Top 385 77018 Jobs in North 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
Quality Analyst Medical Scribe
MET Healthcare Solutions —Houston, TX
- $21 - $24 an hour
- Full-time
- Hybrid work
- Nursing
- Medicine
- Doctoral degree
- Health insurance
- 401(k)
Quick Apply
Home Improvement Project Manager
Four Seasons Building Products —Houston, TX
- From $75,000 a year
- Full-time
- Carpentry
- Construction site
- Sales
- Health insurance
- Dental insurance
Quick Apply
Infant Teacher
Village Preschool —Houston, TX
- $15 - $20 an hour
- 8 hour shift
- Classroom
- Management
- Experience working with children
- Health insurance
- Dental insurance
Quick Apply
26-27 Houston After School Counselor Application
KIDVENTURE INCORPORATED —Houston, TX
- $15.00 - $15.50 an hour
- Part-time
- Customer service
- Experience working with children
- Preschool
Retail Customer Service
EZPAWN —Houston, TX
- Urgently hiring
- Bilingual
- Pass drug screening
- High school diploma or GED
- Store discount
- Paid training
Quick Apply
Bakery Driver - Full Time/Part Time
Nothing Bundt Cakes —Houston, TX
- $17 - $20 an hour
- Part-time
- Clean driving record
- Bakery
- In-person
- Employee discount
- Flexible schedule
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Summer Camp Teacher
Primrose School of Garden Oaks —Houston, TX
- $13 - $15 an hour
- Full-time
- No experience needed
- Preschool
- Communication skills
- Health insurance
- Dental insurance
Quick Apply
Restaurant Team Member
Dunkin - Baskin Robbins —Houston, TX
- Full-time
- Serving
- No experience needed
- Quick service & fast food restaurant
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Fleet Operations Manager - $65K-$70K | CDL Required | Spanish Bilingual
ProForce Innovations —Houston, TX
- $65,000 - $70,000 a year
- Full-time
- CDL B
- Background check
- Spanish
- Health savings account
- Paid holidays
Quick Apply
9d
Journeyman Plumber
Hexagon Plumbing LLC —Houston, TX
- $70,000 - $80,000 a year
- Full-time
- Clean driving record
- Customer service
- Mid-level
- Fuel card
- Health insurance
Quick Apply
2h
Licensed Salon Manager
Sport Clips —Houston, TX
- $65,000 - $110,000 a year
- Full-time
- Cosmetology License
- Customer service
- Hair styling
- Paid training
Quick Apply
Hair Stylist
Sport Clips —Houston, TX
- $20 - $35 an hour
- Part-time
- Barbering License
- Cosmetology License
- Entry level
- Paid training
- Opportunities for advancement
Quick Apply
Customer Service Associate I
Dollar Tree —Houston, TX
- Part-time
- High school diploma or GED
- Ability to lift 50 pounds
- Grocery store experience
- Health insurance
- Dental insurance
Recovery Advocate - Evening/Night shift
Positive Recovery Centers —Houston, TX
- From $15 an hour
- Part-time
- Addiction Medicine
- Computer literacy
- High school diploma or GED
Quick Apply
7d
Team Member
Coffee & Bagel Brands —Houston, TX
- Weekends as needed
- Bakery
- 16+ years old
- Cleaning
- Paid time off
- Employee assistance program
9d
Team Member 39272
Pizza Hut —Houston, TX
- Background check
- 18 years or older
- Writing skills
- Wellness program
- Tuition reimbursement
Quick Apply
Front Desk Receptionist
Econo Cars —Houston, TX
- $13 - $16 an hour
- Full-time
- Spanish
- Dealership
- Customer service
Quick Apply
Team Member 571
Burger King —Houston, TX
- Background check
- Writing skills
- Math
- Wellness program
- Employee discount
Quick Apply
Dog Walker/Pet Sitter
Skyline Pet Care —Houston, TX
- $12 an hour
- Part-time
- Background check
- 18 years or older
- Ability to lift 50 pounds
- Paid training
- Employee discount
Quick Apply

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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

77018 jobs in north houston, tx

Medical Claims Eligibility Specialist II

Quality Analyst Medical Scribe

Home Improvement Project Manager

Infant Teacher

26-27 Houston After School Counselor Application

Retail Customer Service

Bakery Driver - Full Time/Part Time

Summer Camp Teacher

Restaurant Team Member

Fleet Operations Manager - $65K-$70K | CDL Required | Spanish Bilingual

Journeyman Plumber

Licensed Salon Manager

Hair Stylist

Customer Service Associate I

Recovery Advocate - Evening/Night shift

Team Member

Team Member 39272

Front Desk Receptionist

Team Member 571

Dog Walker/Pet Sitter

I want to receive the latest job alert for 77018 in north houston, tx

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