COI/Eligibiity Specialist II

Job Description

Job Description

Now hiring for a COI/Eligibiity Specialist II in Houston, TX, 77018 (Heights Area) - Contract to Hire - This position is fully in office and will have hours of 8-5, M-F.

Requires experience with Medical Insurance Collections, Claims Billing or No Surprise Act.

Responsibilities:

• Analyze Explanation of Benefits (EOB) and payment remittance documents submitted by healthcare providers and insurance carriers to determine which claims are eligible for the dispute resolution process.
• Collections from insurance carriers
• Billing for in and out of network claims
• Re-submittal of No Surprises Act Claims
• Maintain physical and electronic files for all claims determined eligible.
• 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.
• Remote but will require an occasional in office meeting

Qualifications:

• High School or GED
• Meticulous and accurate
• Billing/Collections experience
• No Surprises Act - Preferred
• Detail oriented
• Able to make quick changes and switch duties
• MS Office Suite and intermediate Excel skills
• Possibility for quick promotion with an increase in pay

As a RemX COI/Eligibiity Specialist II We Offer You:

• Competitive pay
• Paid weekly (Direct Deposit or ATM Debit Card available)
• Access to health benefits and retirement plan
• A personal recruiter to help with job searches and assistance when at work!
• Contract to Hire Opportunity

Find A Job That Works for You!

Each and every day RemX puts over 90,000 people to work, helping more than 15,000 companies find the talent they need to succeed. And, as a part of the 10th largest staffing company in the world, we understand that at the heart of every successful business are people. That’s why we work hard to find you the right job at the right company. Explore all the exciting opportunities RemX offers and find the right job for you!