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specialist, quality assurance

resolution assurance specialist

Vizient, Inc.

<div><div><div><div><div>When you&rsquo;re the best, we&rsquo;re the best. We instill an environment where employees feel engaged, satisfied and able to contribute their unique skills and talents while living and working as their authentic selves. We provide extensive opportunities for personal and professional development, building both employee competence and organizational capability to fuel exceptional performance through an inclusive environment both now and in the future.
Summary: 
In this role, you will support healthcare clients by identifying and resolving accounts payable exceptions to ensure accurate and timely invoice processing. You will review discrepancies, collaborate with vendors and internal teams, and apply contract knowledge to resolve pricing and invoice issues. You will contribute to process improvements, maintain accurate documentation, and deliver high-quality service aligned with client expectations and service level agreements.
Responsibilities:<ul><li>
Review invoice discrepancies and determine appropriate resolution actions.</li><li>
Approve or route discrepancies to appropriate parties to support on-time payment.</li><li>
Escalate issues when parties are unresponsive or resolution is delayed.</li><li>
Investigate and resolve price discrepancies, including non-contract line items.</li><li>
Process requisitions as needed to support procurement workflows.</li><li>
Analyze vendor performance and identify barriers to efficient resolution.</li><li>
Recommend and participate in process improvement initiatives.</li><li>
Review contracts to validate correct pricing and system accuracy.</li><li>
Dispute pricing mismatches and coordinate credit or rebill activities with vendors and accounts payable teams.</li><li>
Document and update discrepancy details using procurement systems and tools.</li></ul>
Qualifications:<ul><li>
Relevant degree preferred.</li><li>
2 or more years of relevant experience required.</li><li>
Strong analytical and problem-solving skills.</li><li>
Knowledge of accounts payable and procurement processes preferred.</li><li>
Ability to interpret contracts and apply pricing terms accurately.</li><li>
Effective written and verbal communication skills.</li><li>
Detail-oriented with strong organizational abilities.</li><li>
Experience with procurement or financial systems preferred.</li><li>
Ability to manage multiple priorities and meet deadlines.</li><li>
Willingness to travel.</li></ul>
Estimated Hiring Range:
At Vizient, we consider skills, experience, and organizational needs in our compensation approach. Geographic factors may adjust the range estimate and hires typically fall below the top range. Compensation decisions are tailored to individual circumstances. The current salary range for this role is $39,100.00 to $66,500.00.
This position is also incentive eligible.
Vizient has a comprehensive benefits plan! Please view our benefits here:
http://www.vizientinc.com/about-us/careers
Equal Opportunity Employer: Females/Minorities/Veterans/Individuals with Disabilities
The Company is committed to equal employment opportunity to all employees and applicants without regard to race, religion, color, gender identity, ethnicity, age, national origin, sexual orientation, disability status, veteran status or any other category protected by applicable law.</div></div></div></div></div>

