Top 160 Claims specialist Jobs in Spring, Tx

AR Government & Liability Collection Specialist
City Ambulance Service —Spring, TX
- Full-time
- Background check
- HIPAA
- Research
- Disability insurance
- Health insurance
Quick Apply
Medical Billing and Credentialing Expert
Medcare Clinics —Houston, TX
- $18 - $25 an hour
- Full-time
- HIPAA
- Mid-level
- High school diploma or GED
- Health insurance
- Dental insurance
Quick Apply
Patient Account Specialist Senior - TLRA Bad Debt
Christus Health —Houston, TX
- Full-time
- Microsoft Word
- Research
- Mid-level
5d
Claims Administrative Support Specialist
Progressive —Spring, TX
- $19 - $21 an hour
- Monday to Friday
- Office
- Administrative experience
- High school diploma or GED
- Health savings account
- Disability insurance
2h
RCM A/R Specialist (100% Work From Home)
Visualutions, Inc. —Spring, TX
- $19 - $24 an hour
- Full-time
- Remote
- Computer literacy
- HIPAA
- Research
- Work from home
Quick Apply
4h
Claims Specialist II - Veterans Disability Appeals
Allsup Employment Services —Houston, TX
- $17 - $21 an hour
- Full-time
- Remote
- Microsoft Word
- Mid-level
- Mentoring
- Health savings account
- Paid holidays
Quick Apply
Support Specialist I
Allsup Employment Services —Houston, TX
- $33,280 - $40,000 a year
- Full-time
- Remote
- Communication skills
- Entry level
- Health savings account
- Paid holidays
Quick Apply
Department Support Specialist I -ORTHO- Kelsey Seybold Clinic -Springwoods Village Campus
Optum —Spring, TX
- $18 - $32 an hour
- Full-time
- Spanish
- Pass drug screening
- Administrative experience
Quick Apply
6d
Workers Compensation Claims Specialist
Waste Connections —The Woodlands, TX
- Full-time
- Mid-level
- Office
- 3 years
- Disability insurance
- Health insurance
Quick Apply
14d
Human Resource Specialist
Arrow Child and Family Ministries —Spring, TX
- $60,000 - $65,000 a year
- Full-time
- Mid-level
- 3 years
- Bachelor's degree
- Mileage reimbursement
- Paid parental leave
Billing Specialist
America's ER Medical Centers —The Woodlands, TX
- HIPAA
- Research
- Mid-level
Quick Apply
Front Office Specialist I - TCP Kingwood
Texas Children's Hospital —Kingwood, TX
- Full-time
- High school diploma or GED
- Entry level
5d
Healthcare Customer Service Specialist (REMOTE)
GetixHealth —Houston, TX
- $17 an hour
- Full-time
- Remote
- Spanish
- HIPAA
- Research
- AD&D insurance
- Disability insurance
Quick Apply
Medical Claims Billing Specialist
Privia Health —Houston, TX
- $24.00 - $26.45 an hour
- Full-time
- Hybrid work
- Google Workspace
- Medical office experience
- HIPAA
- Health insurance
- Dental insurance
Quick Apply
Customer Service Specialist I
Aon Corporation —The Woodlands, TX
- $40,000 - $45,000 a year
- Full-time
- Office
- Fair chance
- Experience equivalent to degree accepted
- Commuter assistance
- Health savings account
11h
Business Office Specialist
BRISTOL HOSPICE-TEXAS LLC —The Woodlands, TX
- $18 - $22 an hour
- Full-time
- Word processing
- Computer literacy
- Office
- Mileage reimbursement
- Health savings account
Quick Apply
2d
Revenue Cycle Specialist
Specialty1 Partners —Houston, TX
- $55,000 - $70,000 a year
- Weekends as needed
- Remote
- Microsoft Word
- Microsoft Excel
- Customer service
- Health savings account
- Disability insurance
Quick Apply
8d
Acquisition Specialist - State Farm Agent Team Member
Dale Guidry Jr - State Farm Agent —Humble, TX
- $50,000 - $125,000 a year
- Full-time
- Office
- Business development
- Communication skills
- Opportunities for advancement
Quick Apply
Insurance Verification Specialist (Clinic)
Premier Medical Resources —Houston, TX
- Full-time
- Background check
- Computer literacy
- Pass drug screening
- AD&D insurance
- Disability insurance
Quick Apply
14d
Global Cargo Claims Specialist
Crane Worldwide Logistics LLC —Houston, TX
- Mid-level
- Office
- High school diploma or GED
- Wellness program
- Health insurance

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AR Government & Liability Collection Specialist

City Ambulance Service -
Spring, TX

Quick Apply

Job Details

Full-time

Benefits

Disability insurance
Health insurance
Dental insurance
Paid time off
Vision insurance
401(k) matching
Life insurance

