Top 25367 State 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
Human Resources Generalist (In Office)
Diligent Delivery Systems —Houston, TX
- $70,000 - $75,000 a year
- Full-time
- Background check
- Dedicated
- Microsoft Excel
- Health insurance
- Dental insurance
Quick Apply
Benefits Coordinator
Harris County Department of Education —Houston, TX
- $61,978 - $90,115 a year
- Full-time
- Mid-level
- Office
- 3 years
- Health insurance
- Dental insurance
Quick Apply
4d
Special Agent: National Security, Criminal, & Intelligence Background
Federal Bureau of Investigation —Texas
- $103,236 - $133,200 a year
- Full-time
- Mid-level
- Bachelor's degree
- Travel
4d
Quality Assurance Specialist -HCS COMPANY
Meridian Living Center/Questcare Health & Community Services —Houston, TX
- $45,000 - $50,000 a year
- Full-time
- Mid-level
- Residential
- In-person
Quick Apply
Customer Outreach Advocate
Harris Health —Houston, TX
- $19.81 - $24.76 an hour
- Full-time
- Remote
- Microsoft Excel
- Microsoft Outlook
- Sales
- Health insurance
- Dental insurance
11d
Senior Investigation and Learning Advisor
bp —Houston, TX
- $140,000 - $180,000 a year
- Hybrid work
- 7 years
- Engineering
- Pass drug screening
- Health insurance
- Dental insurance
Junior Events Assistant
Next Wave Talent —Houston, TX
- $800 - $1,200 a week
- Urgently hiring
- 18 years or older
- Sales
- Customer service
- Employee assistance program
- Professional development assistance
Quick Apply
7d
Front Desk Receptionist
MAD Events & Advertising —Houston, TX
- $22.10 - $26.62 an hour
- Full-time
- Office
- High school diploma or GED
- US work authorization
- Paid training
- Health insurance
Quick Apply
11d
Administrative Assistant
Dept of Family & Protectve Svc —Houston, TX
- $2,694.34 - $3,404.91 a month
- Overtime
- Background check
- Word processing
- Office
- Paid holidays
- Dental insurance
Quick Apply
11d
Court Liaison
The Harris Center for Mental Health and IDD —Houston, TX
- From $66,599 a year
- Full-time
- 5 years
- Mid-level
- Office
- Paid time off
- Employee assistance program
Contact Center Representative - Work From Home
AWL Insurance Agency —Houston, TX
- Part-time
- Remote
- Computer literacy
- Computer skills
- Leadership
- Work from home
- Opportunities for advancement
AI Training Specialist (Data Annotation)
Remote Talent Cloud —Houston, TX
- $20,800 - $41,600 a year
- Contract
- Remote
- English
- Organizational skills
- Communication skills
Quick Apply
Customer Support Specialist
Serenity Mental Health Centers —Houston, TX
- $23 - $30 an hour
- Full-time
- Background check
- Pass drug screening
- US work authorization
- Paid training
- Paid holidays
Quick Apply
Billing Associate (Part-time)
Veritext —Houston, TX
- $20 - $23 an hour
- Part-time
- Remote
- US work authorization
- Communication skills
- Entry level
- Paid holidays
- Disability insurance
Quick Apply
Customer Service Representative
Houston Housing Authority —Houston, TX
- Full-time
- Spanish
- Microsoft Excel
- Computer literacy
Quick Apply
3d
Judicial Support Specialist
U.S. Courts, Southern District of Texas —Houston, TX
- $46,529 - $92,565 a year
- Full-time
- Background check
- Office
- High school diploma or GED
13d
Customer Experience Concierge - Centurion Lounge - IAH
American Express —Houston, TX
- $20.00 - $26.75 an hour
- Weekends as needed
- Hybrid work
- US work authorization
- Fair chance
- 1 year
- Paid parental leave
- Health insurance
3d
NRG Park - Event Staff Employees!
S.A.F.E. MANAGEMENT —Houston, TX
- $16 - $22 an hour
- Part-time
- Ability to climb stairs
- Ability to stand for extended periods
- Outdoor work
- Flexible schedule
Client Services Representative
Baker Tilly Vantagen, LLC —Houston, TX
- $18.95 - $33.00 an hour
- Full-time
- Remote
- HIPAA
- Research
- High school diploma or GED
Quick Apply
5d

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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

state jobs in houston, tx

Medical Claims Eligibility Specialist II

Human Resources Generalist (In Office)

Benefits Coordinator

Special Agent: National Security, Criminal, & Intelligence Background

Quality Assurance Specialist -HCS COMPANY

Customer Outreach Advocate

Senior Investigation and Learning Advisor

Junior Events Assistant

Front Desk Receptionist

Administrative Assistant

Court Liaison

Contact Center Representative - Work From Home

AI Training Specialist (Data Annotation)

Customer Support Specialist

Billing Associate (Part-time)

Customer Service Representative

Judicial Support Specialist

Customer Experience Concierge - Centurion Lounge - IAH

NRG Park - Event Staff Employees!

Client Services Representative

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

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