Medical Benefits and Claims Specialist

Job Description

Job Description

Medical Benefits and Claims Specialist | $19.69 per hour | Monday–Friday, 8AM–5PM | Fully On-site | Temporary

What Matters Most:

• Competitive pay range of $19.69 per hour, based on work experience.
• Schedule: Monday–Friday, 8:00 AM to 5:00 PM
• Location: Houston, TX 77081
• Temporary assignment beginning September 2026
• Weekly pay with direct deposit or pay card
• When you work through Team1Medical, a Reserves Network company, you are eligible to enroll in dental, vision, and medical insurance as well as 401K, direct deposit, and our referral bonus program

Job Description:
Large Healthcare organization in west Houston is seeking several Medical Benefits and Claims Specialist. They are primarily responsible for but not limited to responding to incoming hotline inquiries as they relate to benefits and eligibility verification, claim status (with the ability to identify if a claim requires reconsideration), authorization status, and complaints.

Responsibilities:

• Answer inbound calls and assist members with benefit and eligibility questions, claim and authorization status, and general inquiries.
• Provide first-call resolutions whenever possible, identifying issues and offering solutions.
• Accurately document all interactions in our customer relationship management (CRM) system.
• Handle claim-related inquiries, submit adjustments when necessary, and spot trends that may require escalation.
• Maintain confidentiality in compliance with HIPAA guidelines.
• Work independently while following departmental policies and procedures

Qualifications and Requirements:

• High school diploma or GED.
• Two (2) years of healthcare/health plan experience is required.
• Strong computer skills and proficiency in Microsoft Office (Word, Excel, Outlook).
• Excellent verbal and written communication skills.
• Ability to work independently with minimal supervision while delivering exceptional customer service.

Benefits and Perks:

• Pay range: $19.69, based on work experience.
• Medical, dental, and vision insurance options
• Training and growth opportunities
• Weekly pay and convenient location

Your New Organization:
Join a professional and fast-paced contact center environment that values collaboration, accuracy, and quality service. You will be part of a team that is committed to helping others and providing clear, compassionate support to members and providers.

Your Career Partner:
The Reserves Network, a veteran-founded and family-owned company, specializes in connecting exceptional talent with rewarding opportunities. With extensive industry experience, we are dedicated to helping you achieve your professional goals and shine in your field. The Reserves Network values diversity and encourages applicants from all backgrounds to apply. As an equal-opportunity employer, we foster an environment of respect, integrity, and trust in every aspect of employment.

In the spirit of pay transparency, we want to share the base hourly pay rate for this position is $19.69 per hr, not including benefits, potential bonuses or additional compensation. If you are hired, your base salary will be determined based on factors such as individual skills, qualifications, experience, and geographic location. In addition, we also believe in the importance of pay equity and consider the internal equity of our current team members as a part of any final offer. Please keep in mind that the range mentioned above is the full base salary range for the role. Hiring at the maximum of the range would not be typical to allow for future & continued salary growth.