309 Results for

Medical Review Specialist Jobs in North Richland Hills, TX

Jobs

New!

Burleson, TXToday

$24.32–$33.44 Per Hour

See Biolife Plasma Services Terms & Conditions at https://www.biolifeplasma.com/us/legal/terms-and-conditions-of-use and Privacy Policy at https://www.biolifeplasma.com/legal/privacy-notice and SonicJobs Privacy Policy at https://www.sonicjobs.com/us/privacy-policy and Terms of Use at https://www.sonicjobs.com/us/terms-conditions. The actual hourly wage offered may depend on a variety of factors, including the qualifications of the individual applicant for the position, years of relevant experience, specific and unique skills, level of education attained, certifications or other professional licenses held, and the location in which the applicant lives and/or from which they will be performing the job.

Fort Worth, Texas8 days ago

$18–$20 Per Hour
Full-time
Employee

Learn more about Beacon Hill and our specialty divisions, Beacon Hill Associates, Beacon Hill Financial, Beacon Hill HR, Beacon Hill Legal, Beacon Hill Life Sciences and Beacon Hill Technologies by visiting www.bhsg.com. Our niche brands offer a complete suite of staffing services to emerging growth companies and the Fortune 500 across market sectors, career specialties/disciplines and industries.

Dallas, TX9 days ago

Celebrating more than 90 years of service, we strive to have a diverse workforce that reflects the communities we serve and welcomes the skills and talents of all groups. Communicates with the ECMO physician and other members of the healthcare team to interpret, adjust and complete treatment specific to the ECMO patient care plan.

Dallas, TX9 days ago

New!

Richardson, TX1 day ago

Associate's Degree in Chemical, Physical, Biological, Clinical Laboratory Science or Medical Technology, US Army Medical Laboratory Specialist (MLT) course, or enrolled in an accredited MT or MLT training program and has completed clinical training in the area of employment. The primary purpose of the Medical Lab Technician position is to perform laboratory analyses of laboratory specimens as requested and distribute test requests to the requesting patient care unit, facility or physician.

New!

Irving, TX2 days ago

$18.50–$19.50 Per Hour

By applying for this job, you agree to receive calls, AI-generated calls, text messages, or emails from CornerStone and its affiliates, and contracted partners. • Submit corrected or rebilled claims with required documentation through NEA (National Electronic Attachments), clearinghouses, paper, or payer portals.

Irving, Texas7 days ago

$55–$65 Per Hour
Contractor

Develop and execute customer experience solutions by employing a broad array of user centered design tools including customer experience brief, site strategy, wireframes or visual mockups, site layouts, site maps, taxonomies navigation schematics, task flows, design briefs, key screens, templates, prototypes . Ability to set and achieve objectives requiring a high level of cooperation from cross-functional partners in other teams LOB marketing, marketing operations/execution, digital product, technology, data management, and data science/modeling.

New!

Roanoke, TX6 days ago

$17.50–$17.50 Per Hour

Perks & Benefits: Casual Dress Code, Modern, high tech Environment, Paid Training, Weekly paychecks, Direct Deposit or Cash Card pay options, Medical / Dental Insurance, Paid Time Off, Apprenticeship Program, Advancement Opportunities. With Staff Management | SMX, you'll get a weekly paycheck, learn new skills, meet new people, and work with a great management team in a clean and safe environment.

Dallas, TX24 days ago

5 years of related work experience or equivalence including residency training is preferred (for equivalency purposes, PGY1 residency equals 2 years' experience; PGY2 residency equals 3 years' experience). The Solid Organ Transplant Pharmacy Clinical Specialist position performs professional, clinical tasks that will ensure the highest quality of pharmaceutical care and results in an optimal patient care.

Dallas, TX24 days ago

$21–$22 Per Hour

Looking for someone with good attention to detail, experience with correspondence, mailing/submitting appeals (if possible), data entry. Draft non-clinical appeal letters for outpatient and pre-authorization denials .

New!

Irving, TX1 day ago

Independently and in coordination with paralegals and attorneys, receives, processes, and tracks requests for contracts with physicians and other contractors/vendors, gathers and uploads supporting documentation for compliance purposes, and implements renewals and modifications to, and termination of, existing contracts. As requested and within training and capabilities, independently review and complete various contracts relevant to business operations and transactions, including but not limited to certain medical director contracts, business associates agreements, non-disclosure agreements, professional service agreements, technology agreements, and vendor contracts.

New!