Resolution Assurance Specialist

Citi

<div><div><h2 class="jobSectionHeader">Job Requisition: Senior Incident Optimization Specialist - Enterprise Infrastructure</h2><h2 class="jobSectionHeader">
Position Information</h2><ul><li>
Job Title: Senior Incident Optimization Specialist - Enterprise Infrastructure</li><li>
Job Level: C-13</li><li>
Department: Foundational Services - Production Operations</li><li>
Location: Irving, TX</li></ul><h2 class="jobSectionHeader">
Position Summary</h2>
The Senior Incident Optimization Specialist serves as a critical bridge between the Technology Incident Optimization Program and the core Compute, Virtualization, Cloud Services, and Storage technology domains. This role demands deep technical expertise combined with strategic thinking to drive tactical incident reduction while architecting the future state of intelligent event management and automation.
You will be responsible for building automated incident remediation workflows and achieving measurable incident reduction within your domain through event optimization, correlation, and automation while ensuring comprehensive observability is maintained and enhanced. This position offers the unique opportunity to shape the future of enterprise event management.<h2 class="jobSectionHeader">
Key Responsibilities</h2><ul><li>
Incident &amp; Alert Analysis: Conduct comprehensive analysis of alert and incident patterns to identify top sources of operational noise, determine root causes, and develop data-driven strategies for reduction.</li><li>
Intelligent Event Management: Design, implement, and optimize rules for event correlation, de-duplication, and suppression on AIOps and event management platforms. Develop domain-specific correlation logic leveraging configuration management data and infrastructure topology.</li><li>
Automation &amp; Self-Healing: Architect and develop automation playbooks for incident data enrichment and create self-healing capabilities for common and recurring infrastructure incident scenarios.</li><li>
Observability Enhancement: Assess the current observability footprint across all infrastructure domains to identify gaps and propose enhancements that align with enterprise event management standards.</li><li>
Cross-Functional Collaboration: Partner closely with infrastructure operations, engineering, and platform teams to understand incident drivers, validate correlation logic, and provide expert guidance on event management best practices.</li><li>
Quality Assurance: Continuously validate the effectiveness of implemented rules and automation to ensure no business-impacting alerts are missed. Monitor and report on alert quality metrics and lead iterative improvements.</li></ul><h2 class="jobSectionHeader">
Required Qualifications</h2><ul><li>
Education: Bachelor's degree in Computer Science, Information Technology, Computer Engineering, or a related technical field.</li><li>
Experience: A minimum of 8+ years of hands-on experience in IT operations, infrastructure engineering, or system architecture within large-scale enterprise environments.</li><li>
Event Management &amp; Incident Reduction: Proven experience and demonstrated success in leading event management and incident reduction initiatives with quantifiable results. Direct, hands-on experience with modern AIOps and event management platforms is required.</li><li>
Technical Expertise:<ul><li>
Deep understanding of enterprise infrastructure including virtualization architectures, container orchestration, microservices, and various storage architectures (block, file, object).</li><li>
Expertise with a broad range of domain-specific monitoring tools for compute, virtualization, storage, and cloud platforms.</li></ul></li><li>
Automation &amp; Orchestration: Hands-on experience developing robust automation solutions using scripting languages and modern automation frameworks.</li><li>
Data Analysis: Proficiency in log analysis, pattern recognition, and using query languages for data analysis on log aggregation platforms.</li><li>
Problem-Solving &amp; Analytical Skills: Excellent analytical abilities with a systematic approach to troubleshooting complex issues and a holistic view of technology systems.</li><li>
Communication &amp; Leadership: Exceptional communication skills with the ability to influence and collaborate effectively across diverse, cross-functional teams and present technical concepts to various audiences.</li></ul><h2 class="jobSectionHeader">
Preferred Qualifications</h2><ul><li>
An advanced degree (Master's) in a relevant technical field.</li><li>
Relevant industry certifications (e.g., Cloud, Virtualization, Automation, ITIL).</li><li>
Experience with AIOps, machine learning for IT operations, and Site Reliability Engineering (SRE) practices.</li><li>
Knowledge of ITSM platforms, CMDB management, and infrastructure-as-code (IaC) principles.</li><li>
Familiarity with financial services regulatory requirements.</li></ul></div>
-
Job Family Group:
Technology
-
Job Family:
Infrastructure
-
Time Type:
Full time
-
Primary Location:
Irving Texas United States
-
Primary Location Full Time Salary Range:
$125,760.00 - $188,640.00 
In addition to salary, Citi&rsquo;s offerings may also include, for eligible employees, discretionary and formulaic incentive and retention awards. Citi offers competitive employee benefits, including: medical, dental &amp; vision coverage; 401(k); life, accident, and disability insurance; and wellness programs. Citi also offers paid time off packages, including planned time off (vacation), unplanned time off (sick leave), and paid holidays. For additional information regarding Citi employee benefits, please visit citibenefits.com. Available offerings may vary by jurisdiction, job level, and date of hire.
-
Most Relevant Skills
Please see the requirements listed above.
-
Other Relevant Skills
For complementary skills, please see above and/or contact the recruiter.
-
Anticipated Posting Close Date:
Mar 26, 2026
-
Citi is an equal opportunity employer, and qualified candidates will receive consideration without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other characteristic protected by law. 
If you are a person with a disability and need a reasonable accommodation to use our search tools and/or apply for a career opportunity review Accessibility at Citi. 
 
