Medical Claims Specialist I-Hybrid
4 days ago
MET 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 rules.
Responsibilities of the Claims Eligibility Specialist I include:
- Analyzing EOBs and payment remittance documents to determine eligible claims for dispute resolution.
- Composing correspondence in accordance with regulatory requirements and company policies.
- Staying up-to-date on industry-specific regulations and implementing effective strategies.
- Maintaining physical and electronic files for eligible claims.
The Claims Eligibility Specialist I position is a hybrid role, requiring presence in the corporate office 2-3 times per week. The ideal candidate will have strong written and verbal communication skills, with the ability to explain reasoning effectively.
This is a full-time position, Monday-Friday from 8am-5pm. The successful candidate will be able to meet the weekly expectations and requirements of the hybrid schedule.
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Medical Claims Specialist I-Hybrid
5 days ago
Houston, Texas, United States MET Healthcare Solutions Full timeJob 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...
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Claims Specialist I
5 days 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...
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Medical Claims Specialist
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Houston, Texas, United States Privia Health Full timeJob Title: Complex Medical Claims Project SpecialistJoin Privia Health, a technology-driven physician enablement company, as a Complex Medical Claims Project Specialist. In this hybrid full-time role, you will work closely with our Revenue Cycle Management team to optimize revenue cycle performance and ensure reimbursement aligns with payer contract...
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Claims Specialist I
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Houston, Texas, United States Kirby Corporation Full timeJob 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...
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Medical Claims Specialist
2 weeks ago
Houston, Texas, United States Addison Group Full timeCVCP 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,...
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Medical Claims Specialist
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Houston, Texas, United States Creative Financial Staffing Full time{"title": "Medical Billing Specialist", "description": "Job SummaryCreative Financial Staffing is seeking a skilled Medical Billing Specialist to join our team. As a Medical Billing Specialist, you will be responsible for managing and processing medical claims, ensuring accurate and timely reimbursement for services provided.Key Responsibilities:Prepare and...
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Medical Claims Specialist
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Houston, Texas, United States Circle Medical Full timeAbout Circle MedicalCircle 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...
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Medical Claims Specialist
1 month ago
Houston, Texas, United States Prestige Staffing Full timePrestige Staffing is seeking a skilled Billing Specialist to join our team in Northwest Houston. The ideal candidate will have experience in medical billing and a strong understanding of insurance claims processes. **Responsibilities:** * Research and resolve outstanding patient balances * Collaborate with insurance companies to resolve billing...
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Claims Specialist
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Houston, Texas, United States Kirby Corporation Full timeJob 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...
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Claims Eligibility Specialist
5 days ago
Houston, Texas, United States Burnett Specialists Full timeJob 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...
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Medical Claims Eligibility Specialist II
5 days ago
Houston, Texas, United States MET Healthcare Solutions Full timeJob 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...
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Claims Eligibility Specialist
4 days ago
Houston, Texas, United States Burnett Specialists Full timeJob 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...
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Liability Claims Specialist
5 days ago
Houston, Texas, United States Resource Corporation of America Full timeJob 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...
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Houston, Texas, United States Great American Insurance Company Full timeJob Title: Senior Claims Specialist/Claims Technical DirectorWe are seeking an experienced Senior Claims Specialist/Claims Technical Director to join our team at Great American Risk Solutions. This role will focus on losses in a nationwide book of surplus lines business, including primary claims with self-insured retentions and excess claims under commercial...
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Medicaid Claims Specialist
1 day ago
Houston, Texas, United States Steward Health Care Full timeJob 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...
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Warranty Claims Specialist
2 weeks ago
Houston, Texas, United States Elementia Full timeJob Title: Warranty Claims SpecialistAt Elementia, we are seeking a highly skilled Warranty Claims Specialist to join our team. As a Warranty Claims Specialist, you will be responsible for reviewing data related to claims, analyzing warranty claims to document trends, and mitigating future risk and exposure.Key Responsibilities:Answer telephones and log all...
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Bodily Injury Claims Specialist
4 days ago
Houston, Texas, United States Constitution General Agency Llc Full timeJob 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...
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Construction Defect Claims Specialist Senior
3 weeks ago
Houston, Texas, United States Gallagher Full timeJob Title: Construction Defect Claims Practice Specialist SeniorAbout the RoleWe are seeking a highly skilled Construction Defect Claims Practice Specialist Senior to join our team at Gallagher. As a key member of our Claims Adjuster team, you will play a critical role in investigating, evaluating, and resolving complex Construction Defect claims.Key...
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Senior Technical Auto Claim Specialist
3 weeks ago
Houston, Texas, United States General Search & Recruitment Full timeJob Title: Senior Technical Auto Claim SpecialistAt General Search & Recruitment, we are seeking a highly skilled and experienced Senior Technical Auto Claim Specialist to join our team. As a Senior Technical Auto Claim Specialist, you will be responsible for handling, negotiating, and resolving third-party commercial general liability and automobile bodily...
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Houston, Texas, United States Telecom, Inc. Full timeJob Title: Medical Claims Customer Service RepresentativeTelecom Inc. is seeking a highly skilled Medical Claims Customer Service Representative to join our team. As a remote Work from Home opportunity, you will be responsible for providing exceptional customer service to our clients and resolving medical claims-related issues.Key Responsibilities:Receive...