71 Results for

Medical Review Specialist Jobs in San Antonio, TX

Jobs

New!

San Antonio, TXToday

$69,920–$133,620 Per Year

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.

New!

San Antonio, TXToday

$69,920–$133,620 Per Year

Cibolo, TX8 days ago

Providing focused nursing care for patients with complex needs by administering medications, managing lines or drains, and assisting with interventions like cardiac monitoring or respiratory support . As a Licensed Practical Nurse/Licensed Vocational Nurse (LPN/LVN) at HCA Healthcare, you’ll play a key role in delivering safe, high-quality care that puts patients first.

San Antonio, TX30+ days ago

Under the supervision of the Business Office Director and Supervisor, this role ensures timely claim submission, reimbursement accuracy, payer compliance, and exceptional customer service while maintaining patient confidentiality and adhering to HIPAA regulations. The Billing & Collections Specialist is responsible for supporting the financial success of the facility through accurate billing, efficient collections, and effective revenue cycle management.

LIVE OAK, TX17 days ago

General 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.

San Antonio, TX30+ days ago

The vendor contracted Air National Guard (ANG) SLEP Program Manager is responsible for the logistical oversight and inventory management of the 27 Chemical, Biological, Radiological, Nuclear (CBRN) Response Enterprise to ensure precise SLEP/DMLSS statistics and effectively communicate all SLEP related updates to affected units, AFMED, and NGB/SGX. Specialized experience shall include supervision and overall operational responsibility for medical logistics functions to include general medical supply activities, ordering, receiving, customer support, inventory management, warehousing and operation of various materiel handling equipment, report development, analyzing log functions, and biomedical equipment maintenance functions.

San Antonio, Texas11 days ago

The seasoned professional for this job needs superior communication and computer skills including strong familiarization with the Joint Commission credentialing processes, Microsoft Outlook, Word and Excel are essential. For over a decade, MPOWERHealth has supported the independent musculoskeletal physician with best-in-class clinical services, back-office solutions, and advanced technology.

San Antonio, TX30+ days ago

The Medical Materiel Specialist I shall include, but are not limited to: • General warehousing tasks • Customer support • Requisition • Shipping • Receiving • Building medical kits • Inventory management • Quality Assurance (QA) • Cargo preparation and deployment • Medical controlled items stored in a secure location • Operation of various materials handling equipment • Utilizing updating DoD MMIS records. Essential Job Functions: Responsible for the logistical oversight and inventory management of the 27 Chemical, Biological, Radiological, Nuclear (CBRN) Response Enterprise to ensure precise SLEP/DMLSS statistics and effectively communicate all SLEP related updates to affected units, AFMED, and NGB/SGX.

San Antonio, TX17 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.

San Antonio, Texas30+ days ago

Minimum 10 years of Medical Logistics field experienceSpecialized experience shall include supervision and overall operational responsibility for medical logistics functions to include general medical supply activities, ordering, receiving, customer support, inventory management, warehousing and operation of various materiel handling equipment, report development, analyzing log functions, and biomedical equipment maintenance functions. Responsible for the logistical oversight and inventory management of the 27 Chemical, Biological, Radiological, Nuclear (CBRN) Response Enterprise to ensure precise SLEP/DMLSS statistics and effectively communicate all SLEP related updates to affected units, AFMED, and NGB/SGX.

San Antonio, TX30+ days ago

$19–$21
Contractor

Information collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal. Responsibilities include following up on claim denials across all assigned payers, resolving billing issues, and handling inquiries from patients and clinic staff.

Virtual, TX30+ days ago

Remote

$65–$75 Per Hour

You will be responsible for defining the Critical Success Factors (CSFs) and establishing a robust measurement framework—utilizing advanced telemetry and security-specific metrics—to quantify risk reduction and demonstrate the ROI of the global security program to executive leadership while maintaining alignment to greater organizational goals. Functional Delivery & Global OversightGICSO Pillar Management: Provide functional management and delivery oversight for one or more core Global Information Security Office (GICSO) pillars (e.g., PMO/MA&D, Strategy & Programs, GRC, Cyber Defense, IAM, or GRC).

New!

San Antonio, Texas5 days ago

$20–$30

Home Nursing & Therapy Services (HNTS) is here to address every aspect of our patients needs with compassionate care and reliable service 24/7.A major benefit of Home Nursing & Therapy (HNTS) is that our patients are able to receive personalize healthcare while still being in the privacy and comfort of their homes. Since 1982, we have been providing the highest quality home health services to individuals living in San Antonio, Texas and the surrounding areas.