View Citi&rsquo;s EEO Policy Statement and the Know Your Rights poster.</div>

Senior Incident Optimization Specialist - Enterprise Infrastructure VP

Abbott

<div>Abbott is a global healthcare leader that helps people live more fully at all stages of life. Our portfolio of life-changing technologies spans the spectrum of healthcare, with leading businesses and products in diagnostics, medical devices, nutritionals and branded generic medicines. Our 115,000 colleagues serve people in more than 160 countries.
Working at Abbott
<div><div>At Abbott, you can do work that matters, grow, and learn, care for yourself and your family, be your true self, and live a full life. You&rsquo;ll also have access to:<ul><li>
Career development with an international company where you can grow the career you dream of.</li><li>
Employees can qualify for free medical coverage in our Health Investment Plan (HIP) PPO medical plan in the next calendar year.</li><li>
An excellent retirement savings plan with a high employer contribution. &middot; Tuition reimbursement, the Freedom 2 Save student debt program, and FreeU education benefit - an affordable and convenient path to getting a bachelor&rsquo;s degree.</li><li>
A company recognized as a great place to work in dozens of countries worldwide and named one of the most admired companies in the world by Fortune.</li><li>
A company that is recognized as one of the best big companies to work for as well as the best place to work for diversity, working mothers, female executives, and scientists.</li></ul>
The Opportunity
Our diagnostic solutions are used in hospitals, laboratories, and clinics around the globe. The crucial information derived from our tests, instruments, and informatics systems is often the first step in patient care decision-making for hundreds of health conditions from heart attacks to blood disorders to infectious diseases and cancers.
Our Core Lab team is looking for a Specialist, Quality Assurance out of our Irving, TX office. They are responsible for administrative and tactical activities that support the effective operation of the Quality Assurance function and overall Quality System. This role within the Operations Quality organization ensures the accurate execution of documentation, system transactions, containment activities, and product review and approval processes, contributing to efficient operations and the delivery of high‑quality products.</div><div>
Responsibilities
<ul><li>Responsible for implementing and maintaining the effectiveness of the Quality System.</li><li>
Participate in Quality System processes which may include training, corrective action and preventive action (CAPA) activities, equipment maintenance, product and process planning, quality audits, validation.</li><li>
Assist in determining quality attributes and requirements. may provide technical assistance.</li><li>
Utilize quality management techniques to perform investigations and facilitate solutions.</li><li>
Responsible for completing documentation in a timely manner and in accordance with business standards.</li><li>
Participate on cross-functional teams.</li><li>
Other tasks and duties as assigned.</li><li>
Understand and comply with applicable EHS policies, procedures and guidelines.</li><li>
Works under the supervision of more experienced staff who review results for overall accuracy, completeness and sound judgment.</li><li>
Recognizes risks versus the relative gains associated with actions; understands a project's critical success factors and makes recommendations and decisions impacting those factors.</li><li>
Responsible to meet established objectives and goals.</li><li>
Drives functional performance to ensure that cross-functional standards and expectations are met.</li><li>
May assist in the training of personnel as directed by management.</li></ul>
Education and Experience
<ul><li>Bachelor's Degree OR equivalent combination of education and experience.</li><li>
Entry level position in which 0-2 years of experience is typical to meet the skills and responsibilities of the position.
</li><li>Knowledge of FDA Quality System Requirements and other applicable US Code of Federal Regulations for Devices.</li><li>
Knowledge of ISO 13485 standard.</li><li>
Knowledge of quality management techniques and application.</li><li>
Ability to clearly, concisely and accurately convey communications.</li><li>
Ability to form and develop interpersonal, professional relationships.</li><li>
Display socially and professionally appropriate behavior.</li><li>
Ability to work independently and in groups.</li><li>
Ability to work cross-functionally.</li><li>
Demonstrated initiative and problem-solving skills.</li><li>
Critical-thinking skills.</li><li>
Ability or aptitude to use various types of databases and other computer software.</li><li>
Strong organizational skills.</li><li>
Ability to prioritize.</li><li>
Ability to multitask.</li><li>
Ability or aptitude to provide solutions and contingency plans through the comprehensive review of alternatives.</li><li>
Ability to quickly gain knowledge, understanding or skills and is willing to learn.</li></ul>
Apply Now
Learn more about our health and wellness benefits, which provide the security to help you and your family live full lives: https://abbottbenefits.com/
Follow your career aspirations to Abbott for diverse opportunities with a company that can help you build your future and live your best life. Abbott is an Equal Opportunity Employer, committed to employee diversity.
Connect with us at abbott.com, on LinkedIn at https://www.linkedin.com/company/abbott-/, and on Facebook at https://www.facebook.com/AbbottCareers.</div></div> 
The base pay for this position is $50,700.00 &ndash; $101,300.00. In specific locations, the pay range may vary from the range posted.</div>

