HMO Billing and Managed Care Specialist

2 weeks ago


Fort Worth, Texas, United States Creative Solutions in Healthcare Full time
Position Overview

We are looking for a dedicated HMO/Managed Care Billing Specialist to enhance our team at Creative Solutions in Healthcare. This role demands reliability, punctuality, and a consistent presence in the workplace. The ideal candidate will demonstrate the ability to work collaboratively with others, manage multiple tasks efficiently, and thrive in a fast-paced environment. This position is strictly in-office, requiring attendance from Monday to Friday.

Benefits Offered:

  • Comprehensive Health, Dental, and Vision Insurance
  • Additional policies including Accidental Death & Dismemberment, Short-Term Disability, Cardiac, Cancer, Critical Illness, and Hospital Confinement coverage
  • Life Insurance options (Whole and Term)
  • Tuition Reimbursement programs
  • Generous Paid Time Off
  • Immediate enrollment in 401(k) plan
  • Exceptional Corporate Support

Qualifications:

  • High School Diploma or GED (college degree preferred)
  • 2-5 years of experience in a Long-Term Care billing setting
  • Proficient in Microsoft Excel and Word, with a quick adaptability to new software
  • Strong verbal, written, and organizational skills
  • Genuine compassion for elderly and disabled individuals
  • Ability to adhere to the Patient Bill of Rights and Employee Responsibilities
  • Commitment to following Company and departmental safety protocols

Key Responsibilities:

  • Ensure timely and courteous responses to all phone inquiries
  • Complete all business-related requests and communications
  • Process Texas HMO claims with 2-5 years of relevant experience
  • Report any concerns or suggestions for improvement to management
  • Update patient demographic records and initiate necessary account adjustments
  • Aim to resolve account balances to zero before they reach collections
  • Demonstrate effective leadership and management skills in a long-term care context

Creative Solutions in Healthcare is an equal opportunity employer. We prohibit discrimination and harassment based on race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.

This is a full-time, in-office position within the long-term care sector.



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