Irving, TX1 day ago

$17–$28.46

Scribes receive extensive on-the-job training in clinical workflows, value-based medicine, preventative care for chronic conditions, accurate and specific documentation, population health data streams, and team based care. This is an excellent opportunity for pre-med track individuals looking to gain practical, paid experience in a clinical setting before applying to an MD/DO/PA/NP program, as well as those pursuing careers in Health Informatics, Public Health, Healthcare Administration, Medical Coding, and other related fields.

New!

Dallas, TX1 day ago

Named one of the fastest-growing health systems in America by Modern Healthcare, Methodist has a network of 12 hospitals (through ownership and affiliation) with nationally recognized medical services, such as a Level I Trauma Center, multi-organ transplantation, Level III Neonatal Intensive Care, neurosurgery, robotic surgical programs, oncology, gastroenterology, and orthopedics, among others. The Coder II classifies and abstracts inpatient/outpatient diagnoses and procedures which are assigned appropriate ICD-10-CM, ICD-10-PCS, and/or CPT codes for optimal reimbursement.

New!

Irving, TX1 day ago

$17–$28.46

Irving, TX10 days ago

Full-time

Lennar is one of the nation's leading homebuilders, dedicated to making an impact and creating an extraordinary experience for their Homeowners, Communities, and Associates by building quality homes and providing exceptional customer service, giving back to the communities in which we work and live in, and fostering a culture of opportunity and growth for our Associates throughout their career. The Regional Organic Content Specialist is a strategic driver of the brand’s organic digital presence within their 3-4 assigned homebuilding divisions; managing non-paid content across platforms like Meta, LinkedIn, TikTok, YouTube, and Google Business Profiles.

Irving, Texas27 days ago

$18–$20

The ideal candidate will be responsible for managing the financial aspects of patient accounts, with a focus on accurate and timely collection of outstanding payments from insurance companies and patients. We are seeking a detail-oriented and experienced Medical Accounts Receivable (AR) Specialist to join our healthcare billing team.

Dallas, Texas30+ days ago

Process Improvement: Understands core work processes; identifies process opportunities and issues; seeks information to understand the gap between current and desired performance; works effectively with others to identify and implement improvements; continuously works to improve returns for the client and the organization. • Promotes and exemplifies a high performing patient access culture that embraces the organization’s workplace values of respect, caring, support, effective communication, teamwork, collaboration, accountability, and responsibility; and works with staff to create and maintain a workplace environment reflective of these values.

Fort Worth, Texas12 days ago

$18–$25 Per Hour

We process referrals, schedule patients complete the intake process, data entry, insurance verification, authorizations, review of benefits with patients, copay collection, arriving and scheduling patients, billing reports, closing report and other task as needed. Compensation depends upon candidate’s years of experience and internal equity.

Dallas, TX13 days ago

With a focus on meeting the needs of our patients at all access points, Physician Services is dedicated to implementing innovative, physician-driven, value-added solutions to assist physicians in providing high-quality, patient-centered care, aligning with our mission to care for and enhance human life. Supporting HCA Healthcare's 186 hospitals and 2,400+ sites of care, Physician Services plays a crucial role as the main entry point for patients looking for high-quality healthcare within the HCA Healthcare system.

Denton, TX11 days ago

As a Medical Records Specialist, you would be responsible for assisting the HIM Director by routinely performing duties in support of the management of the Horizon Patient Folder (HPF)/McKesson Patient Folder (MPF) workflow queues, working applicable worklists within 3M 360 Encompass, the resolution of unbilled accounts, and the processing of physician suspensions. Completes any certification program and continuing education that may be required by state law to accurately perform the duties of the birth certificate clerk completion and works under the guidelines and process as defined by the state.

Plano, TX19 days ago

Plano, TX15 days ago

Fort Worth, TX30+ days ago

Remote

$70,143–$107,253 Per Year
Part-time

Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role.

Dallas, TX30+ days ago

Remote

$82,717–$108,566 Per Year

This is accomplished by leveraging a deep understanding of Oscar's claim infrastructure, workflows, workflow tooling, platform logic, data models, etc., to work cross-functionally to understand and translate friction from stakeholders into actionable opportunities for improvement. Proactively identify and document potential billing errors, including duplicate billing of items, services, or procedures as improper unbundling of services (e.g., separating components that should be billed together) and charges for non-covered or non-rendered services.

New!

Dallas, TX3 days ago

As a Coordinator in Performance Improvement, you will be responsible for providing PI support and leadership to various clinical and nonclinical service lines, participating in Core Measure concurrent and retrospective review, facilitating PI and Core Measure teams, and coordinating all aspects of the medical staff peer review process. Support patient safety program (i.e. management of sentinel events and root cause analysis, national patient safety goals, and integration of initiatives within existing programs such as NQF Safe Practices and medication safety).

