Healthcare Reimbursement & Dispute Resolution Specialist

Job Description

Job Description

RemX is seeking a detail-oriented Healthcare Reimbursement & Dispute Resolution Specialist for a growing healthcare organization. This is an excellent opportunity for individuals with experience in medical billing, revenue cycle management, claims processing, healthcare collections, insurance reimbursement, or accounts receivable.

Location: Houston, TX 77018
Schedule: Monday-Friday, 8:00 AM-5:00 PM
Pay Rate: $23.00/hour
Position Type: Temporary-to-Hire

The ideal candidate enjoys investigating payment discrepancies, analyzing complex healthcare billing documentation, and communicating with insurance carriers and healthcare providers to ensure accurate resolution of payment-related matters.

Responsibilities

• Review and analyze Explanation of Benefits (EOBs), remittance advices, and payment documentation.
• Determine payment responsibility and identify required actions for dispute resolution and billing activities.
• Research healthcare claims, reimbursement details, and payment records for accuracy and completeness.
• Prepare professional written correspondence related to invoices, payment postings, fee collections, and refunds.
• Communicate with healthcare providers, insurance carriers, and health plans via phone and email to obtain necessary documentation and payment information.
• Investigate and resolve billing discrepancies and outstanding payment issues.
• Maintain accurate electronic records and documentation for all resolved and refunded disputes.
• Ensure compliance with applicable healthcare regulations, internal policies, and established procedures.
• Monitor assigned cases and meet required deadlines while maintaining a high level of accuracy.

Qualifications

• Minimum 3 years of experience in medical billing, healthcare claims, revenue cycle management, accounts receivable, reimbursement, collections, or a related healthcare administrative role.
• Strong understanding of EOBs, insurance payments, claims adjudication, and reimbursement processes.
• Experience reviewing healthcare billing and payment-related documentation.
• Excellent written and verbal communication skills.
• Strong analytical, problem-solving, and investigative abilities.
• Proficiency in Microsoft Office, including Outlook, Word, and Excel.
• Ability to manage multiple priorities in a fast-paced environment.
• Exceptional attention to detail and organizational skills.