Health Plans Claims Processor
Texas Children's Hospital
Texas Children’s Health Plan is seeking a Claims Examiner to process and adjudicate claims for reimbursement to providers based on established procedures. You will review and research claims, ensuring adherence to guidelines and timeliness.
Ideal candidates have a high school diploma and at least one year of claims examination experience, with strong attention to detail and ability to work in a fast-paced healthcare environment.
#J-18808-Ljbffr Texas Children's Hospital
Vacancy posted 1 day ago
Similar jobs that could be interesting for youBased on the Health Plans Claims Processor in Bellaire, TX vacancy
- TCH Medical Center is seeking a Claims Examiner to support our growing team. You will process and adjudicate claims for reimbursement to Providers based on our detailed claim processing procedures. You will thoroughly review, investigate, and adjudicate claims daily, aiming...Suggested
$21 per hour
...We are seeking a Pharmacy Adjudication Specialist at our Specialty pharmacy in Houston, TX. This will be a Full-Time position. This position... ...Pharmacy Adjudication Specialist will adjudicate pharmacy claims, review claim responses for accuracy. ensure prescription claims...SuggestedFull timeTemporary workWork experience placementRelocation packageFlexible hoursShift work- Jobtailor in Houston is seeking a Claims Adjudication Assistant to help process medical, dental and vision claims, ensuring accuracy while meeting quality and turnaround goals. Ideal candidates have at least 6 months in healthcare or insurance operations, proficiency with...Suggested
- ...Claims Benefits Specialist We are searching for a Claims Benefits Specialist someone who works well in a fast-paced setting. In this position... ...modifications must be made to increase the automation of the adjudication flow Investigate and research Texas Medicaid regulatory...SuggestedFull timeWork at officeLocal areaShift work
- ...Claims Examiner We are looking for a Claims Examiner, someone who's ready to grow with... ...In this position, you will process and adjudicate claims received for reimbursement to... ...than 1,100 primary care physicians, 3,200 specialists, and 70 hospitals. Texas Children's Health...SuggestedHourly payFull timeLocal areaShift work
- We are looking for a Claims Examiner, someone who's ready to grow with our company. In this position, you will process and adjudicate claims received for reimbursement to Providers based on extensive review, research, and a detailed format of claim processing procedures...Hourly pay
$50k - $58k
...Position Summary The Warranty Claims Specialist administers product warranty claims from initial intake through resolution. The position reviews claim documentation, evaluates information against applicable warranties and installation requirements, coordinates technical...Full timeFor contractorsWork at office- ...The ideal candidate has at least 12 months of auto damage experience, a valid driver’s license, and the ability to manage complex claims with accuracy and professionalism. You will deliver excellent customer service, apply industry knowledge to settlements, and communicate...Remote work
- ...subrogation and recovery skills. Responsibilities include investigating Auto, Bodily Injury, Property Damage and General Liability claims, reviewing records, negotiating settlements, and maintaining organized diary management for all files. #J-18808-Ljbffr InterMed Cost...
- ...Help homeowners navigate the insurance claims process after storm damage, providing guidance and support every step of the way. In this role, you’ll work closely with clients, insurance adjusters, and internal teams to ensure claims are handled efficiently, accurately...
$45k - $48k
...for commercial clients, delivering responsive and professional service Manage incoming requests related to policy coverage, billing, claims, and documentation Process certificates of insurance, endorsements, binders, ID cards, and invoices with accuracy Assist clients...Full time- ...sharing ideas. Join in on the excitement and become part of our thriving organization! We are seeking an experienced Casualty Claims Specialist! The Casualty Claims Specialist will be responsible for investigating and settlement of automobile bodily injury claims. They...Work at office
- ...sharing ideas. Join in on the excitement and become part of our thriving organization! We are seeking an experienced Casualty Claims Specialist! The Casualty Claims Specialist will be responsible for investigating and settlement of automobile bodily injury claims. They...Full timeWork at office
- Job Summary Federal IDR Claim Specialist is responsible for analyzing, organizing, and preparing documentation for eligible claims to be filed with Federal IDR in effort to promptly resolve billing disputes between out of network providers, facilities, and health plans...Work at officeImmediate startFlexible hours
- ARAMCO SERVICES in Houston seeks a Claims Analyst to manage Freight, Demurrage, and related claims. You will review and process claims, coordinate with accounting and operations, and resolve disputes with traders, ship owners, and brokers. You will maintain documentation...