Dallas, TX30+ days ago

Full-time

Working directly with physicians, nursing staff, and coders in a community hospital setting, this role improves documentation through concurrent record review, compliant physician queries, and provider education. Job Summary: The CDI Specialist reviews inpatient medical records to ensure clinical documentation accurately reflects the severity of illness, treatments delivered, and diagnoses rendered.

Dallas, TX30+ days ago

Remote

Contractor

Working knowledge of Quality metrics and risk adjustment practices across all business lines Demonstrates data analytic skills Operational knowledge and experience with PowerPoint, Excel, Visio Effective communication skills Strong leadership skills" Summary: Responsible for developing, organizing, collecting, coordinating, preparing and presenting results of quality improvement studies and projects activities to monitor, evaluate and continuously improve the quality of healthcare services provided to Client member. State Plan / Department Specific Duties and Responsibilities Performs audits of materials and medical records to demonstrate compliance with contractual obligations, identify opportunities for improvement, and to validate medical record-keeping practices for credentialing and recredentialing purposes.

Fort Worth, TX12 days ago

$45,000–$50,000 Per Year

Through a seamless, easy-to-access platform, TimelyCare offers a comprehensive range of services, including a crisis line, mental health counseling, on-demand emotional support, medical care, psychiatric care, health coaching, success coaching, basic needs assistance, faculty and staff guidance, peer support, and self-guided wellness tools. If you're passionate about leveraging technology to transform healthcare delivery and excel in customer service, TimelyCare offers an exciting opportunity to develop your skills and make a significant impact in a growing company dedicated to improving virtual healthcare services.

Irving, TX18 days ago

$23–$26 Per Hour

Collects and maintains data on providers for Medicare and Medicaid enrollment Prepares and submits applications to Medicare and Medicaid for new provider enrollments and existing provider updates; follows up by telephone or in writing, with carriers regarding application status Complies with Medicare and Medicaid provider enrollment guidelines Requests NPI numbers for providers and clinics as necessary and maintains NPI files Follows up, either by telephone or in writing, with insurance companies and patients regarding the processing of outstanding claims and/or appeals Generates various reports to identify outstanding claims issues with provider numbers and non-payment Communicates information to appropriate personnel Educates staff on corrections, e.g. front-end entry errors in a positive, constructive manner Collects and reviews managed care contracts for correct billing and payment terms Identifies problem accounts and follows through to completion Reviews Athena correspondence.

New!

Richardson, TX1 day ago

Exceptional communication skills-both verbal and written-will enable you to work seamlessly with internal teams and external customers, ensuring a collaborative approach to establishing facts and developing evidence. Strong skills in the areas of verbal and written communication with an ability to develop and maintain positive customer experience and management and third-party customer relationships.

Dallas, TX7 days ago

$110,700–$218,300 Per Year

Other skills include the ability to analyze, act and design action plans upon monthly and quarterly reports related to individual providers, facilities, MS-DRGs, APR, PSIs, severity of illness and risk of mortality, capture rates, quality metrics and can effectively prioritize their work activities. Clinical Payments Optimization: Assisting clients by validating that payments for clinical healthcare services comply with regulatory, clinical based evidence and contractual requirements while also determining that payments are appropriate for the type and level of care provided.

New!

Lewisville, TX4 days ago

$60,000–$62,000 Per Year

This position serves as a strategic partner to agency leadership by identifying staffing needs, developing recruitment strategies, ensuring compliance with employment laws and organizational policies, supporting employee training initiatives, and implementing solutions that improve recruitment effectiveness and employee retention. Experience utilizing Human Resources Information Systems (HRIS), applicant tracking systems, learning management systems, and other employee management platforms preferred.

New!

Richardson, TX1 day ago

Strong skills in the areas of verbal and written communication with an ability to develop and maintain positive customer experience, co-worker, management and third-party relationships. With 3-5 years of experience in Auto Bodily Injury/Casualty claims, you should possess a Texas Licensed Adjuster certification and familiarity with multi-state licensing is a plus.

Plano, TX30+ days ago

TAG MedStaffing is hiring an Accounts Receivable Specialist (Temporary) in Plano, TX for our client, supporting healthcare revenue cycle operations, denial management, claims resolution, and accounts receivable recovery activities. The ideal candidate will bring strong healthcare accounts receivable experience, payer knowledge, and the ability to independently manage claim follow-up activities in a fast-paced environment.

