19 Best apex health solutions jobs in houston, tx (Hiring Now!)

All 39

Customer Service Representative
Apex Health Solutions —Houston, TX4
Answers benefit, eligibility, claim, network, and authorization inquiries and resolves issues based on phone calls or other inquiry methods from members,…
Estimated: $28.7K - $36.3K a year
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3d
Salesforce Architect
Confidential —Texas
Requirements:* Ø Collaborate with the business owners to document their ways of working in Salesforce and recommend ways to improve the solution Ø Work with…
Estimated: $160,000 - $200,000 a year
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11d
Financial Services Professional – Hybrid Remote (TX)
Bankers Life —Stafford, TX3
Bankers Life agents are provided pre-licensing training free of charge; individuals will need to pay for the state exam required to sell life and health…
$41,000 - $62,000 a year
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.NET Developer III
Medical Research Consultants —Houston, TX
Ability to create quality technical documentation, training materials, and release notifications, and experience in coaching both technical and non-technical…
Estimated: $110,000 - $120,000 a year
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Patient Care Advocate
Apex Health Solutions —Houston, TX4
Bachelors or Associates Degree in related field or two (2) years related experience. Work experience should be in direct patient care, social work, quality…
Estimated: $58.7K - $74.3K a year
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Claims Processor
Apex Health Solutions —Houston, TX4
Position is also responsible for responding to incoming inquiries and coordination with other internal and external stakeholders to resolve the issue, determine…
Estimated: $35.1K - $44.5K a year
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Medical Records Specialist
Apex Health Solutions —Houston, TX4
At least 2 years of experience in project management or a related field. Monitors own work to ensure quality. Track payment and reconciliation of medical record…
Estimated: $43.8K - $55.4K a year
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Financial Services Professional – Hybrid Remote (TX)
Bankers Life —Houston, TX3
Bankers Life agents are provided pre-licensing training free of charge; individuals will need to pay for the state exam required to sell life and health…
$41,000 - $62,000 a year
Quick Apply
Director, Claims Operations
Apex Health Solutions —Houston, TX4
Utilizes a detailed understanding of insurance, processes, and business systems to drive the research and analysis of the defined problem, design the…
Estimated: $107K - $135K a year
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LCMS Field Service Engineer and Scientist
Chem Quant Analytical Solutions —United States
Perform preventative maintenance on LCMS and GCMS equipment. Experience with service of GCMS or other lab equipment. Must be willing to travel on short notice.
Estimated: $55,000 - $95,000 a year
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Oracle APEX Developer
Peraton —United States3.2
Candidates will participate in system requirements reviews, critical design reviews, test readiness reviews and pre/post implementation reviews as part of the…
Estimated: $86,000 - $138,000 a year
Sr. Software Developer
WHITE CROW RESEARCH PRIVATE LIMITED —Houston, TX
They will play an important role in creating the high-level design artifacts and deliver high quality code deliverables for a module, lead validation for all…
Estimated: $82,067 - $150,980 a year
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UM Coordinator
Apex Health Solutions —Houston, TX4
This job does not require a specific certificate, license or registration. The UM Specialist works within prescribed guidelines and procedures; uses independent…
Estimated: $38.6K - $48.9K a year
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10d
Clinical Data Auditor
Apex Health Solutions —Houston, TX4
Bachelor’s Degree in related field or seven (7) years of related experience required. Conducts audits on medical coding for risk adjustment purposes to ensure…
Estimated: $70.3K - $89.1K a year
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3d
Data Analyst
Apex Health Solutions —Houston, TX4
A bachelor’s degree in computer science or a closely related field preferred. Strong data quality understanding of data quality concepts and familiarity with…
Estimated: $82.8K - $105K a year
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Branch Office Administrator
Edward Jones —Spring, TX3.7
Taking an active role in the annual business planning process to assist in developing strategies for the upcoming year. From The Human Rights Campaign.
Estimated: $19.98 - $23.97 an hour
Sr. Application Developer - Community Health Choice
Harris Health System —Houston, TX3.7
Education/Specialized Training/Licensure: Bachelor's Degree in Business, Information Technology, Computer Information Systems, Systems Engineering, related…
Estimated: $81.5K - $103K a year
Salesforce InCountry Managed Package Subject Matter Expert - Remote working USA
Platform 6 Ltd —United States4
The role itself involves design and integration of Salesforce solutions, InCountry Managed Package solutions, salesforce data residency, development, validation…
Estimated: $106K - $135K a year
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Oracle PL/SQL Developer
Peraton —United States3.2
Participate in system requirements reviews, critical design reviews, test readiness reviews and pre/post implementation reviews as part of the defined system…
Estimated: $66,000 - $106,000 a year

