Medical Claims Eligibility Specialist

Job Description

Job Description

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* Medical Claims Eligibility Specialist
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* Location:
Houston Heights, TX (77018)**

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* Pay: $22/hr
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Mon-Fri, 8 AM-5 PM |
100% Onsite |
Contract-to-Hire

Growing healthcare organization seeking a detail-oriented professional with experience in medical billing, collections, claims processing, or insurance reimbursement
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• Review EOBs and payment remittances to determine claim eligibility.
• Follow up on unpaid and underpaid insurance claims.
• Process in-network and out-of-network medical claims.
• Review and resubmit claims under the No Surprises Act when applicable.
• Maintain accurate claim records and documentation.
• Analyze complex claims, including HCFA 1500, UB-04, surgery, anesthesia, COB, and high-dollar claims.

• High School Diploma or GED required.
• Experience in medical billing, collections, claims processing, or insurance follow-up.
• Ability to interpret EOBs and payment remittances.
• Strong attention to detail and organizational skills.
• Proficiency with Microsoft Office and Excel.
• No Surprises Act knowledge is a plus.

• Medical Biller
• Medical Collections Specialist
• Claims Specialist
• Insurance Follow-Up Representative
• Healthcare Reimbursement Specialist

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* Note: Candidates should live within approximately 30 minutes of the Houston Heights area due to the fully onsite schedule.