Top 58 Claims coordinator Jobs in Houston Tx

LTSS Nursing Facility Service Coordinator, RN
Community Health Choice —Texas
- $37.24 - $44.85 an hour
- Full-time
- Remote
- Nursing
- Clean driving record
- Microsoft Excel
- Disability insurance
- Health insurance
Quick Apply
3d
Experienced Dental Treatment Coordinator
Calm Smiles Houston —Houston, TX
- $18 - $25 an hour
- Email
- Spanish
- Dental office
- English
Quick Apply
Coordinator, Patient Accounts Receivable
Baylor College of Medicine —Houston, TX
- $43,065 - $52,530 a year
- Full-time
- Hybrid work
- Public speaking
- Mid-level
- High school diploma or GED
Accounting Operations Coordinator
White Cube Consulting Ltd. —Houston, TX
- $80,000 - $120,000 a year
- Full-time
- Microsoft Outlook
- Mid-level
- Office
- Health insurance
- Dental insurance
Quick Apply
10d
Accounts Payable Coordinator II
Museum of Fine Arts, Houston —Houston, TX
- Hybrid work
- Mid-level
- Office
- Organizational skills
Quick Apply
13d
Case Coordinator
ExamWorks —Houston, TX
- $17 - $22 an hour
- Full-time
- Anatomy knowledge
- Microsoft Excel
- Microsoft Outlook
Quick Apply
Insurance Coordinator
Specialty1 Partners —Houston, TX
- $19 - $23 an hour
- Dental office
- Mid-level
- 3 years
- Health savings account
- Disability insurance
Quick Apply
Title: TMHP Biller / Reporting Coordinator/ Eligibility Screener
Ibn Sina Foundation —Houston, TX
- Full-time
- Spanish
- Microsoft Excel
- Microsoft Outlook
- Health insurance
- Dental insurance
Quick Apply
2d
Revenue Cycle Collections Coordinator
ACH EMPLOYMENT SERVICES LLC —Houston, TX
- $24 - $30 an hour
- Full-time
- HIPAA
- Mid-level
- Office
Quick Apply
Logistics Coordinator
Server Monkey —Houston, TX
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Research
Quick Apply
Surgical Patient Coordinator
Lighthouse Oral & Maxillofacial Surgery —Houston, TX
- Up to $25 an hour
- Full-time
- Spanish
- Dental office
- Surgery
- Paid training
- Paid holidays
Quick Apply
Resource Coordinator Assistant
Hunton Group —Houston, TX
- Full-time
- Mid-level
- Accounting
- Computer skills
Quick Apply
4d
Hospital Billing Coordinator
Deloitte —Houston, TX
- $50,000 - $60,000 a year
- Full-time
- Microsoft Excel
- Mid-level
- Bachelor's degree
Warranty Coordinator
Signal Energy LLC —Houston, TX
- Hybrid work
- Mid-level
- Business
- 2 years
Quick Apply
3h
International Logistics Coordinator
Everflow Supplies LLC —Sugar Land, TX
- $50,000 - $65,000 a year
- Full-time
- Mid-level
- Commercial
Quick Apply
4d
HR Coordinator
Axis Industrial Holdings, Inc. —La Porte, TX
- Monday to Friday
- Spanish
- Microsoft Excel
- Microsoft Outlook
- Opportunities for advancement
Quick Apply
Treatment Coordinator
Swish Dental —Houston, TX
- Overtime
- Private practice
- CPR Certification
- Dental office
- Paid holidays
- Disability insurance
Quick Apply
Resource Coordinator
Hunton Group —Houston, TX
- Full-time
- Mid-level
- Accounting
- Associate's degree
Quick Apply
4d
Client Coordinator
EPIC Brokers —Houston, TX
- Hybrid work
- Microsoft Outlook
- Mid-level
- Windows
Quick Apply
Resident Relocation Coordinator (Houston, TX)
Housing Opportunities Unlimited —Houston, TX
- $58,000 - $60,000 a year
- Full-time
- Microsoft Word
- Microsoft Excel
- Mid-level
- Disability insurance
- Health insurance
Quick Apply

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claims coordinator jobs near houston tx

LTSS Nursing Facility Service Coordinator, RN

Community Health Choice -
Texas

Quick Apply

Job Details

Full-time
$37.24 - $44.85 an hour
3 days ago

Benefits

Disability insurance
Health insurance
Dental insurance
401(k)
Flexible spending account
Tuition reimbursement
Paid time off
Parental leave
Vision insurance
Flexible schedule
Life insurance

Qualifications

Nursing
Teamwork
Microsoft Excel
Long term care experience
Microsoft Outlook
Managed care
RN License
Star-CCM+
Case management
Productivity software
Certified Case Manager

Full Job Description

Built to Care. Driven to Improve. At Community Health Choice, we’re a nonprofit health plan dedicated to improving the health and well-being of Texans, especially underserved communities. Our employees bring purpose into practice every day through compassion, collaboration, and a commitment to better outcomes.