New!

San Antonio, TXToday

Teamwork | Balances team and individual responsibilities; exhibits Compassion, objectivity and openness to others' views; gives and welcomes feedback; contributes to building a positive team spirit; supports everyone's efforts of Excellence; attends, supports, and participates in the organization's team building events. Responsiveness and Accountability | Demonstrates a high level of Excellence and holds oneself personally responsible for one's own work; complies with procedures and directives and understands the importance of maintaining and managing confidential information; recognizes and anticipates issues and provides a responsive resolution in a timely manner.

San Antonio, TX30+ days ago

They 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. Conduct thorough investigations and keep accurate and relevant documentation of file activity on each claim assigned including coverage, liability status, and damages that are applicable for each claim.

San Antonio, Texas30+ days ago

Remote

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. TheUS Oncology Network is supported by McKesson Corporation focused on empowering a vibrant and sustainable community patient care delivery system to advance the science, technology, and quality of care.

San Antonio, Texas30+ days ago

Remote

$24–$26 Per Hour

A healthcare organization is seeking experienced Medical Collections Specialists to support insurance follow-up and full-cycle claims resolution. This role focuses on working claims from start to finish, including research, denial resolution, rebilling, and appeals.

San Antonio, TX7 days ago

As trusted partners to leading aerospace and defense OEMs and Tier 1 suppliers, we connect professionals with career opportunities to grow and excel in aviation, aerospace, and defense. Analyze engineering, reliability, maintainability, supply chain, and operational data to develop aircraft maintenance instructions.

San Antonio, TX30+ days ago

Address 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.

San Antonio, TX30+ days ago

Education/Experience • Bachelor Degree from an accredited college or university in a related field preferred, and 1 years work related experience, preferably in a workforce development environment, or • Associate Degree from an accredited college and 3 years work related experience, preferably in a workforce development environment, or • High School Diploma or equivalent required and 5 years work related experience, preferably in a workforce development environment. Our guiding principle is clear: to navigate the complex landscape of workforce development, our passionate team members provide unparalleled customer service and actively support the communities where we live and work.

san antonio, TX30+ days ago

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. You will perform all duties required of basic technicians as required including filling of medication orders, safe compounding and labeling of parenteral admixtures including hazardous medications if competent.

San Antonio, TX30+ days ago

Ensures that self-pay accounts are handled in a customer service-oriented manner that accomplishes the goal of collecting monies due to clients, while at the same time preserving the positive image of TLRA that exists in the community. This involves performing collection activities related to follow-up and account resolution and includes communication with patients, clients, reimbursement vendors, and other external entities while adhering to all client, state, and federal guidelines.

New!

San Antonio, TXToday

Your responsibility will be to accept inbound calls from doctors, nurses, pharmacies, and other healthcare entities; obtain the necessary information, attempt to resolve the incident or escalate if necessary. Work well with people from different disciplines with varying degrees of technical experience while maintaining a positive attitude.

San Antonio, TX7 days ago

$127,624–$187,093 Per Year

Specialized Experience: One year of specialized experience which includes (1)Performing system resolutions for optimal performance; (2)Providing program oversight for all electronic health records systems aspects of laboratory modules such as General Laboratory, Blood Bank and Transfusion, Microbiology, Molecular Genetics, and/or Anatomic Pathology; (3)Collaborating with external laboratory systems for system consistency; AND (4) Training new team members to meet enterprise needs This definition of specialized experience is typical of work performed at the next lower grade/level position in the federal service (GS-13). Through a robust healthcare delivery system, and a dedicated team of inspired professionals, the Agency ensures the worldwide delivery of medical, dental, and pharmacy programs to more than 9.5 million uniformed service members, retirees, and their families, by improving health and building readiness.

San Antonio, TX30+ days ago

$91,000–$321,500 Per Year

Leading the substantive negotiation of complex commercial contracts; Reviewing and redlining detailed risk, legal, and commercial contract terms; Understanding of professional advisory/consulting service offerings, performance details, and related business strategies, including large-scale technology transformations, vendor selection and assessments, small to medium scale system implementations and AI roadmaps, and business integrator/change management projects; Exercising an entrepreneurial, problem-solving mentality and autonomy in managing contract negotiations; Explaining contract terms and positions in a collaborative manner to both internal stakeholders and external contract parties; Driving process improvement by analyzing current contracting approaches and processes and improving contracting efficiency and overall experience. Contract Specialists collaborate with R&I risk management and PwC business teams to (1) evaluate contract and related performance risks, (2) educate stakeholders and clients on contract provisions, (3) redline/negotiate contracts with clients procurement, legal and outside counsel, and (4) develop internal controls to establish and reinforce contract compliance.

