Top 146 Eligibility worker Jobs in Texas

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
Medical City Dallas —Dallas, TX
- Full-time
- Reliable transportation
- Entry level
- Employee stock purchase plan
- Disability insurance
Quick Apply
1d
Medicaid Eligibility Advocate
St. David's North Austin Medical Center —Austin, TX
- Full-time
- Reliable transportation
- Entry level
- Employee stock purchase plan
- Disability insurance
Quick Apply
Medicaid Eligibility Advocate
Methodist Hospital Northeast —Live Oak, TX
- Full-time
- Reliable transportation
- Entry level
- Employee stock purchase plan
- Disability insurance
Quick Apply
12d
Medicaid Eligibility Advocate
Medical City Fort Worth —Fort Worth, TX
- Full-time
- Reliable transportation
- Entry level
- Employee stock purchase plan
- Disability insurance
Quick Apply
7d
Medicaid Eligibility Advocate
Methodist Hospital —San Antonio, TX
- Full-time
- Reliable transportation
- Entry level
- Employee stock purchase plan
- Disability insurance
Quick Apply
Medicaid Eligibility Advocate
St. David's Medical Center —Austin, TX
- Full-time
- Reliable transportation
- Entry level
- Employee stock purchase plan
- Disability insurance
Quick Apply
Intake and Eligibility Specialist
Career Team Enterprises —El Paso, TX
- $48,000 - $52,000 a year
- Hybrid work
- Bilingual
- Microsoft Word
- Background check
Eligibility Specialist
Dept of State Health Services —El Paso, TX
- $2,953.25 - $3,659.50 a month
- Online Application
- Clean driving record
- Writing skills
- Public speaking
Quick Apply
Medicaid Eligibility Advocate
Medical City Alliance —Fort Worth, TX
- Full-time
- Reliable transportation
- Entry level
- Employee stock purchase plan
- Disability insurance
Quick Apply
7d
Intake & Eligibility Specialist (VIRTUAL)
Career Team —El Paso, TX
- $48,000 - $52,000 a year
- Full-time
- Bilingual
- Microsoft Word
- Background check
Quick Apply
Eligibility Counselor - FT - M-F
Eligibility Consultants, Inc. (ECI) —Grapevine, TX
- Full-time
- Background check
- Spanish
- Microsoft Excel
- Health savings account
- Disability insurance
Quick Apply
SH Eligibility Support Specialist
Health & Human Services Comm —Austin, TX
- $3,581.33 - $4,476.83 a month
- Online Application
- Data analysis skills
- HIPAA
- Research
- Health insurance
- Opportunities for advancement
Quick Apply
13d
Eligibility Counselor - FT - Sunday-Thursday
Eligibility Consultants, Inc. (ECI) —Fort Worth, TX
- Full-time
- Background check
- Spanish
- Microsoft Excel
- Health savings account
- Disability insurance
Quick Apply
Eligibility Counselor - Full-time 5-Day Week/Weekends Required.
Eligibility Consultants, Inc. (ECI) —Dallas, TX
- Weekends as needed
- Spanish
- Microsoft Excel
- Microsoft Outlook
- Health savings account
- Disability insurance
Quick Apply
Eligibility Advisor I
Health & Human Services Comm —San Antonio, TX
- $2,953.25 - $4,365.66 a month
- Overtime
- Microsoft Excel
- Microsoft Outlook
- Computer literacy
- Paid training
- Health insurance
Quick Apply
9d
Eligibility Specialist II
Child Care Group —Dallas, TX
- Full-time
- Microsoft Outlook
- High school diploma or GED
- 1 year
Quick Apply
Eligibility Services Clerk
Health & Human Services Comm —Harlingen, TX
- $2,481.75 - $3,404.91 a month
- Overtime
- Spanish
- Computer literacy
- Writing skills
- Health insurance
- Opportunities for advancement
Quick Apply
6h
Medicaid Eligibility Advocate
St. David's South Austin Medical Center —Austin, TX
- Full-time
- Reliable transportation
- Entry level
- Employee stock purchase plan
- Disability insurance
Quick Apply
Eligibility Advisor I - Temporary (CCC)
Health & Human Services Comm —San Antonio, TX
- $2,953.25 - $4,365.66 a month
- Overtime
- Microsoft Excel
- Microsoft Outlook
- Computer literacy
- Paid training
- Health insurance
Quick Apply

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eligibility worker jobs near texas

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 texas

Medical Claims Eligibility Specialist II

Medicaid Eligibility Advocate

Medicaid Eligibility Advocate

Medicaid Eligibility Advocate

Medicaid Eligibility Advocate

Medicaid Eligibility Advocate

Medicaid Eligibility Advocate

Intake and Eligibility Specialist

Eligibility Specialist

Medicaid Eligibility Advocate

Intake & Eligibility Specialist (VIRTUAL)

Eligibility Counselor - FT - M-F

SH Eligibility Support Specialist

Eligibility Counselor - FT - Sunday-Thursday

Eligibility Counselor - Full-time 5-Day Week/Weekends Required.

Eligibility Advisor I

Eligibility Specialist II

Eligibility Services Clerk

Medicaid Eligibility Advocate

Eligibility Advisor I - Temporary (CCC)

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

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