Top 309 Dispute resolution Jobs in Houston, Tx

Medical Claims Eligibility Specialist II
MET Healthcare Solutions —Houston, TX
- $23 - $25 an hour
- Full-time
- Background check
- Anatomy knowledge
- Surgery
- Health insurance
- Paid time off
Quick Apply
In-House Counsel - Contract Attorney – Vendor Contracts
Reynolds and Reynolds —Houston, TX
- $150,000 - $180,000 a year
- Full-time
- Hybrid work
- Background check
- Mid-level
- Office
- Health savings account
- Health insurance
Quick Apply
10d
LTSA Commercial Manager
A.D. Susman & Associates Inc. —La Porte, TX
- $125,000 - $175,000 a year
- Full-time
- Background check
- 7 years
- Microsoft Excel
- Health insurance
- Dental insurance
Quick Apply
Special Agent: Law/Legal Background
Federal Bureau of Investigation —Houston, TX
- $103,236 - $133,200 a year
- Full-time
- Mid-level
- Bachelor's degree
- Travel
14d
Billing Care Coordinator - Remote
Tia —Houston, TX
- $19 - $20 an hour
- Full-time
- Google Workspace
- HIPAA
- Research
Quick Apply
Card Dispute Representative
FIRST SERVICE CREDIT UNION —Houston, TX
- Extended hours
- High school
- Writing skills
- Research
Quick Apply
Assistant Overnight Front Desk Manager
Marriott International, Inc —Houston, TX
- $25.48 - $28.85 an hour
- Overnight shift
- No experience needed
- Mid-level
- Hotel
12d
Remote Collection Specialist
AADVANTAGE LAUNDRY SYSTEMS LLC —Houston, TX
- Full-time
- Remote
- Microsoft Excel
- Microsoft Outlook
- Mid-level
Accounts Receivable Dispute Analyst
NOV Inc. —Houston, TX
- Overtime
- Hybrid work
- Oracle
- Research
- Mid-level
Data Entry/Cost Control
M&S Logistics —Pearland, TX
- From $25,000 a year
- Full-time
- No experience needed
- Office
- Communication skills
Quick Apply
Fraud Manager
FIRST SERVICE CREDIT UNION —Houston, TX
- Extended hours
- Mid-level
- Office
- 3 years
Quick Apply
Card Services Manager
FIRST SERVICE CREDIT UNION —Houston, TX
- Extended hours
- Writing skills
- Office
- 3 years
Quick Apply
Collections Analyst
ENGIE —Houston, TX
- $30 - $36 an hour
- Contract
- Hybrid work
- Mid-level
- 3 years
- Bachelor's degree
10d
ABA Billing Specialist
Colors of hop3 LLC —Katy, TX
- $19 - $25 an hour
- Full-time
- Hybrid work
- Microsoft Excel
- HIPAA
- Research
- Flexible schedule
Quick Apply
9d
Regional Special Education Coordinator-North SST Campuses
School of Science & Technology —Houston, TX
- $68,000 - $87,000 a year
- Weekends as needed
- Research
- Mid-level
- Office
Quick Apply
10d
HR Investigations Specialist
Harris County —Houston, TX
- Overtime
- Writing skills
- Pass drug screening
- Mid-level
- Paid parental leave
- Paid holidays
5d
Revenue Representative – Appeals and Collection
The Harris Center for Mental Health and IDD —Houston, TX
- Full-time
- Customer service
- Computer literacy
- Research
- Paid time off
- Employee assistance program
Employee Relations Counselor, North America
Chevron —Houston, TX
- Email
- Hybrid work
- Microsoft Excel
- Microsoft Outlook
- 5 years
- Flexible schedule
12d
Case Administrator (Legal Services/Administrative Support)
American Arbitration Association Inc. —Houston, TX
- $49,000 - $65,000 a year
- Full-time
- Hybrid work
- Customer service
- Mid-level
- Office
- 403(b) matching
- Loan repayment program
Permit Technician
City of West University Place, TX —Houston, TX
- $21.01 - $24.69 an hour
- Full-time
- Research
- Office
- High school diploma or GED
- Disability insurance
- Health insurance

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dispute resolution jobs near houston, tx

Medical Claims Eligibility Specialist II

MET Healthcare Solutions -
Houston, TX

Quick Apply

Job Details

Full-time
$23 - $25 an hour

Benefits

Health insurance
Paid time off
401(k) matching

Qualifications

Revenue cycle management
Accounts receivable
Customer communication
Anatomy knowledge
Medical Coding Certification
Bachelor's degree
Health insurance knowledge
Medical terminology
DRG

Full Job Description

MET Healthcare Solutions is seeking a Claim Eligibility Specialist II to join our fast-paced organization. The Claims Eligibility Specialist II will be responsible for analyzing level II claims information to determine eligibility in the dispute resolution process in accordance with established federal regulations and company policies and procedures.

Responsibilities of the Claims Eligibility Specialist II may include but are not limited to:

· Analyze Explanation of Benefits (EOB) and payment remittance documents submitted by healthcare providers and insurance carriers to determine which level II claims are eligible for the dispute resolution process.

· Compose correspondence in accordance with regulatory requirements (and internal policies in procedures) in a clear, concise, and grammatically correct manner.

· Communicate (via email) with healthcare providers and health plans to obtain information necessary to determine the eligibility of the claim.

· Relay the status of all claim submissions utilizing multiple different operating systems.

· Stay up to date on industry specific regulations, ensuring that appropriate strategies are in place.

· Maintain physical and electronic files for all claims determined eligible.

These responsibilities are a condensed list of the full scope of the job description and are subject to change depending on the company’s demand.

· Experience reviewing all types of medical claims, EOBs, and payment remittances (e.g. HCFA 1500, Outpatient/Inpatient UB92, Surgery, Anesthesia, high dollar complicated claims, COB and DRG/RCC pricing).

· Understanding of insurance reimbursement rules.

· Ability to work at a high level and display high attention to detail.

· Ability to work across multiple operating systems.

· Ability to maintain confidentiality and professionalism in difficult situations.

· Strong written and verbal communication skills with the ability to explain reasoning effectively.

This is a full-time position, Monday-Friday from 8am-5pm (office located just north of the Heights). Please only apply if you are able to meet these requirements weekly.

Job Type: Full-time

Pay: $23.00 - $25.00 per hour

Benefits:

401(k) matching
Health insurance
Paid time off

Education:

Bachelor's (Required)

Experience:

Healthcare Claims Analysis: 2 years (Required)

License/Certification:

Billing and Coding Certification (Preferred)

Location:

Houston, TX 77018 (Required)

Ability to Relocate:

Houston, TX 77018: Relocate before starting work (Required)

Work Location: In person

Quick Apply

Refine Your Search

dispute resolution jobs in houston, tx

Medical Claims Eligibility Specialist II

In-House Counsel - Contract Attorney – Vendor Contracts

LTSA Commercial Manager

Special Agent: Law/Legal Background

Billing Care Coordinator - Remote

Card Dispute Representative

Assistant Overnight Front Desk Manager

Remote Collection Specialist

Accounts Receivable Dispute Analyst

Data Entry/Cost Control

Fraud Manager

Card Services Manager

Collections Analyst

ABA Billing Specialist

Regional Special Education Coordinator-North SST Campuses

HR Investigations Specialist

Revenue Representative – Appeals and Collection

Employee Relations Counselor, North America

Case Administrator (Legal Services/Administrative Support)

Permit Technician

I want to receive the latest job alert for dispute resolution in houston, tx

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