Medical Claims Specialist

Medical Claims Specialist


Job ID: 9683584

Houston, TX, US

Office

High School or equivalent

Full Time, Temp to Hire

20 hr

Experienced (Non-Manager)

On-site

Healthcare Services

First Shift (Day)

Houston, TX, US

20 hr

Experienced (Non-Manager)

Full Time, Temp to Hire

Healthcare Services

On-site

Office

High School or equivalent

First Shift (Day)

Job details

We are currently seeking a Medical Claims Specialist that is pursuing a career in healthcare administration for our client located in North West Houston, TX 77092 , near 290 & 610 ! Could that be you?

Schedule: mon to fri 8am-5pm
Pay: $20 hr 
Temp-hire onsite 

Do you meet the Requirements?

  • Have 2-3 yrs Medical Claims experience as a Claims Representative in a call center environment  

  • Understanding and knowledge of medical terminology 

  • seeking career growth within healthcare administration 

  • have been in current or previous roles for 2 or more yrs 

  • Have utilized technology within the healthcare/ medical field 

  • has experience with customer service and patients 

Job Description :
– Configure and build an internal SQL data store for ongoing claims data replication.
– Manage the transfer process of historical claims data from the current claim vendor.
– Develop and implement backup extracts and protocols to support ongoing claims operations.
– Create a data dictionary for the new SQL database ensuring data accuracy and security.
– Develop SQL extracts according to new claim vendor specifications for historical data loading.
– Implement reporting necessary for IPA claims operations and delegated reporting responsibilities.
– Collaborate with senior leadership to define and produce claims-based utilization and financial performance reporting.
– Maintain a positive and professional environment through effective customer service interactions.
– Handle sensitive information with confidentiality and professionalism.

If interested please click apply !
Recruiter: Shavon Smith 

9683584

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