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HMO Billing and Managed Care Specialist

2 months 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 strong commitment to attendance. The ideal candidate will possess 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 presence from Monday to Friday.

Benefits Offered:

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

Qualifications:

  • High School Diploma or GED (a college degree is preferred)
  • 2-5 years of experience in a Long-Term Care billing setting
  • Proficient in Microsoft Excel and Word, with a quick aptitude for learning new software
  • Strong professional communication skills, both verbal and written
  • A genuine interest in supporting 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:

  • Respond to all phone inquiries or messages promptly and courteously
  • Handle all business-related requests and correspondence efficiently
  • Process Texas HMO claims with 2-5 years of relevant experience
  • Report any concerns or suggestions for improvement to management
  • Update patient demographic data 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 environment

Creative Solutions in Healthcare is an equal opportunity employer. We uphold a workplace free from 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.