callers needs, research information, answer questions, and resolve issues and/or disputes in a timely and accurate manner. Communicate and work with providers to get claims issues resolved and paid accurately and in accordance with healthcare, Medicare, Medicaid regulations, policies, and payment policies and guidelines.
Claims Examiner & Support Specialist Level I HealthTexas Medical GroupClaims Examiner & Support Specialist Level ISan Antonio, TXThe Claims Examiner & Support Specialist Level I is responsible for accurately processing health plan delegated claims, addressing provider inquiries via phone calls, and handling various administrative tasks within the department. Additionally, maintaining a customer-centric approach when dealing with inquiries and issues is essential to ensure a positive experience for providers and stakeholders.
Claims Examiner & Support Specialist Level I HealthTexas Primary Care DoctorsClaims Examiner & Support Specialist Level ISan Antonio, TexasThe Claims Examiner & Support Specialist Level I is responsible for accurately processing health plan delegated claims, addressing provider inquiries via phone calls, and handling various administrative tasks within the department. Additionally, maintaining a customer-centric approach when dealing with inquiries and issues is essential to ensure a positive experience for providers and stakeholders.
Claim Specialist - Complex Liability Solutions The Hartford Insurance Group IncClaim Specialist - Complex Liability SolutionsSan Antonio, TX$107,600–$161,400 / yearWork closely with TPAs to address time limit demands, evaluate extra contractual exposure evaluations and other issues of complexity; Partnering with CLS underwriters to effectively communicate the value of the CLS claims model to prospective insureds, agents and brokers; Providing support to the CLS business unit to explain, evaluate and address claim trends and developments for both prospective and current insureds; and. As a Claim Specialist for Complex Liability Solutions in the Hartford Global Specialty (HGS) Liability Major Case Unit, you will be responsible for handling a caseload of bodily injury and non-bodily injury claims that involve complex coverage and liability issues.
["Claims Quality Assurance Specialist","Claims Quality Assurance Specialist"] Aims Community College["Claims Quality Assurance Specialist","Claims Quality Assurance Specialist"]San AntonioAims Community College seeks a qualified adjuster at Allcat Claims Service, LLC to review and analyze dwelling estimates for accuracy. This position requires a High School Diploma or GED and an All Lines Insurance Adjuster's license, which must be obtained within designated attempts.
Property Adjuster Specialist - Field Claims USAAProperty Adjuster Specialist - Field ClaimsSan Antonio, TX$69,920–$133,620 / yearWhat you'll do: Proactively manages assigned claims caseload comprised of complex damages that require commensurate knowledge and understanding of claims coverage including potential legal liability. 2 years of relevant property claims adjusting experience of moderate complexity losses that includes writing estimates, involving dwelling and structural damages.
Property Adjuster Specialist - Specialty Claims USAAProperty Adjuster Specialist - Specialty ClaimsSan Antonio, Texas$69,920–$125,850 / yearProactively manages assigned claims caseload comprised of complex damages that require commensurate knowledge and understanding of claims coverage including potential legal liability. The ideal candidate will possess strong virtual estimating skills for complex Condo claims, determine liability, litigation, and reconcile estimates while working in a telephone concentrated environment without physical inspection of loss.
NewClaims Billing Specialist CARS Protection Plus IncClaims Billing SpecialistSan Antonio, TX$20–$22 / hourPart timeExcellent Client / Customer Service: Must be able to ensure all customer, repair facility and/or selling dealer related payment issues are handled in a fast, fair and courteous manner and know when to escalate an issue to your manager. Education and/or Experience: Must have at a minimum a high school diploma with 1-2 years previous work experience within a vehicle repair facility/dealership or an auto parts store.
Claim Specialist - Property Field Inspection State FarmClaim Specialist - Property Field InspectionSan Antonio, TX$59,059.65–$90,000 / yearCompetitive candidates should reside within one of the listed zip codes and will service: 78073 78101 78108 78109 78112 78114 78121 78148 78150 78152 78154 78160 78161 78201 78202 78203 78204 78205 78207 78208 78209 78210 78211 78212 78213 78214 78215 78218 78219 78220 78221 78222 78223 78224 78225 78228 78229 78233 78234 78235 78239 78244 78263 78264 78266. With the opportunity to initially earn up to 20 days annually plus parental leave, paid holidays, celebration day, life leave (40 hours/year), bereavement leave, and community service/education support days, there will be plenty of time for you!
Dental Claims Processor DY MANAGEMENT CONSULTANTS LLCDental Claims ProcessorSan Antonio, TXFull timeAs a Dental Claims Processor, you'll work alongside experienced professionals while learning every aspect of dental insurance billing, including: Process and follow up on dental insurance claims. We provide comprehensive, hands-on training that gives you the skills needed to become an expert in dental insurance claims and revenue cycle management.