Dallas, TX24 days ago

Full-time

The Coding Specialist supports documentation integrity, identifies coding compliance risks (including undercoding, overcoding, and unbundling), and contributes to clean claim submission and optimal reimbursement through coding analysis, audits, and special projects Work will be based in a Hybrid format at the corporate office in North Dallas, TX, 75244. Possess the ability to fulfill any office activities normally expected in an office setting, to include, but not limited to remaining seated for periods of time to perform computer-based work, participating in filing activity, lifting and carrying office supplies (paper reams, mail, etc.).

Irving, TX9 days ago

Assist with development and coordination of review plans, education and training feedback to coding staff that may include query opportunities, documentation opportunities, accurate code assignment (ICD, CPT, HCPCS), accurate payment groupings (DRG, APC), accurate modifier assignment, accurate POA assignment, accurate discharge disposition assignment, compliance and data management. Coding Quality Specialist will work collaboratively with various CHRISTUS Health Departments, including but not limited to the Regional Coding Managers, Coding Integrity, HIM, Compliance, and Clinical Documentation Specialist to ensure feedback is shared and reported for education and training purposes.

New!

Fort Worth, TX6 days ago

In addition to day-to-day contract responsibilities, this position will serve as a resource and partner to internal teams, including legal, finance, and admin, helping to reinforce workflows, improve processes, and support scalability as the organization continues to grow. This role is best suited for someone who is detail driven, proactive, and comfortable taking ownership of their work, with the ability to anticipate needs, identify gaps early, and deliver high quality, complete results.

New!

Irving, TX3 days ago

The Provider Enrollment Specialist coordinates Medicare and Medicaid enrollment and re-enrollment, manages provider credentialing and contracting, and supports billing system administration. This role also serves as a liaison between providers, insurance carriers, patients, and internal teams to ensure accurate billing, reimbursement, and compliance.

Irving (Dallas), Texas30+ days ago

We leverage local regulatory and therapeutic expertise across all major areas including oncology, cardiology, metabolic disease, endocrinology, central nervous system, anti-viral and anti-infective. Responsibilities : Is responsible for preparing, negotiating, tracking and finalizing the Confidentiality Agreements (CDA), Clinical Trial Agreements (CTA), Budgets and Letters of Indemnification (LOI) as well as Amendments to these documents, as needed.

DALLAS, TX30+ days ago

Full-time

Key ResponsibilitiesManage full-cycle credentialing and recredentialing processes for physicians across multiple hospital locations and states to ensure compliance with payors. The specialist collaborates with medical staff leadership, providers, and administrative teams to ensure timely and accurate credentialing operations.

Arlington, Texas11 days ago

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. Our mission is still the same today - at Texas Oncology, we use leading-edge technology and research to deliver high-quality, high-touch, evidence-based cancer care to help our patients achieve “More breakthroughs.

Irving, Texas30+ days ago

Dallas12 days ago

$15–$16 Per Hour
Temporary
Contractor

Title: Operations SpecialistClient: BankingLocation: Onsite at Dallas TXDuration: 6+ months of contract | (Based upon performance, could be possibility of extension or hire) Pay Range: $15/hr - $16.14/HrShift: Key Responsibilities:Receive, review, and validate incoming work packages from Financial Centers and ATM channels, and delivered daily .

Dallas, TX30+ days ago

Coordinate with Managers and Directors on key initiatives and clinical and pharmaco-economic programs; measure improvements in quality, cost or patient care; provide regular status updates to CompleteRx management; and prepare supporting documents as needed. The Regional Clinical Pharmacy Specialist will help review the status of current programs at client locations, contribute to performance improvement activities, and support the implementation of CompleteRx clinical and pharmaco-economic initiatives in collaboration with the Regional Clinical Manager and Directors of Pharmacy.

New!

Irving, TXToday

Systems: Outlook, Excel, Word, PowerPoint, WebCTRL (Temperature Monitoring Software), TECSYS (WMS – Warehouse Management System), and COMPLIANCE QUEST (Quality Management Software) . Assist in Operations and Facilities team in determining root cause of discrepancies and help develop corrective actions and verification activities .

Dallas, Texas30+ days ago

Remote

This individual specializes in the resolution of arbitration negotiations, schedule arbitration teleconferences, and performs a wide variety of tasks such as generating reports, correspondence, and setting up informal offers. Strong computer skills including Microsoft Office with a strong proficiency in Excel spread sheets, using formulas, pivot tables, filters, etc.

Dallas, TX30+ days ago

Full-time

In this role, you'll partner directly with physicians, nurses, and coders to ensure clinical documentation tells the full story — capturing the true severity of illness, the complexity of care delivered, and the outcomes that matter. This isn't a back-office job — you'll be rounding with physicians, shaping how care is captured, and making a measurable impact on quality and revenue.

New!