In this remote role, you’ll be responsible for conducting telephonic or face-to-face clinical assessments to identify, evaluate, coordinate, and manage members' needs across physical and behavioral health, social services, and long-term services and supports.

Duties include:

· Identify members at high risk for complications and coordinate care with members and the health care team.

· Manages members with chronic illnesses, co-morbidities, and/or disabilities to ensure cost-effective and efficient utilization of health benefits.

· Obtains a thorough and accurate member history to develop an individual care plan.

· Establishes short- and long-term goals in collaboration with the members, caregivers, family, natural support, and physicians; identifies members who would benefit from an alternative level of care or other waiver programs.

· The RN has overall responsibility for developing the care plan for services for the members and ensuring the members' access to those services.

· May assist with the implementation of member care plans by facilitating authorizations/referrals for utilization of services, as appropriate, within the benefits structure or through extra-contractual arrangements, as permissible.

· Interfaces with Medical Directors, Physician Advisors, and/or Interdisciplinary Teams on the development of care management treatment plans.

· May also assist with problem-solving for providers, claims, or service issues.

· Directs and/or supervises the work of any LPN/LVN, LSW, LCSW, LMSW, and other licensed professionals other than an RN, in coordinating services for the member by, for example, assigning appropriate tasks to the non-RN clinicians, verifying and interpreting member information obtained by these individuals, conducting additional assessments, as necessary, to develop, monitor, evaluate, and revise the member's care plan to meet the member's needs, and reviewing and providing input on the non-RN clinicians' performance on a regular basis.

· Assists in meeting members’ needs by referring members to internal and external resources.

· Provide follow-up with internal and external resources, providers, and state programs.

· Coordinate with and participate in ICT meetings with Nursing Facility Staff, members, Responsible Party, treating physicians, therapists, and any other applicable parties.

· Coordinate and assist with the transition to the community through the Money Follows the Person (MFP) process for any member who indicates a desire to leave the nursing facility.

Qualifications:

· Current unrestricted RN license in Texas; graduate of an accredited school of nursing; bachelor’s degree in nursing preferred.

· CCM

· 3-4 years of experience in working with individuals with chronic illnesses, co-morbidities, and/or disabilities in a Service Coordinator, Case Management, or similar role; or any combination of education and experience, which would provide an equivalent background.

· 1 year of experience working with the population who receive waiver services, 1 year of experience working with people with disabilities/chronic conditions, and Long-Term Services & Supports.

· Microsoft Office, clinical documentation platforms, and the internet

· Local travel

· Reliable transportation with a valid driver's license and a good driving record

Community employees' benefits are provided by Harris Health. These benefits are designed to provide you with flexibility and options to meet your specific needs.

Community is an Equal Opportunity Employer.

Harris Health's benefits program is designed to provide you with greater flexibility and more choices to meet your specific needs. Harris Health's benefits program allows you to protect your income in case of illness, death, and disability, and to help you save for retirement.

Pay: $37.24 - $44.85 per hour

Benefits:

401(k)
Dental insurance
Disability insurance
Flexible schedule
Flexible spending account
Health insurance
Life insurance
Paid time off
Parental leave
Tuition reimbursement
Vision insurance

Application Question(s):

Do you have reliable transportation?

Experience:

Case management: 3 years (Preferred)
Managed care: 3 years (Preferred)
Long term care: 3 years (Preferred)

License/Certification:

RN License (Required)
Certified Case Manager (Required)

Willingness to travel:

50% (Required)

Work Location: Remote

Quick Apply

Refine Your Search

claims coordinator jobs in houston tx

LTSS Nursing Facility Service Coordinator, RN

Experienced Dental Treatment Coordinator

Coordinator, Patient Accounts Receivable

Accounting Operations Coordinator

Accounts Payable Coordinator II

Case Coordinator

Insurance Coordinator

Title: TMHP Biller / Reporting Coordinator/ Eligibility Screener

Revenue Cycle Collections Coordinator

Logistics Coordinator

Surgical Patient Coordinator

Resource Coordinator Assistant

Hospital Billing Coordinator

Warranty Coordinator

International Logistics Coordinator

HR Coordinator

Treatment Coordinator

Resource Coordinator

Client Coordinator

Resident Relocation Coordinator (Houston, TX)

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