Medical Claims Specialist

4 weeks ago


Houston, Texas, United States Circle Medical Full time
About Circle Medical

Circle Medical is a rapidly growing telemedicine provider in the US, boasting an impressive growth rate of over 100% per year over the past three years.

As a venture-backed Y-Combinator healthcare startup, Circle Medical is dedicated to delivering high-quality, delightful primary care to individuals worldwide.

Our medical practice and underlying technology have pioneered a new approach to how people find and receive care.

For more information, please visit our website.


Job Description

We are seeking a detail-oriented and organized Medical Billing and Coding Specialist to join our Revenue Cycle Team at Circle Medical Technologies.

As we continue to expand, we are constantly on the lookout for exceptional talent to join our team.

This position is eligible for remote work in the US and is also available in our offices in Florida, Texas, or Arizona.


Key Responsibilities
  • Review patient claims for accuracy and completeness, and proactively obtain any missing payer information.
  • Audit and appeal medical insurance claim denials in a timely manner.
  • Ensure compliance with procedures and coding guidelines.
  • Respond to patient inquiries related to coverage denials and coding reviews for resubmissions as necessary.
  • Communicate with clinical leadership and third-party billing companies on issues regarding CPT & ICD-10 coding selections.

Requirements
  • Excellent verbal and written communication skills.
  • Outstanding organizational skills and attention to detail.
  • Superior time management skills with a proven ability to meet deadlines.
  • Knowledge of CPT and ICD-10 codes.
  • Ability to identify coding trends and areas of risk.
  • Proficiency with Google Workspace, Microsoft Office Suite, or related software.

Preferred Qualifications
  • Associate degree in business, finance, health administration, or a related field.
  • Required - Certified Professional Coder (CPC).
  • 2+ years of experience in a primary care clinic setting (preferred).
  • Mental/behavioral health experience is a plus.

What We Offer

In alignment with our values, Circle Medical offers transparent salaries based on output levels, and options to trade cash for stock.

This is a full-time, hourly, non-exempt position with an hourly rate of $23 to $27, plus generous vacation time and full medical/dental benefits.


Additional Benefits
  • Accrued vacation eligibility after 90 days.
  • 10 annual paid holidays.
  • $500 annual education and development reimbursement.
  • Medical, dental, vision benefits, life insurance, and additional supplemental coverage options.


  • Houston, Texas, United States Premier Medical Resources Full time

    Premier Medical Resources is a healthcare management company that seeks to leverage the expertise of its employees to drive quality in all aspects of its operations.The company is currently hiring a Medical Billing Specialist to join its team.The ideal candidate will have a strong understanding of medical coding guidelines and regulations, as well as...


  • Houston, Texas, United States Premier Medical Resources Full time

    Job Summary: We are seeking a skilled Medical Billing Specialist to join our team at Premier Medical Resources. As a Medical Billing Specialist, you will be responsible for analyzing patient records and coding patient information based on ICD-10 and CPT codes.Key Responsibilities:Review medical record documentation to ensure pertinent diagnoses are...


  • Houston, Texas, United States Circle Medical Full time

    ABOUT US Circle Medical is a rapidly growing telemedicine provider in the US, boasting an impressive growth rate of over 100% per year over the past three years.We are a venture-backed Y-Combinator healthcare startup dedicated to delivering quality, delightful primary care to everyone on the planet.Built by top-tier physicians, engineers, and designers, our...


  • Houston, Texas, United States Total Care 2 U Full time

    Job SummaryTotal Care 2 U is seeking a skilled Medical Claims Specialist to join our team. As a Medical Claims Specialist, you will be responsible for performing a variety of tasks, including:Posting charges in a timely and accurate mannerCompleting claims to payers with precision and attention to detailConducting duties in a professional and efficient...


  • Houston, Texas, United States ABETTERHOMECARE Full time

    Job DescriptionOverview:ABETTERHOMECARE seeks a highly skilled and detail-oriented Medical Claims Specialist to join our team. The ideal candidate will have a strong background in medical billing and a passion for delivering exceptional patient care.Duties and Responsibilities:Process patient fees and charges efficiently and accurately.Collect payments from...


  • Houston, Texas, United States IASIS Healthcare Full time

    Job SummaryWe are seeking a highly skilled Medical Claims Specialist to join our team at St. Joseph Medical Center. As a key member of our revenue cycle team, you will be responsible for ensuring accurate and timely submission of commercial and managed care claims.Key ResponsibilitiesReview claims for accuracy and completeness before submissionValidate and...


  • Houston, Texas, United States MET Healthcare Solutions Full time

    Job SummaryMET Healthcare Solutions is seeking a skilled Claims Eligibility Specialist I to analyze level I claims information and determine eligibility in the dispute resolution process. The ideal candidate will have experience reviewing medical claims, EOBs, and payment remittances, as well as a strong understanding of insurance reimbursement...