New!

San Antonio, TXToday

In the event a recruiter or agency submits a resume or candidate without a previously assigned agreement and approved engagement request with Velocity Bioworks, Velocity Bioworks reserves the right to pursue and hire those candidate(s) without any financial obligation to the recruiter or agency. Additional responsibilities include the identification of deficiencies or gaps, developing solutions to ensure adequate and robust quality processes using root cause analysis, and optimizing workflows to comply with existing and new regulatory requirements.

New!

San Antonio, TXToday

$24–$28 Per Hour

Pro-Vac is a leading provider of hydro-excavation and storm/sewer maintenance services, supporting general contractors, facility owners, utility companies, municipalities, and government agencies. If you excel at billing procedures, regulatory compliance, and maintaining strong relationships with customers and colleagues while effectively resolving billing discrepancies, we invite you to apply today!

New!

San Antonio, TXToday

Job Summary: The Service Specialist/Advanced Specialist for PVA (Jiffy Lube) is a Lube Technician that performs the advanced maintenance services to ensure the safety of our customer's vehicles. Promote customer loyalty by ensuring completion of quality workmanship, reviewing services completed with guest, confirming guest satisfaction, and encouraging return at recommended intervals.

New!

San Antonio, TX4 days ago

Conduct 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.

San Antonio, TX30+ days ago

Assists with submission of appropriate documentation to insurances to facilitate claim processing including functions such as pulling of documents, faxing, scanning and mailing, communicating with health insurance providers and assisting with other processes in the billing cycle. Over the years, we've grown tremendously in size, scope and capability, building a home in new markets over time, and curating those homes to provide a compassionate environment for those entrusting us with their care.

San Antonio, TX8 days ago

$75,776–$98,514 Per Year

Examples of IT-related experience demonstrating this competency include: identifying and solving problems by gathering and applying information from a variety of materials or sources that provide several alternatives; recognizing and taking action to address non-routine problems; soliciting feedback from multiple stakeholders to understand an issue or problem and accurately assess its root causes and potential solutions; seeking supervisory review where appropriate. Examples of IT-related experience demonstrating this competency include: resolving simple and routine problems, questions, or complaints and providing support and guidance to customers on non-routine issues; serving as a primary resource for customers, requesting assistance with complex issues when necessary; and participating in meetings and providing advice to customers in own area of expertise.

San Antonio, TX8 days ago

$108,001–$158,322 Per Year

Specialized Experience: One year of specialized experience which includes monitoring healthcare network trends to recommend improvements, developing metrics to measure network adequacy to ensure policy compliance, and analyzing program workload data to resolve healthcare issues. For each relevant work experience, make sure you include the employers name, job title, start and end dates (include month and year), for qualifications purposes, the number of hours worked per week, and a brief description that show you can perform the tasks at the required level listed in the job announcement.

New!

San Antonio, Texas5 days ago

Track and process invoices for all Allied Universal services, reconcile final bills, and work orders as well as track all in My Facility as needed for accuracy and payment; ensure the portfolio completes weekly invoice submittal for all client requested services and ensure the correct client identified work order is charged. Pull PDF Invoices and Invoice details In Excel for customer numbers; make necessary reformatting and client-requested changes and ensure batch Is sent off to client each week.

San Antonio, TX18 days ago

San Antonio, TX30 days ago

Vensure Employer Solutions is the largest privately held organization in the HR technology and service sector, providing a comprehensive portfolio of solutions, including HR/HCM technology, managed services, and global business process outsourcing (BPO). Other Benefits: Life insurance, short term disability, long term disability, employee assistance program (EAP), flexible spending account (FSA), health savings account (HSA), Identity theft protection, critical illness, accident, cancer, hospital protection, legal and pet insurance.

San Antonio, TX30+ days ago

Education, Experience, and Licensure: • Associate degree or equivalent from a two-year college or technical school; or six months to one year experience in a medical office, hospital, outpatient surgery center, or related field; • Computer experience, Excel, Word, Medical Applications; • Self-starter, Good Phone etiquette. They calculate estimated patient financial responsibility, document verification details in the patient accounting system, and complete a Pre-Registration Financial Orientation call to confirm patient information and review expected costs before the date of service.