["Quality Assurance Specialist Claims & Dwelling Estimates","Quality Assurance Specialist Claims & Dwelling Estimates"] Allcat Claims Service["Quality Assurance Specialist Claims & Dwelling Estimates","Quality Assurance Specialist Claims & Dwelling Estimates"]San AntonioThe position offers opportunities for growth through training, and Allcat strongly encourages military community members to apply, providing a supportive work environment and comprehensive benefits package.#J-18808-Ljbffr. Allcat Claims Service in San Antonio, TX is seeking an individual for a position in the Quality Assurance Department.
NewConstruction Bodily Injury Claim Specialist The Hartford Insurance Group IncConstruction Bodily Injury Claim SpecialistSan Antonio, TX$121,000–$140,000 / yearThese claims will involve both primary and excess coverages and often involve complex fact patterns requiring analysis of contracts between parties to determine indemnity and contribution obligations and risk transfer opportunities. As a Claims Specialist, you will be responsible for handling a caseload of higher complexity, higher exposure, bodily injury, and construction related bodily injury claims from inception to final disposition.
Claims Examiner Peyton Resource GroupClaims ExaminerSan Antonio, TXThis role is responsible for reviewing and adjudicating delegated claims, resolving inquiries, maintaining documentation, and supporting efficient claims workflows while delivering a high level of customer service. We are seeking a detail-oriented Claims Examiner & Support Specialist I to support healthcare claims operations through accurate claims processing, provider communication, and administrative support.
Billing and Collections Specialist Peyton Resource GroupBilling and Collections SpecialistSan Antonio, TXThis position is responsible for ensuring accurate billing, maximizing reimbursement, managing claims processing, resolving denials, and maintaining timely collections across multiple payer types. This position may support additional business office functions as operational needs evolve and requires flexibility in a fast-paced healthcare setting.
Billing & Collections Specialist South Texas Spine & Surgical HospBilling & Collections SpecialistSan Antonio, TXFull timeThe employee should have a full understanding of each of the processes to maximize reimbursement: collections of all payer types, billing and revenue coding, insurance benefit interpretation, authorization, admission sources, payer specific requirements, contract reimbursement, claim editing, clearinghouse processing, adjudication, and appeals/denial management. Visual and auditory acuity and manual dexterity essential to performing designated duties required: optimal auditory acuity required; manual dexterity involving the handling of equipment and computers is essential to performing assigned duties.
Medical Billing Specialist Mi Familia & Summit Home Health and HospiceMedical Billing SpecialistSan Antonio, TXRemote$58,000–$74,000 / yearThe Medical Billing Specialist will be responsible for processing medical claims, managing insurance reimbursements, resolving billing issues, and ensuring accurate and timely revenue cycle operations. Summit Home Health & Hospice is a Texas-based healthcare organization dedicated to enhancing the lives of patients and families through compassionate home health and hospice services.
NewMedical Billing & A/R Specialist START South Texas Oncology and HematologyMedical Billing & A/R SpecialistSan Antonio, TexasThis position is integral to the financial operations of our practice, focusing on the accurate management of billing processes, resolution of outstanding claims, and timely collection of payments from insurance carriers and patients. The successful candidate will demonstrate a high level of professionalism, a strong understanding of healthcare billing processes, and the ability to work effectively in a dynamic, fast-paced environment.
Billing and Collections Specialist Amazing Care Home Health ServicesBilling and Collections SpecialistSan Antonio, TexasIn this role, you will be responsible for creating and submitting electronic claims, following up on claims status, resolving billing inconsistencies and errors, appealing claims, checking eligibility, and maintaining collection reports. We are seeking a motivated Billing and Collections Specialist with experience in processing, submitting, and appealing healthcare claims to join our team in San Antonio, TX .
NewBilling And Collections Specialist Amazing Care Home Health ServicesBilling And Collections SpecialistSan Antonio, TXRole Overview: We are seeking a motivated Billing and Collections Specialist with experience in processing, submitting, and appealing healthcare claims to join our team in San Antonio, TX. In this role, you will be responsible for creating and submitting electronic claims, following up on claims status, resolving billing inconsistencies and errors, appealing claims, checking eligibility, and maintaining collection reports.
NewLitigation Specialist First Chicago Insurance Company (FCIC)Litigation SpecialistSan Antonio, TXFull timeConduct prompt investigations by securing statements from the involved parties/witnesses and obtaining all necessary documents, including but not limited to, police reports, medical specials, photographs, and/or appraisals. We realize the strength of teamwork and its ability to join individuals together and push and pull each other, with a synergy that can only be found in groups of good people sharing ideas.
