Top 13 Document coder Jobs in The Woodlands, 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
AR Government & Liability Collection Specialist
City Ambulance Service —Spring, TX
- Full-time
- Background check
- HIPAA
- Research
- Disability insurance
- Health insurance
Quick Apply
10d
Asst Finance Manager - Ashford Gardens
ASHFORD GARDENS —Houston, TX
- Full-time
- Basic math
- English
- Mid-level
- Continuing education credits
- Paid holidays
Quick Apply
Credit Balance Review Specialist
Emerus —The Woodlands, TX
- Full-time
- Microsoft Outlook
- Computer literacy
- Basic math
Patient Account Specialist
Retina Consultants of Texas —The Woodlands, TX
- $18 - $20 an hour
- Overtime
- Spanish
- High school diploma or GED
- Clinic
- Health savings account
- Paid holidays
Quick Apply
Insurance Accounts Receivable Representative
Sterling Ridge Orthopaedics and Sports Medicine —Spring, TX
- Full-time
- Hybrid work
- Mid-level
- Organizational skills
- 2 years
Quick Apply
Cashier
New Season —Houston, TX
- 8 hour shift
- Microsoft Outlook
- Basic math
- High school diploma or GED
Quick Apply
Denials Specialist
SynergenX Health Holdings LLC —Tomball, TX
- $18 an hour
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Customer service
- Disability insurance
- Health insurance
Quick Apply
1d

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AR Government & Liability Collection Specialist
City Ambulance Service —Spring, TX
Respond promptly and professionally to incoming mail, telephone calls, emails, faxes, and other correspondence related to claim resolution.
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document coder jobs near the woodlands, 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

document coder jobs in the woodlands, tx

Medical Claims Eligibility Specialist II

AR Government & Liability Collection Specialist

Asst Finance Manager - Ashford Gardens

Credit Balance Review Specialist

Patient Account Specialist

Insurance Accounts Receivable Representative

Cashier

Denials Specialist

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