New!

San Antonio, TX3 days ago

Full-time

Requesting Information About the AEDT - NYC Local Law 144: Candidates who reside in New York City and are subject to NYC Local Law 144 may request information about the AEDT, including details on the type of data collected, the sources of such data, and our data retention policies. May participate in any variety of meetings and work groups to integrate activities, communicate issues, obtain approvals, resolve inquiries and issues, and maintain a specified level of knowledge about new developments, requirements, policies, and regulatory guidelines.

San Antonio, TX30+ days ago

Full-time

Administrative and Operational Support - 20% Provide administrative support including scheduling and preparing for meetings, auditing expense reports, preparing presentations, maintaining documentation, and supporting day‑to‑day sales operations. Applicants who have disabilities may request that accommodations be made in order to complete the selection process by contacting our Talent Acquisition team at talentacquisition@vericast.com .

New!

San Antonio, TXToday

The Communications Specialist will: Serve as the primary content creator for a wide range of program materials, including developing and maintaining official guides, process documentation, and business operating procedures, as well as assisting MTFs and program leadership in the creation of clear and concise presentations, briefings, and media articles. Act as the final quality control checkpoint for all external program communications, to include editing, reviewing, and proofreading all guidance and educational materials (such as brochures, fliers, and official letters) to ensure accuracy, clarity, and completeness as well as verify the proper marking of sensitive information IAW classification guidelines.

New!

San Antonio, TXToday

$45–$50 Per Hour

The HR Consultant will be responsible for daily administration, compliance and governance of the Germany and the United Kingdom pension programs under the Overseas Military Banking Program (OMBP), while also supporting additional human resources functions and initiatives. This role ensures accurate pension plan management, will answer pension/retirement related inquiries via email/phone calls, and partners with internal and external stakeholders and vendors to maintain compliance with regulatory requirements.

san antonio, TX30+ days ago

Specialized experience shall include: general supply activities, ordering, receiving, quality assurance management, trend analysis, quality assurance data management, customer support, inventory management, assemblage management, warehousing, and operation of various materials handling equipment. Supports the development and definition efforts of major and minor characteristics of quality including quality metrics and scoring parameters and determines requisite QC resources for an actual effort.

New!

San Antonio, TXToday

Schedule Full timeJob Type PermanentIndustry Health medical and relatedHighlightsHigh school diploma or equivalentMinimum of one year of healthcare professional billing experiencePrevious experience with Claim Submission RequirementsJob DescriptionReports to: Revenue Cycle DirectorFLSA Status: Exempt/Full TimeLocation: In-person at our corporate office is required for individuals who are located in San Antonio or surrounding areas, remote will be considered if not located in San Antonio. In order to be eligible for remote candidates must live in one of the following states: Texas, Georgia, Florida, Louisiana, Tennessee, Mississippi or Alabama.

San Antonio, Texas11 days ago

Remote

This position supports Defense Health Agency (DHA) Headquarters and Military Treatment Facilities (MTFs) by improving facility management processes, maintaining data integrity, supporting project planning activities, and ensuring effective deployment and sustainment of facility management systems. This includes managing a potentially large volume of inbound work order calls in a timely manner, identifying and clarifying the needs of the customer, and building a sustainable relationship between the DHA Customers and the MTFs.

San Antonio, TX19 days ago

As a Child Life Specialist, you will plan and provide therapeutic activities and appropriate psychosocial/developmental care for pediatric and adolescent patients and families, to assist them in effectively coping with stress and anxiety of health care experiences, and in cooperation with other members of the health care team, integrate therapeutic intervention with overall care and treatment of patients. The hospital has built a strong reputation for its outstanding pediatric services in many specialty areas including pediatric heart surgery, pulmonology, orthopedics, neurosurgery, newborn and pediatric intensive care, oncology and emergency services.

San Antonio, TX18 days ago

In addition, Methodist Hospital not only received a Primary Stroke Center designation from The Joint Commission, but has also received a Comprehensive Stroke Center Certification from DNV GL Healthcare, designating the facility as offering the most advanced stroke treatment available in a given geographic area. 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.

San Antonio, TX30+ days ago

This role is responsible for performing cycle counts, maintaining inventory systems, conducting audits, and ensuring products are properly replenished and organized throughout the warehouse. As an importer and distributor of fine wines and craft spirits based in Texas, we represent a high-quality, diversified collection of wines and spirits from around the world, many of which are family-owned and operated.

San Antonio, TX7 days ago

New!