- BRSi is seeking a Biller responsible for the accurate and timely submission of claims to insurance carriers. The role involves reviewing and correcting claim discrepancies, ensuring compliance with HIPAA and organizational policies. Ideal candidates will have a High School...
- ...A leading automotive service provider in Houston is looking for a Warranty Administrator to manage and process warranty claims ensuring compliance with manufacturer policies. This role requires strong organizational skills, attention to detail, and effective collaboration...Work at office
- EY in the United States is seeking an experienced insurance claims professional to join our practice with travel to client sites. You will work alongside forensic accountants, valuation professionals, attorneys, risk managers, brokers, and insurers to quantify complex...
- PFS Group is seeking an Insurance Appeals Representative in Houston to handle high-dollar denials for hospital insurance claims. You will review clinical docs and payer guidelines to draft timely appeals, potentially writing appeals or advising other reps with reference...
- Sedgwick is seeking a Per Diem General Liability Adjuster to handle complex auto, homeowner, and excess liability claims across multiple states. You will evaluate exposures, manage litigation, and coordinate with counsel while maintaining strong customer service and accurate...Daily paid
- First Chicago Insurance Company (FCIC) seeks an experienced Casualty Claims Specialist in Houston, Texas. This role involves investigating and settling automobile bodily injury claims, managing complex liability cases, and conducting detailed investigations to ensure proper...Work at office
- Responsibilities Ensure accuracy of claims adjudication while maintaining quality and turnaround goals. Adjudicate medical, dental and vision claims. Review plan documents for various groups to apply appropriate benefits to claims being adjudicated. Prioritize assigned...
- ...Career with Liberty Mutual’s Personal Lines Casualty Team! Our Casualty Attorney Represented team is currently hiring for Senior Claims Specialists to manage attorney represented and litigated auto and homeowner's bodily injury claims. This role will manage, investigate...Currently hiringWork at officeLocal areaRemote workHome office
- Aramco in Houston, TX is seeking a Demurrage and Claims specialist responsible for reviewing and processing freight, demurrage, and related claims. You will coordinate with operations schedulers, traders, ship owners, and the finance group to resolve disputes efficiently...
- Gallagher Bassett is seeking a Senior Claims Specialist to manage moderately complex Cyber liability claims from intake to resolution. You will analyze coverage, conduct investigations, and settle claims in alignment with client expectations and regulatory requirements....Remote job
- ...0 Binz St, and remote on other days. The AR Manager will guide denial analysis, collaborate with internal stakeholders, and ensure timely processing of claims while maintaining HIPAA compliance. Travel may be required to support go-lives. #J-18808-Ljbffr Privia HealthWork at officeRemote work
- Gallagher Bassett is seeking a Senior Claims Specialist for Healthcare Professional Liability - Long Term Care. The role focuses on managing moderately complex claims from coverage analysis to resolution, remotely across jurisdictions. Strong analytical and negotiation...Remote job
- Arthur J. Gallagher & Co. (AJG) is seeking a Senior Claims Specialist for Healthcare Professional Liability - Long Term Care. This role manages moderately complex claims through the full life cycle, conducts coverage analysis, and negotiates settlements with clients and...Remote job
- RCA in Houston, TX is seeking a Liability/Claim Specialist to join their team. The position involves handling Third Party Liability Claims and ensuring proper lien processes related to Motor Vehicle Accidents. Candidates should have strong customer service skills and experience...Work at office
$150k
...doing the right thing and doing it well. Whether you're managing claims, supporting clients, or improving processes, you’ll play a... ...role is eligible for fully remote work The Senior Claims Specialist within GB Specialty is responsible for managing moderately complex...Local areaRemote work
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Health Plans Claims Processor. Be the first to apply!
Related searches
- remote medical claims processor Bellaire, TX
- health insurance part time Bellaire, TX
- medical insurance Bellaire, TX
- health insurance full time Bellaire, TX
- health insurance Bellaire, TX
- remote health insurance Bellaire, TX
- health insurance sales Bellaire, TX
- claims processing Bellaire, TX
- medical claims auditor Bellaire, TX
- health program Bellaire, TX