NewBilling & Collections Specialist Surgery Partners IncBilling & Collections SpecialistSan Antonio, TXThe employee should have a full understanding of each of the processes to maximize reimbursement: collections of all payer types, billing and revenue coding, insurance benefit interpretation, authorization, admission sources, payer specific requirements, contract reimbursement, claim editing, clearinghouse processing, adjudication, and appeals/denial management. Visual and auditory acuity and manual dexterity essential to performing designated duties required: optimal auditory acuity required; manual dexterity involving the handling of equipment and computers is essential to performing assigned duties.
NewInsurance Billing & Collections Specialist Smile Brands Group IncInsurance Billing & Collections SpecialistSan Antonio, TX$18–$20 / hourThe ideal candidate will possess a strong understanding of dental insurance processes, explanation of benefits (EOBs), timely filing requirements, payer follow-up, and accounts receivable best practices, along with the ability to work efficiently in a fast-paced revenue cycle environment. Smile Brands is one of the nation's largest dental support organizations (DSO), and we are seeking a detail-oriented Insurance Billing & Collections Specialist to support insurance accounts receivable operations in San Antonio, TX.
Insurance Billing & Collections Specialist Smile BrandsInsurance Billing & Collections SpecialistSan Antonio, Texas$18–$20 / hourThe ideal candidate will possess a strong understanding of dental insurance processes, explanation of benefits (EOBs), timely filing requirements, payer follow-up, and accounts receivable best practices, along with the ability to work efficiently in a fast-paced revenue cycle environment. Overview: Smile Brands is one of the nation's largest dental support organizations (DSO), and we are seeking a detail-oriented Insurance Billing & Collections Specialist to support insurance accounts receivable operations in San Antonio, TX .
Billing Specialist Family ServiceBilling SpecialistSan Antonio, TexasJOB SUMMARY: JOB SUMMARY: The Billing Specialist performs clerical, billing procedures, and administrative tasks to optimize client and customer experience in the day-to-day operations of the business or program office to which they are assigned while ensuring that services provided are in alignment with the Social Determinants of Health through a trauma informed care lens as defined by the agency Verify client insurance eligibility, benefits, and authorization requirements prior to service. Performance Measurement : The ability to understand and use statistical, economic, epidemiological and financial methods and metrics to set goals and measure clinical as well as organizational performance; commitment to and employment of evidence-based techniques.
Remote Behavioral Health Charge Entry Specialist Athra SystemsRemote Behavioral Health Charge Entry SpecialistSan Antonio, TXRemoteWe are seeking a detail-oriented Remote Behavioral Health Charge Entry Specialist, is responsible for ensuring all patient visits are entered into the Practice Management System with appropriate and accurate ICD-10 and CPT codes, navigating multiple EHR systems and insurance portals. Charge Entry & Batching: Create charge batches from provider paperwork and accurately enter demographic and charge data into the Practice Management system.
Medical Collections Specialist MPOWERHealthMedical Collections SpecialistSan Antonio, TexasThis position will be responsible for navigating the electronic medical record (EMR) and billing systems to obtain/produce and transmit the records required by the applicable insurance carrier or third party. Address denials and zero payments to identify and provide any requested documentation required to process the claim or refer to billing for claim corrections.
BILINGUAL Client Service Specialist Heard & Smith, LLPBILINGUAL Client Service SpecialistSan Antonio, TexasAs a Client Service Specialist in our Legal Assistant Department, you will have the opportunity to build lasting relationships and provide support for clients throughout the claims process via the computer/telephone in a call center setting. Consistently build the client relationship and confidence in our firm with every client interaction while proactively contacting clients to ensure the relationship is maintained.
Client Service Specialist Heard & Smith, LLPClient Service SpecialistSan Antonio, TexasFast-paced, and professional environment; Fulfilling, challenging, rewarding; Great team environment; Paid Holidays, Accrued Paid Time Off; Great Medical Benefits Package; Wellness Program; Competitive Salary $14.50-$16.50 per hour with potential for incremental increases during your first 180 days up to an additional $2/hour based on performance. As a Client Service Specialist in our Legal Assistant Department, you will have the opportunity to build lasting relationships and provide support for clients throughout the claims process via the computer/telephone in a call center setting.
New["Revenue Cycle Specialist (Hospital Billing, On-Site)","Revenue Cycle Specialist (Hospital Billing, On-Site)"] UT Health San Antonio["Revenue Cycle Specialist (Hospital Billing, On-Site)","Revenue Cycle Specialist (Hospital Billing, On-Site)"]San AntonioAddress denied claims, claims pended for medical necessity, and claims pending supporting documentation by collaborating with clinic, registration, medical records, and coding teams to complete appeals. The Revenue Cycle Specialist II is responsible for managing the billing process, including handling denials, insurance follow-ups, and appeals based on their tier level in a hospital setting.