San Antonio, TX4 days ago

Part-time

Balances checkbook, initiates bank transfers, reconciles daily deposits, P&L, cash flow and bank statements and provides detailed and accurate information to appropriate divisions upon request. Looks for opportunities to save money on monthly expenses and reports to COO and practice managers, with the exception of utilities, phones or computers.

San Antonio, TX30+ days ago

Part-time

Manages work queues for assigned providers; follows up with third-party payers on unpaid or denied claims via portals, phone, chat, email, and appeals as necessary. Reviews and completes work log tasks in the system by working through claim edits, denials, and aging tasks; turns in daily productivity reports as required.

San Antonio, TX8 days ago

In addition to transplant care, Methodist Hospital Specialty and Transplant is a full service hospital with over 260 beds that provides specialized services for liver cancer care, emergency care, weight loss surgery, urology surgery, vascular surgery, inpatient rehabilitation, colorectal surgery and behavioral health care. According to the United Network of Organ Sharing database, the center reached a major milestone in 2019 by performing 231 living donor kidney transplants in a single year setting a new national record - that’s 65 more transplants than the second center on the list.

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Medical Review Specialist Jobs in San Antonio, TX

Property Adjuster Specialist - Field USAA

Property Adjuster Specialist - Desk USAA

Licensed Vocational Nurse Medical Surgical Methodist Hospital Metropolitan

Medical Billing and collections specialist Peyton Resource Group

Medical Billing and Claims Specialist PEDIATRIC CARDIOLOGY CONSULTANTS OF SOUTH TEXAS

Medical Materiel/Logistics Management Specialist III Trinity Global Consulting

Medical Staff Credentialing Specialist (MSO) MPOWERHealth

Medical Materiel Specialist I Goldbelt Incorporated

Medical Office Specialist HCA Healthcare

Medical Materiel Specialist III Goldbelt, Inc.

Insurance AR Specialist Jobot

Sr Prin Cybersecurity Specialist Talent Software Services, Inc.

Billing Specialist Home Nursing & Therapy Services

Administrative Specialist I (Section 8) Opportunity Home San Antonio

Casualty Claims Specialist First Chicago Insurance Company (FCIC)

Insurance Authorization Specialist Texas Oncology

Medical Collector Addison Group

Support Engineering Data Specialist 3 The Structures Company, LLC

Revenue Cycle Specialist (Hospital Billing, On-Site) UT Health San Antonio School of Dentistry

Fiscal Support Specialist C2 Global Professional Services LLC

Pharmacy Technician Specialist Methodist Healthcare System

Patient Account Specialist Senior - Business Office CHRISTUS Health

Customer Support Specialist Millenniumsoft

HEALTH SYSTEM SPECIALIST (LABORATORY INFORMATICS) U.S. Department of Defense

Risk & Independence Contract Specialist Senior Manager - Advisory Consulting Services PricewaterhouseCoopers LLP

Quality Management Systems Specialist III Velocity Bioworks

Billing Specialist Pro-Vac

PT Advanced Specialist/ MultiCare Master Technician - 626 Premium Velocity Auto LLC

Litigation Specialist First Chicago Insurance Company (FCIC)

Medical Biller Collector Full Time Days HealthLink HealthLink (Fitness Center)

IT SPECIALIST (SYSANALYSIS) U.S. Department of Defense

Health System Specialist U.S. Department of Defense

Billing/Invoicing Specialist Allied Universal

Pharmacy Technician Specialist HCA Healthcare

Payroll Specialist - TX - On site Vensure Employer Solutions

Insurance Authorization Specialist Urology San Antonio

Resident Services Specialist FirstService Residential

Sales Support Specialist Vericast Corporate Services

Communications Specialist Apogee Solutions

Benefits Specialist (PENSION) - Hybrid Role - Locals Only Zillion Technologies

Quality Specialist Goldbelt Incorporated

Revenue Cycle Specialist Lead Pho Prime, LLC

AOR DMLSS Fac Ops Specialist Na Ali'i Consulting & Sales, LLC.

Child Life Specialist Hem Onc HCA Healthcare

Clinical Pharmacist Specialist Heart Transplant HCA Healthcare

Inventory Control Specialist (Day and Night Shifts Available) Johnson Brothers

Support Engineering Data Specialist 3 The Structures Company

Accounting & Payroll Specialist Synergy Healthcare Associates

Revenue Cycle Specialist Synergy Healthcare Associates

Clinical Pharmacist Specialist Transplant HCA Healthcare

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