Specialist, Quality Assurance

Teltonika IoT Group

<div>Teltonika IoT Solutions USA is a representative branch of Teltonika IoT Group, which has been creating and manufacturing Internet of things (IoT) for over 20 years. From connected vehicles to networking, we seek our solutions to be used globally and become an indispensable part of any business. By setting new trends we inspire our partners to change the world and use the most advanced technologies in the market.
We are constantly growing and looking for an organized IoT Solutions Engineering Specialist to join our team in Dallas, TX.
In this role, you will:<ul><li>
Work with various Teltonika Telematics manufactured GNSS tracking devices that embed technologies such as Bluetooth, CANbus, RS232/RS485 and 1-Wire</li><li>
Propose different ways on how to incorporate our devices for various use cases</li><li>
Be responsible for arranging technical tasks for custom development projects and coordinating solution release to clients</li><li>
Troubleshoot, provide assistance, and consult clients via a dedicated ticketing system or online meetings/chats if they are needed</li><li>
Communicate with global international corporations that provide car sharing, rental, fleet management solutions and various other companies from different vehicle telematics fields</li><li>
Cooperate with RnD, quality assurance and project management teams to ensure the maintenance of the projects and that solutions reach the clients on time</li><li>
Have an opportunity to go on business trips to visit clients and help them directly implement Teltonika devices into their business use-cases</li><li>
Guide colleagues and customers by preparing wiki documentation or training</li></ul> 
Requirements 
<ul><li>
Telecommunications, electronics, informatics, engineering education or previous work experience in technical or engineering fields</li><li>
Passion for providing help to others, caring, willing to grow and enrich your technological know-how</li><li>
Great communication skills, are capable of fluently speaking and writing in English (proficiency in other languages will be considered as an advantage)</li><li>
Analytical and creative thinking and mindset for problem-solving and troubleshooting</li><li>
Understanding or basic knowledge of telecommunication technologies (2G, GPRS, 3G, 4G), CANbus, BLE</li><li>
Knowledge or work experience working with ticketing-based platforms (Jira, GitLab, OpenProject, ServiceDesk) (this will be considered as an advantage)</li><li>
Experience in customer service (this will be considered as an advantage)</li></ul> 

Benefits 
<ul><li>
Hybrid work model based out of our Irving, Texas office.</li><li>
Great opportunities to grow in a strong and rapidly expanding IoT company.</li><li>
Structured onboarding and training on Teltonika&rsquo;s internal systems, sales processes, and product-related topics, with continuous feedback and development support.</li><li>
Long-term career growth opportunities, including increased seniority or progression into Team Lead roles.</li><li>
Three weeks of paid vacation.</li><li>
Six sick days plus an extra day off on your birthday.</li><li>
Multicultural and diverse work environment that values knowledge sharing, collaboration, and a positive team culture.</li><li>
Internal knowledge-sharing sessions to support continuous professional growth.</li><li>
Team-building activities that foster trust, engagement, and collaboration.</li><li>
Standard working hours.</li></ul>
Salary:
We appreciate everyone&rsquo;s efforts and experience, so we offer an attractive compensation package aligned with your skills, experience, and professional expertise, including incentives and referral bonuses.</div>

