Top 39 Eligibility worker 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
Medicaid Eligibility Advocate
HCA Houston Healthcare Southeast —Pasadena, TX
- Full-time
- Reliable transportation
- Entry level
- Employee stock purchase plan
- Disability insurance
Quick Apply
3d
Eligibility Specialist
ResCare Community Living —Houston, TX
- Full-time
- 18 years or older
- Computer literacy
- High school diploma or GED
3d
Eligibility Specialist (Midtown)
Avenue 360 Health and Wellness —Houston, TX
- Full-time
- Mid-level
- Administrative experience
- High school diploma or GED
Quick Apply
11d
Financial Aid Eligibility Specialist
BAKERRIPLEY —Houston, TX
- Full-time
- Writing skills
- High school diploma or GED
- Bachelor's degree
Bilingual Medicaid Eligibility Advocate
HCA Houston Healthcare North Cypress —Cypress, TX
- Full-time
- Reliable transportation
- Entry level
- Employee stock purchase plan
- Disability insurance
Quick Apply
Bilingual Medicaid Eligibility Advocate
HCA Houston Healthcare Kingwood —Kingwood, TX
- Full-time
- Reliable transportation
- Entry level
- Employee stock purchase plan
- Disability insurance
Quick Apply
3d
Bilingual Medicaid Eligibility Advocate
HCA Houston Healthcare Clear Lake —Webster, TX
- Full-time
- Reliable transportation
- Entry level
- Employee stock purchase plan
- Disability insurance
Quick Apply
Bilingual Eligibility Specialist - Acres Homes
Legacy Community Health —Houston, TX
- Full-time
- Spanish
- English
- Mid-level
- 403(b) matching
- Paid holidays
Quick Apply
Bilingual Eligibility Specialist - Montrose
Legacy Community Health —Houston, TX
- Full-time
- Spanish
- English
- Mid-level
- 403(b) matching
- Paid holidays
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
1d
Bilingual Eligibility Specialist - Sharpstown
Legacy Community Health —Houston, TX
- Full-time
- Bilingual
- Mid-level
- Office
- 403(b) matching
- Paid holidays
Quick Apply
HTX Experience Specialist - Seasonal (Part Time)
Color Factory LLC —Houston, TX
- $17 an hour
- Seasonal
- 18 years or older
- Ability to lift 50 pounds
- Visual & Performing Arts
- Commuter assistance
- Health savings account
Quick Apply
Toddler Teacher
The Learning Experience Jersey Village —Houston, TX
- $9 - $13 an hour
- Full-time
- Classroom
- Mid-level
- High school diploma or GED
- Tuition reimbursement
- Opportunities for advancement
Quick Apply
2d
Preschool Teacher
The Learning Experience Jersey Village —Houston, TX
- $10 - $14 an hour
- Part-time
- Classroom
- Mid-level
- High school diploma or GED
- Tuition reimbursement
- Opportunities for advancement
Quick Apply
2d
High School Students! - Jr. Experience Specialist (HTX Seasonal)
Color Factory LLC —Houston, TX
- $14 an hour
- Seasonal
- High school
- Merchandising
- Ability to lift 50 pounds
- Commuter assistance
- Health savings account
Quick Apply
Lead Eligibility Specialist Bilingual - Montrose Allen Parkway
Legacy Community Health —Houston, TX
- $18.50 - $23.00 an hour
- Full-time
- Spanish
- English
- Mid-level
- 403(b) matching
- Paid holidays
Quick Apply
Livestream Sales Host (Training Provided)
Felicity's link INC. —Houston, TX
- $15 - $25 a year
- Contract
- English
- Presentation skills
- US work authorization
Quick Apply
Eligibility Support Specialist (Bilingual Spanish)
HOPE Clinic —Houston, TX
- $14.50 - $15.00 an hour
- Full-time
- Microsoft Excel
- Writing skills
- Public speaking
Quick Apply
Eligibility Support Specialist (Bilingual Vietnamese)
HOPE Clinic —Houston, TX
- $14.50 - $15.00 an hour
- Full-time
- Microsoft Excel
- Writing skills
- Public speaking
Quick Apply

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eligibility worker 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

eligibility worker jobs in houston tx

Medical Claims Eligibility Specialist II

Medicaid Eligibility Advocate

Eligibility Specialist

Eligibility Specialist (Midtown)

Financial Aid Eligibility Specialist

Bilingual Medicaid Eligibility Advocate

Bilingual Medicaid Eligibility Advocate

Bilingual Medicaid Eligibility Advocate

Bilingual Eligibility Specialist - Acres Homes

Bilingual Eligibility Specialist - Montrose

Title: TMHP Biller / Reporting Coordinator/ Eligibility Screener

Bilingual Eligibility Specialist - Sharpstown

HTX Experience Specialist - Seasonal (Part Time)

Toddler Teacher

Preschool Teacher

High School Students! - Jr. Experience Specialist (HTX Seasonal)

Lead Eligibility Specialist Bilingual - Montrose Allen Parkway

Livestream Sales Host (Training Provided)

Eligibility Support Specialist (Bilingual Spanish)

Eligibility Support Specialist (Bilingual Vietnamese)

I want to receive the latest job alert for eligibility worker in houston tx

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