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Customer Service Representative

Apex Health Solutions - 4.0 Houston, TX

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Job Details

Full-time Estimated: $28.7K - $36.3K a year 3 days ago

Benefits

Work from home

Qualifications

Customer service
Windows
Microsoft Office
High school diploma or GED
Computer skills
Under 1 year

Full Job Description

Summary
The Apex customer service team is responsible for addressing all forms of member and provider inquiries (phone, email, internet and/or written correspondence) in a clear, consistent, professional and caring manner. The incumbent must be able to demonstrate the knowledge needed to perform all job-related skills and accountabilities as outlined below.

Essential Duties and Responsibilities include the following. Other duties may be assigned.

Complies with HIPAA/PHI Regulations.
Adheres to all Compliance/Program Integrity requirements.
Answers benefit, eligibility, claim, network, and authorization inquiries and resolves issues based on phone calls or other inquiry methods from members, providers, and plan sponsors.
Adheres to schedule, ensuring commitment to meeting department service levels.
Clearly documents all interactions with members, providers, and other individuals contacting the customer service team.
Appropriately routes any issue(s) that require additional internal review to the correct department.
Correctly transfers callers with complex inquiries to the appropriate team member.
Respectfully communicates and collaborates with internal and external stakeholders to enhance relationships and render exceptional service.
Promotes individual professional growth and development by meeting requirements for mandatory/continuing education and skills competency; supports department-based goals which contribute to the success of the organization.
Performs other duties as assigned.
Researches and analyzes data to address operational challenges and customer service issues

Candidate Qualifications

Education

Education: High School Diploma or GED
Licenses/Certification: (None)
Ability to work from home with appropriate internet access and a quiet and private work space.

Skills

One (1) year of customer service experience in a call center environment preferred, but not required.
Medical or health insurance background is preferred.
Ability to multitask in a fast-paced environment.
Proficient computer skills, specifically with Microsoft Office and Windows.
Ability to interact with various external entities such as health care providers, regulators, clients, brokers, and members, etc.
Proficient analytical and research abilities to triage issues.
A desire to serve others while being empathetic with the drive to go above and beyond to help resolve questions at the first point of contact.
Must have a strong work ethic and a sense of responsibility to other team members and external stakeholders to meet all needs represented by a robust sense of accountability
Flexible to work evenings, weekends and/or holidays.
Adaptable and a quick learner, willing to change to meet shifting customer and business needs.

About Apex Health Solutions
Apex Health Solutions powers payers and providers choosing to engage in value-based risk contracting. Apex’s unique solutions create alignment between payers and providers, generating unparalleled value. Combined with Apex’s experienced and successful industry leadership, our focal point remains on improvement in patient quality, satisfaction and overall cost of care.
The above job description is not intended to be an all-inclusive list of duties and standards of the position. Incumbents will follow any other instructions, and perform any other related duties, as assigned by their supervisor

Quick Apply

apex health solutions jobs in houston, tx

Customer Service Representative

Salesforce Architect

Financial Services Professional – Hybrid Remote (TX)

.NET Developer III

Patient Care Advocate

Claims Processor

Medical Records Specialist

Financial Services Professional – Hybrid Remote (TX)

Director, Claims Operations

LCMS Field Service Engineer and Scientist

Oracle APEX Developer

Sr. Software Developer

UM Coordinator

Clinical Data Auditor

Data Analyst

Branch Office Administrator

Sr. Application Developer - Community Health Choice

Salesforce InCountry Managed Package Subject Matter Expert - Remote working USA

Oracle PL/SQL Developer

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