IoT Solutions Engineer

<div><h2 class="jobSectionHeader">Position Summary</h2>
The Senior Incident Operations &amp; Optimization Specialist for Data &amp; Middleware is a specialized technical leadership role requiring deep expertise in database technologies, messaging platforms, and application middleware. This position is essential to the Incident Reduction Program, as database and middleware systems generate significant operational incidents while serving as critical infrastructure for enterprise applications.
You will be responsible for building automated incident remediation workflows and achieving measurable incident reduction through intelligent correlation, threshold optimization, and automation while ensuring the health and performance of business-critical data and middleware platforms remain visible and protected. This role offers the opportunity to modernize observability and event management for the data layer and integration tier of enterprise architecture.<h2 class="jobSectionHeader">
Key Responsibilities</h2><ul><li>
Incident &amp; Alert Analysis: Analyze and optimize monitoring across all database and middleware platforms to address high-volume, low-value alerts, identify patterns in incident generation, and determine root causes.</li><li>
Intelligent Event Management: Develop and implement domain-specific correlation, de-duplication, and suppression rules on AIOps and event management platforms. Create logic that understands database cluster relationships, messaging dependencies, and application-to-database connections.</li><li>
Automation &amp; Self-Healing: Architect and develop automation playbooks for incident data enrichment and automated remediation of common database and middleware issues, such as connection pool resets or service restarts.</li><li>
Observability Enhancement: Identify monitoring gaps across the data and middleware landscape, proposing enhancements to ensure comprehensive health monitoring and address blind spots in transactional flows.</li><li>
Cross-Functional Collaboration: Partner closely with Database Administration (DBA), middleware engineering, and application teams to validate correlation logic, build consensus on threshold changes, and provide expert guidance on event management best practices.</li><li>
Quality Assurance: Continuously validate the effectiveness of implemented rules and automation, ensuring critical health indicators remain highly visible. Lead post-implementation reviews and drive iterative improvements.</li></ul><h2 class="jobSectionHeader">
Required Qualifications</h2><ul><li>
Experience: A minimum of 8+ years of hands-on experience in database administration, middleware engineering, or enterprise data platform operations.</li><li>
Event Management &amp; Incident Reduction: Proven experience in event management, alert tuning, and incident reduction for data and middleware services, with measurable results. Direct, hands-on experience with modern AIOps and event management platforms is required.</li><li>
Technical Expertise:<ul><li>
Deep knowledge of both relational (e.g., Oracle, SQL Server) and NoSQL (e.g., MongoDB) database technologies, including clustering, replication, and performance tuning.</li><li>
Expertise in middleware platforms, including messaging technologies (e.g., MQ, Kafka) and application servers (e.g., WebSphere, Tomcat).</li></ul></li></ul><ul><li>
Automation &amp; Scripting: Hands-on experience developing robust automation solutions using relevant scripting languages (e.g., Python, Shell) and modern automation frameworks.</li><li>
Data Analysis: Proficiency in log analysis, pattern recognition, and using query languages for data analysis on log aggregation platforms.</li><li>
Problem-Solving &amp; Analytical Skills: Excellent analytical abilities with a systematic approach to troubleshooting complex data platform architectures and correlating infrastructure issues with application impact.</li><li>
Communication &amp; Leadership: Exceptional communication skills with the ability to collaborate effectively with DBAs, middleware engineers, and application teams, and to present technical concepts to diverse audiences.</li></ul><h2 class="jobSectionHeader">
Preferred Qualifications</h2><ul><li>
An advanced degree (Master's) in a relevant technical field.</li><li>
Relevant industry certifications (e.g., Database, Middleware, Cloud, Automation, ITIL).</li><li>
Experience with Database as a Service (DBaaS) platforms and other database technologies.</li><li>
Knowledge of data governance, security, and compliance requirements in a regulated environment.</li><li>
Background in large-scale financial services environments.</li><li>
Experience with modern observability platforms, distributed tracing, and infrastructure-as-code (IaC) principles.</li></ul>
Education<ul><li>
 Bachelor's degree in Computer Science, Information Technology, Computer Engineering, or a related technical field.</li></ul>
-
Job Family Group:
Technology
-
Job Family:
Infrastructure
-
Time Type:
Full time
-
Primary Location:
Irving Texas United States
-
Primary Location Full Time Salary Range:
$125,760.00 - $188,640.00 
In addition to salary, Citi&rsquo;s offerings may also include, for eligible employees, discretionary and formulaic incentive and retention awards. Citi offers competitive employee benefits, including: medical, dental &amp; vision coverage; 401(k); life, accident, and disability insurance; and wellness programs. Citi also offers paid time off packages, including planned time off (vacation), unplanned time off (sick leave), and paid holidays. For additional information regarding Citi employee benefits, please visit citibenefits.com. Available offerings may vary by jurisdiction, job level, and date of hire.
-
Most Relevant Skills
Please see the requirements listed above.
-
Other Relevant Skills
For complementary skills, please see above and/or contact the recruiter.
-
Anticipated Posting Close Date:
Mar 26, 2026
-
Citi is an equal opportunity employer, and qualified candidates will receive consideration without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other characteristic protected by law. 
If you are a person with a disability and need a reasonable accommodation to use our search tools and/or apply for a career opportunity review Accessibility at Citi. 
 