Billing Specialist Home Nursing & Therapy ServicesBilling SpecialistSan Antonio, Texas$20–$30About Us: Home Nursing & Therapy Services is a trusted home health care provider serving communities across the San Antonio area since 1982. This role ensures accurate submission of claims, timely reimbursement, denied claims, and compliance with Medicare, Medicaid, and private insurance guidelines.
Litigation Specialist First Chicago Insurance CompanyLitigation SpecialistSan Antonio, TXConduct prompt investigations by securing statements from the involved parties/witnesses and obtaining all necessary documents, including but not limited to, police reports, medical specials, photographs, and/or appraisals. We realize the strength of teamwork and its ability to join individuals together and push and pull each other, with a synergy that can only be found in groups of good people sharing ideas.
Account Representative-Medical Insurance Collections Specialist - FT - Baptist M&S Imaging Business Office United Surgical Partners International IncAccount Representative-Medical Insurance Collections Specialist - FT - Baptist M&S Imaging Business OfficeTXProvide quality, timely, courteous service, and optimum maintenance of patient accounts, including dissemination of information, billing services, follow-up, and collection of accounts receivable, bad debt, governmental, and contract compliance issues/guidelines. MINIMUM EXPERIENCE: 2 years of experience in hospital business office, insurance claims processing, physician office billing and/or hospital admitting and PC/CRT.
Accounts Receivable Specialist United Wound HealingAccounts Receivable SpecialistSan Antonio, TXRemote$24–$27 / hourClaims Knowledge: Strong ability to read and understand EOBs; deep understanding of insurance denials and unresolved claims resolution; knowledge of ICD-10, CPT, HCPCS, and CMS-1500 claim format. Investigate and resolve unresolved claims (denials, underpayments, delayed payments); troubleshoot claim data and submit written appeals with supporting documentation and timely follow-up.
Revenue Cycle Specialist (Hospital Billing, On-Site) UT Health San Antonio School of DentistryRevenue Cycle Specialist (Hospital Billing, On-Site)San Antonio, TXThe University of Texas at San Antonio (UT San Antonio) is a nationally recognized, top-tier public research university that unites the power of higher education, biomedical discovery and healthcare within one visionary institution. Employees receive $50,000 of group term life insurance and $50,000 of basic accidental death and dismemberment insurance for free, with options to purchase additional employee and dependent coverage for both at group rates.
New["Client Service Specialist","Client Service Specialist"] Heard & Smith["Client Service Specialist","Client Service Specialist"]San Antonio$14.50–$16.50 / hourFast-paced, and professional environment; Fulfilling, challenging, rewarding; Great team environment; Paid Holidays, Accrued Paid Time Off; Great Medical Benefits Package; Wellness Program; Competitive Salary $14.50-$16.50 per hour with potential for incremental increases during your first 180 days up to an additional $2/hour based on performance. As a Client Service Specialist in our Legal Assistant Department, you will have the opportunity to build lasting relationships and provide support for clients throughout the claims process via the computer/telephone in a call center setting.
Prevention & Control Specialist SafeRide IncPrevention & Control SpecialistSan Antonio, TXThis role involves conducting proactive outreach, documenting findings with precision, and collaborating with internal teams to strengthen safeguards that ensure members who genuinely need transportation can continue to access their care without disruption. SafeRide Summary SafeRide Health is a technology and services company dedicated to reducing barriers to care by improving the delivery of non-emergency medical transportation to people across America.
Prevention & Control Specialist SafeRide HealthPrevention & Control SpecialistSan Antonio, TXThis role involves conducting proactive outreach, documenting findings with precision, and collaborating with internal teams to strengthen safeguards that ensure members who genuinely need transportation can continue to access their care without disruption. SafeRide Health is a technology and services company dedicated to reducing barriers to care by improving the delivery of non-emergency medical transportation to people across America.
Reimbursement Specialist MPOWERHealthReimbursement SpecialistSan Antonio, TexasFull timeIntermediate level of expertise using Microsoft Office Suite (Outlook, Excel, Word, Teams) and PDF software (NitroPro). This position will be responsible for navigating the electronic medical record (EMR) and billing systems to obtain/produce and transmit the records required by the applicable insurance carrier or third party.
Fraud Service Specialist (Hybrid) WorkwayFraud Service Specialist (Hybrid)Live Oak, TX$20–$21 / hourThis role focuses on assisting members with fraud-related inquiries, case creation, investigations, and providing exceptional service through phone and electronic communications, while protecting member assets and further mitigating any additional losses. Your specific duties will include: Respond to member, non-member, and internal employee inquiries related to fraud cases, claims, and transactions through phone, electronic, and written communication.