  • Houston, Texas, United States MET Healthcare Solutions Full time

    Job Title: Claims Eligibility Specialist IMET Healthcare Solutions is seeking a highly skilled Claims Eligibility Specialist I to join our team in Houston, Texas. As a Claims Eligibility Specialist I, you will be responsible for analyzing level I claims information to determine eligibility in the dispute resolution process in accordance with established...

  • Claims Specialist

    4 weeks ago


    Houston, Texas, United States Kirby Corporation Full time

    Job SummaryThis position is responsible for managing certain KMT and KDS claims and reports directly to the Hull Claims Manager. The Claims Specialist will be responsible for documenting all events, creating claims, and updating boat table maintenance. Additionally, the Claims Specialist will manage auto claims for all organizations, including accidents...


  • Houston, Texas, United States Burnett Specialists Full time

    Job Title: Claims Eligibility SpecialistJoin Burnett Specialists in Northwest Houston as a Claims Eligibility Specialist and take on a challenging role in the dispute resolution process.Job SummaryWe are seeking a highly skilled Claims Eligibility Specialist to analyze claims information and determine eligibility in accordance with established federal...


  • Houston, Texas, United States MET Healthcare Solutions Full time

    Job SummaryMET Healthcare Solutions is seeking a highly skilled Medical Claims Eligibility Specialist II to join our team. The successful candidate will be responsible for analyzing level II claims information to determine eligibility in the dispute resolution process, ensuring compliance with established federal regulations and company policies.Key...


  • Houston, Texas, United States Burnett Specialists Full time

    Job DescriptionImmediate need for a Claims Eligibility Specialist in a dynamic and growing company. This role involves analyzing claims information to determine eligibility in the dispute resolution process, ensuring compliance with federal regulations and company policies.Review and analyze medical claims, EOBs, and payment remittances to determine...

  • Claims Specialist I

    4 weeks ago


    Houston, Texas, United States Kirby Corporation Full time

    {"title": "Claims Specialist I", "description": "Job SummaryWe are seeking a highly skilled Claims Specialist I to join our team at Kirby Corporation. As a Claims Specialist I, you will be responsible for managing claims and reports related to hull and hull-related incidents. You will work closely with the Hull Claims Manager to ensure timely and efficient...


  • Houston, Texas, United States Resource Corporation of America Full time

    Job Title: Liability/Claim SpecialistJob Summary:Resource Corporation of America (RCA) is seeking a highly skilled Liability/Claim Specialist to join our team. As a Liability/Claim Specialist, you will be responsible for investigating and verifying details related to motor vehicle accidents, initiating and completing the lien process, and maintaining...


  • Houston, Texas, United States Steward Health Care Full time

    Job SummaryWe are seeking a highly skilled Medicaid Billing Specialist to join our team at St. Joseph Medical Center. As a key member of our Revenue Cycle department, you will be responsible for ensuring accurate and timely submission of Medicaid claims.Key ResponsibilitiesReview and validate claims for accuracy and completenessSubmit claims to carriers with...


  • Houston, Texas, United States Addison Group Full time

    CVCP Collector (Contract-to-Hire) Job DescriptionLocation: Houston, TX (Hybrid)Industry: Healthcare Technology & Revenue Cycle ManagementPay: $20-22.50 per hourAbout Our Client:Our client is a leading provider of technology-driven revenue cycle solutions, specializing in claims bundling and value-based care models. Their platform offers payers, providers,...


  • Houston, Texas, United States United Surgical Partners Full time

    Job SummaryAt United Surgical Partners, we are seeking a highly skilled Insurance Claims Specialist to join our team. As an Insurance Claims Specialist, you will be responsible for verifying and entering patient information and insurance coverage into our computer system.Key ResponsibilitiesValidate patient information and insurance coverageCommunicate with...


  • Houston, Texas, United States Steward Health Care Full time

    Job Summary:We are seeking a skilled Medicaid Billing Specialist to join our team at St. Joseph Medical Center. As a key member of our revenue cycle team, you will be responsible for ensuring the accurate and timely submission of Medicaid claims.Key Responsibilities:Review and validate Medicaid claims for accuracy and completenessSubmit claims to carriers...


  • Houston, Texas, United States Constitution General Agency Llc Full time

    Job OverviewConstitution General Agency Llc is seeking a skilled Bodily Injury Claims Specialist to join our team. As a key member of our claims department, you will be responsible for investigating, evaluating, and resolving claims of moderate to high complexity.Key ResponsibilitiesInvestigate claims by gathering evidence, reviewing medical records, and...

  • Claims Specialist I

    4 weeks ago


    Houston, Texas, United States Kirby Corporation Full time

    Job Summary:This position is responsible for managing claims and reports directly to the Hull Claims Manager at Kirby Corporation. The Claims Specialist I will be responsible for reviewing events, documenting claims, and managing auto claims for all organizations. The ideal candidate will have strong communication skills, attention to detail, and the ability...