View Citi&rsquo;s EEO Policy Statement and the Know Your Rights poster.</div>

Senior Incident Optimization Specialist - Data & Middleware VP

CHRISTUS Health

<div>Description 
Summary:
The associate is responsible for the duties and services that are of a support nature to the Revenue Cycle division of CHRISTUS Health. The associate ensures that all processes are performed in a timely and efficient manner. The primary purpose of this Job is to ensure account resolution and reconciliation of outstanding balances for CHRISTUS Health patient accounts. The Job works in a cooperative team environment to provide value to internal and external customers.
 
The associate carries out his/her duties by adhering to the highest standards of ethical and moral conduct, acts in the best interest of CHRISTUS Health, and fully supports CHRISTUS Health's Mission, Philosophy, and core values of Dignity, Integrity, Compassion, Excellence, and Stewardship.
Responsibilities: 
<ul><li>Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
</li><li>Performs Revenue Cycle functions in a manner that meets or exceeds CHRISTUS Health's key performance metrics.
</li><li>Ensures PFS departmental quality and productivity standards are met.
</li><li>Collects and provides patient and payor information to facilitate account resolution.
</li><li>Responds to all types of account inquiries through written, verbal, or electronic correspondence.
</li><li>Maintains payor-specific knowledge of insurance and self-pay billing and follow-up guidelines and regulations for third-party payers. Maintains working knowledge of all functions within the Revenue Cycle.
</li><li>Responsible for professional and effective written and verbal communication with both internal and external customers in order to resolve outstanding questions for account resolution.
</li><li>Meets or exceeds customer expectations and requirements, and gains customer trust and respect.
</li><li>Compliant with all CHRISTUS Health, payer, and government regulations.
</li><li>Exhibits a strong working knowledge of CPT, HCPCS, and ICD-10 coding regulations and guidelines.
</li><li>Appropriately documents patient accounting host system or other systems utilized by PFS in accordance with policy and procedures.
</li><li>Provide continuous updates and information to the PFS Leadership Team regarding errors, issues, and trends related to activities affecting productivity, reimbursement, payment delays, and/or patient experience.
</li><li>Must have professional and effective written and verbal communication.
</li></ul><ul><li>Billing
</li><li>Review and work on claim edits.
</li><li>Works payor rejected claims for resubmission.
</li><li>Works reports and billing requests.
</li><li>Demonstrates strong knowledge of standard bill forms and filing requirements.
</li><li>Exhibits and understanding of electronic claims editing and submission capabilities.
</li></ul><ul><li>Collections
</li><li>Collect balances due from payors ensuring proper reimbursement for all services.
</li><li>Identifies and forwards proper account denial information to the designated departmental liaison. Dedicated efforts to ensure a proper denial resolution and timely turnaround.
</li><li>Maintain an active knowledge of all collection requirements by payors.
</li><li>Works collector queue daily utilizing appropriate collection system and reports.
</li><li>Demonstrates knowledge of standard bill forms and filing requirements.
</li><li>Identify and resolve underpayments with the appropriate follow-up activities within payor timely guidelines.
</li><li>Identify and resolve credit balances with the appropriate follow-up activities within payor timely guidelines.
</li><li>Identify and communicate trends impacting account resolution.
</li></ul><ul><li>Cash Reconciliation
</li><li>Ensures all payments are retrieved and posted accurately and timely through reconciliation of patient accounting system and bank statement.
</li><li>Researches submitted cash payments by verifying patient account numbers and appropriate facilities.
</li><li>Monitor and performs cash reconciliation to identify cash posting errors and ensures all receipts are applied and reconciles to daily bank deposit and monthly bank statements.
</li><li>Review and post cash corrections, including resolving patient complaints and inquiries from PFS, Finance, Facilities, and Vendor Partners.
</li><li>Resolve and Research unapplied cash, including continuous follow-up until payment identification is made for application of payment or refund.</li></ul>
Job Requirements: 
Education/Skills
<ul><li>HS Diploma or equivalent years of experience required.
</li><li>Post HS education preferred.
</li></ul>Experience
<ul><li>3-5 years of experience preferred.
</li><li>Experience working within a multi-facility hospital business office environment preferred.
</li><li>College education, previous Insurance Company claims experience and/or health care billing trade school education may be considered in lieu of formal hospital experience.
</li><li>Experience working with inpatient and outpatient billing requirements of UB-04 and HCFA 1500 billing forms preferred.
</li></ul>Licenses, Registrations, or Certifications
<ul><li>None required.</li></ul> 

