Medical Claims Specialist I-Hybrid
1 month 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
4 weeks ago
Houston, Texas, United States Premier Medical Resources Full timePremier 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...
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Claims Specialist I
4 weeks ago
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
4 weeks ago
Houston, Texas, United States Premier Medical Resources Full timeJob 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...
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Medical Claims Specialist
3 weeks ago
Houston, Texas, United States Circle Medical Full timeABOUT 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...
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Medical Claims Specialist
3 weeks ago
Houston, Texas, United States Total Care 2 U Full timeJob 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...
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Medical Claims Specialist
5 days ago
Houston, Texas, United States ABETTERHOMECARE Full timeJob 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...
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Medical Claims Specialist
4 weeks ago
Houston, Texas, United States IASIS Healthcare Full timeJob 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...
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Medical Claims Specialist
1 month ago
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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Claims Specialist
4 weeks ago
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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Medicaid Claims Specialist
4 weeks 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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Insurance Claims Specialist
3 weeks ago
Houston, Texas, United States United Surgical Partners Full timeJob 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...
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Medicaid Claims Specialist
4 weeks ago
Houston, Texas, United States Steward Health Care Full timeJob 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...
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Insurance Claims Specialist
3 weeks ago
Houston, Texas, United States Constitution General Agency Llc Full timeJob DescriptionThe Insurance Claims Specialist - Loss Prevention Expert plays a pivotal role in the insurance claims process by receiving and documenting initial reports of loss or damage from policyholders. This critical position requires a strong focus on accuracy and attention to detail, ensuring that all documentation is thorough and...
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Medical Collections Specialist
4 weeks ago
Houston, Texas, United States Premier Medical Resources Full timePremier Medical Resources is a healthcare management company headquartered in Northwest Houston, Texas. Our goal is to leverage and combine the expertise and skillset of our employees to drive quality in all we do.We are seeking a Medical Collections Specialist to join our team. As a key member of our revenue cycle team, you will be responsible for managing,...
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Warranty Claims Specialist
3 weeks ago
Houston, Texas, United States Magneto & Diesel Injector Service Inc Full timeJob DescriptionMagneto & Diesel Injector Service Inc is seeking a skilled Warranty Claims Specialist to join our team. As a Warranty Claims Specialist, you will be responsible for monitoring, tracking, and facilitating the timely processing of warranty claims for both internally produced and externally purchased products.Key Responsibilities:Interface with...
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Senior Technical Auto Claim Specialist
1 month ago
Houston, Texas, United States General Search & Recruitment Full timeJob OverviewWe are seeking a highly skilled Senior Technical Auto Claim Specialist to join our team at General Search & Recruitment. This role requires a strong background in multi-line claims handling, with a focus on high-severity bodily injury claims.Key ResponsibilitiesHandle, negotiate, and resolve third-party commercial general liability and automobile...
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Insurance Claims Specialist
3 weeks ago
Houston, Texas, United States New York Life Full timeWe are seeking a skilled insurance claims specialist to lead our team in resolving disputes and investigating incidents. The ideal candidate is level-headed and fair, with the ability to deliver unbiased assessments of claims-related circumstances.The successful candidate will have strong interpersonal and communication skills, with the ability to establish...
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Workers' Compensation Claims Specialist
4 weeks ago
Houston, Texas, United States Vestas Full timeJob Summary:We are seeking a skilled Leave and Workers Compensation Specialist to join our team at Vestas. This role will be responsible for providing support to employees and managers with leave of absence and workers compensation claims, as well as coordinating with payroll and third-party providers.Key Responsibilities:Assist employees with submitting...
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Medical Claims Supervisor
4 weeks ago
Houston, Texas, United States J. B Poindexter & Co. Inc Full timeJob Summary:The Claims Manager will be responsible for driving optimum claims outcomes, supporting operational goals and business objectives, and providing customer service to stakeholders. This position will oversee third-party adjusting (TPA) companies and work with adjusters on claims evaluations, strategy, reserves, and review.Key Responsibilities:Manage...
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Medical Billing Specialist
1 month ago
Houston, Texas, United States Sherloq Solutions Full timeJob Title: Medical Billing Specialist, Insurance Revenue CycleSherloq Revenue Solutions is seeking a highly skilled Medical Billing Specialist to join our team. As a key member of our revenue cycle team, you will be responsible for resolving healthcare claims, navigating healthcare provider software systems, and verifying patient and insurance...