Qualifications

Appeals
Customer communication
Health insurance co-pays
Accounts receivable management
Regulatory compliance in claims processing
HIPAA
Research
Attention to detail
Medical billing and coding communication with insurance companies
Liability insurance knowledge
Health information regulatory compliance
Medical insurance appeals management
Payment posting in medical billing systems
Medical explanation of benefits reviews
Medical claims submission
Clinical confidentiality policies
Cross-functional collaboration
Critical thinking
Insurance claims appeal handling
Medical debt collection accounts
Customer service problem-solving
Collections account management
Patient collections management
Time management

Full Job Description

Job Summary:

The collection specialist is responsible for ensuring accurate billing, timely submission of electronic and/or paper claims, monitoring claim status, researching rejections and denials - including contacting the insurance companies regarding denials and issues from processing incorrectly, documenting related account activities, ensure posting adjustments and payments are correctly posted. The Government and Liability Specialist must possess critical thinking skills and understanding of government insurance payer payment methods and denial remark codes. In addition, the collection specialist must demonstrate proficiency with billing system to ensure all functionality is utilized for the utmost efficient processing of claims.

Responsibilities

The Government and Liability Insurance Collections Specialist is responsible for all activities related to the collection and resolution of outstanding patient accounts and insurance claims to ensure timely and accurate reimbursement.

Review and manage outstanding claims assigned within designated work queues.
Respond promptly and professionally to incoming mail, telephone calls, emails, faxes, and other correspondence related to claim resolution.
Ensure compliance with all payer-specific timely filing requirements, appeal deadlines, and reimbursement guidelines.
Perform comprehensive insurance follow-up activities on denied, underpaid, or unresolved claims.
Prepare and submit reconsiderations, appeals, and supporting documentation as required to secure appropriate reimbursement.
Research claim issues, identify billing and reimbursement trends, and document findings accurately.
Analyze payer behavior and recurring denial patterns and communicate findings and recommendations to management.
Contact government (VA, Tricare, etc.), liability, attorney, and MVA carriers via telephone, online portals, and written correspondence to obtain claim, authorization, and appeal status updates.
Maintain accurate and detailed account documentation in the billing system.
Work collaboratively with internal departments to resolve claim discrepancies and payment issues.
Meet established productivity, quality assurance, and performance standards.
Maintain compliance with HIPAA regulations and all company confidentiality policies.
Assist with special projects and perform additional collection-related duties as assigned by management.

Requirements

Minimum 3 years of Medical Accounts Receivable (AR) and Out-of-Network Insurance Collections experience required.
Experience working with Veterans Affairs (VA), TRICARE, Motor Vehicle Accident (MVA), and Attorney/Liability claims required.
Strong knowledge of Explanation of Benefits (EOBs), including interpretation of copayments, coinsurance, deductibles, and denial codes.
Working knowledge of insurance billing and collections processes, including insurance verification, claim follow-up, appeals, and payment resolution activities.
Ability to work independently, prioritize workload effectively, and manage multiple tasks in a fast-paced environment.
Strong attention to detail with excellent organizational and time-management skills.
Exceptional customer service skills with a professional and courteous demeanor.
Excellent written and verbal communication skills.
Demonstrated critical thinking, problem-solving, and proactive decision-making abilities.
Ability to collaborate effectively with team members while also performing independently with minimal supervision.
Maintain patient confidentiality and protect organizational operations by adhering to all HIPAA and privacy regulations.
Proficient in reviewing and resolving insurance claim denials, underpayments, and reimbursement discrepancies.
Ability to meet productivity, quality, and performance expectations while maintaining accuracy and compliance.

Benefits:

Dental insurance
Health insurance
Life insurance
Paid time off
Vision insurance

Schedule:

In-Office Position
Monday to Friday (Provides Flex Schedules) – 40hrs weekly

Benefits:

401(k) matching
Dental insurance
Disability insurance
Health insurance
Life insurance
Paid time off
Vision insurance

Experience:

Medical AR: 3 years (Required)
EOB: 1 year (Preferred)
VA, Tricare, MVA, Liability Claims: 1 year (Required)

Work Location: In person

Quick Apply

Refine Your Search

claims specialist jobs in spring, tx

AR Government & Liability Collection Specialist

Medical Billing and Credentialing Expert

Patient Account Specialist Senior - TLRA Bad Debt

Claims Administrative Support Specialist

RCM A/R Specialist (100% Work From Home)

Claims Specialist II - Veterans Disability Appeals

Support Specialist I

Department Support Specialist I -ORTHO- Kelsey Seybold Clinic -Springwoods Village Campus

Workers Compensation Claims Specialist

Human Resource Specialist

Billing Specialist

Front Office Specialist I - TCP Kingwood

Healthcare Customer Service Specialist (REMOTE)

Medical Claims Billing Specialist

Customer Service Specialist I

Business Office Specialist

Revenue Cycle Specialist

Acquisition Specialist - State Farm Agent Team Member

Insurance Verification Specialist (Clinic)

Global Cargo Claims Specialist

I want to receive the latest job alert for claims specialist in spring, tx

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