Work Schedule: 
5 Days - 8 Hours
Work Type: 
Full Time</div>

Patient Financial Representative Senior - Patient Financial Services

TEEMA Group

<div>We are seeking an experienced Texas Workers&rsquo; Compensation Claims Adjuster to join our team at our Irving, TX office. This role is primarily in-office, five days per week, with limited hybrid flexibility considered only for highly experienced adjusters who live farther from the office and have a proven ability to independently manage Texas claims.
This position requires strong technical knowledge of Texas Workers&rsquo; Compensation laws, confidence attending hearings, and the ability to manage a full caseload with minimal oversight.<h3 class="jobSectionHeader">
Key Responsibilities</h3><ul><li>
Manage a full caseload of Texas Workers&rsquo; Compensation claims from inception through resolution</li><li>
Investigate claims, analyze coverage, determine compensability, and establish reserves</li><li>
Communicate effectively with injured workers, employers, medical providers, and legal representatives</li><li>
Prepare for and attend Workers&rsquo; Compensation hearings as required</li><li>
Ensure compliance with Texas Workers&rsquo; Compensation laws, regulations, and internal guidelines</li><li>
Maintain accurate and timely documentation within claims management systems</li><li>
Provide high-quality customer service while balancing cost containment and fair claim resolution</li></ul><h3 class="jobSectionHeader">
Work Schedule &amp; Location</h3><ul><li>
Primary expectation: In-office, 5 days per week</li><li>
Hybrid consideration may be given based on:<ul><li>
Distance from the Irving office</li><li>
Depth of Texas Workers&rsquo; Comp experience</li><li>
Demonstrated ability to manage claims independently</li></ul></li><li>
Candidates commuting 1 hour or more may be considered for hybrid only if experience level supports it</li></ul><h3 class="jobSectionHeader">
Required Qualifications</h3><ul><li>
Active Texas Workers&rsquo; Compensation Adjuster License<ul><li>
Must provide license number and expiration date</li></ul></li><li>
Minimum 3 years of experience handling Texas Workers&rsquo; Compensation claims<ul><li>
5+ years strongly preferred</li></ul></li><li>
Proven experience managing hearings and complex claims</li><li>
Strong written, verbal, and organizational skills</li><li>
Ability to work effectively in an in-office team environment</li></ul>
If you would like to apply email your resume
mpalkin@teemagroup.com
#Workwolf</div>

Workers’ Compensation Claims Adjuster (Texas)

Explore 25+ Resolution assurance specialist in Irving this March. Find roles across top companies and apply now to boost your career.