Dallas, TXToday

The Senior Patent Specialist supports the Office of Technology Development (OTD) by managing the institution's intellectual property strategy by coordinating patent filings and managing key aspects of the patent portfolio. Investigates and resolves billing discrepancies by collaborating with internal accounting teams and external legal vendors, maintaining strong financial and vendor relationships.

Irving, Texas18 days ago

The credentialing specialist will provide customer service centered and timely credentialing, re-credentialing and other necessary credentialing and provider enrollment activities for onboarding of initial and continued privileges of NorthStar Anesthesia medical providers caring for our patients. Establish and maintain customer service centered and productive working relationships with medical providers, peers, department partner teams, management staff and contacts outside the organization.

Fort Worth, Texas13 days ago

$20.50–$28.85 Per Hour

Responsible for completing initial injury reports with injured workers; reviewing the Workers Compensation Program Information packet with injured employees; obtaining signatures for all workers compensation consent forms; authorizing and scheduling initial medical appointments; and addressing general customer service inquiries concerning the workers compensation process for injured employees. Whether you're supporting a Fortune 500 client or a local business, developing cutting-edge technology, or providing clinical services, you'll work alongside dedicated professionals who share your commitment to excellence and make a meaningful impact.

Stand out to leading employers.

Upload your resume and let employers find you for new Medical Review Specialist job openings. Plus, receive relevant job matches delivered straight to your inbox.

Create A Free Account

Medical Review Specialist Jobs in North Richland Hills, TX

Medical Support Specialist Biolife Plasma Services

Collections & Recovery Specialist (Post Charge-Off) Beacon Hill Staffing Group, LLC

Perfusionist (ECMO Specialist) Methodist Health System

ECMO Specialist Methodist Health System

PRN - Medical Laboratory Technician - Point of Care Methodist Health System

Dental Claims Resolutions Specialist CornerStone Staffing

Experience Design Specialist 5 Pinnacle Technical Resources

1st Shift - Warehouse Returns Specialist SMX, LLC

Pharmacy Clinical Specialist- Solid Organ Transplant Methodist Health System

Denial Appeals Specialist ProKatchers

Contract Specialist System Contracting - Legal Services CHRISTUS Health

Specialist,Clinical Informatics Oak Street Health

MEDICAL RECORDS CODER 2- PRN Methodist Health System

Medical Scribe Oak Street Health

Regional Organic Content Specialist Lennar Homes

AR Specialist - Medical Billing McEwen & Associates, Inc

Revenue Cycle Medical Billing Specialist Planned Parenthood of Greater Texas

Patient Service Specialist - Medical Front Office Baylor Scott & White Institute for Rehabilitation - Outpatient

Medical Office Specialist HCA Healthcare

Medical Records Specialist PRN HCA Healthcare

Medical Office Specialist - Keller TX HCA Healthcare

Medical Office Specialist - Denton TX HCA Healthcare

Clinical Review Auditor I CorVel Healthcare Corporation

Payment Integrity Associate - Itemized Bill Review Oscar Health

RN Quality Coordinator Physician Peer Review HCA Healthcare

CDI Specialist Exceptional Healthcare Inc.

QI Specialist I Integrated Resources, Inc

IT Support Specialist I TimelyCare

Provider Enrollment Specialist \ 1232 TalentBurst, Inc.

Auto Liability PD Claims Specialist Lonestar

Senior Consultant - Clinical Documentation Specialist Deloitte Touche Tohmatsu Ltd

Recruitment Specialist CHILDREN'S ADVOCACY CENTER FOR NORTH TEXAS

Auto Bodily Injury Claims Specialist Lonestar

Accounts Receivable Specialist (Temporary) TAG MedStaffing

Coding Specialist - Surgical Services - Hybrid Integrative Emergency Services

Coding Quality Specialist I - Coding CHRISTUS Health

Contracts Specialist MOREgroup

Provider Enrollment Specialist Sigma Inc

Senior Contract Specialist Medpace, Inc.

Credential Specialist II Exceptional Healthcare Inc.

Certified Medical Assistant (CMA) Texas Oncology

Breast Surgery Medical Assistant II-Grapevine, Tx Texas Oncology

Operations Specialists Company Confidential

Regional Clinical Pharmacy Specialist CompleteRx

Quality Assurance Specialist I LifeScience Logistics

Arbitration Specialist - Formal No Surprises Act HaloMD

Clinical Documentation Improvement (CDI) Specialist Exceptional Healthcare Inc.

Senior Patent Specialist, Patent Agent University Of Texas Southwestern Medical Cent (The)

Credentialing Specialist NorthStar Anesthesia

Care Coordinator Specialist Enlyte

Similar Job Searches