Medical Claims Analyst Auditor

RemX; Houston (TX); On-site; USD 29,000 - 40,000; Full time

Job summary

RemX is seeking a detail-oriented Medical Claims Analyst (Auditor) for 100% onsite work in Houston Heights, TX. The role involves reviewing medical claims, auditing determinations, researching discrepancies, and communicating with providers and stakeholders.

Typical schedule is Monday–Friday, 8:00 AM–5:00 PM, with a contract-to-hire employment path. The position requires experience in medical billing/coding or healthcare administration and strong analytical, communication, and data-entry skills.

Qualifications

• Experience in medical billing, coding, claims processing, claims review, or healthcare administration.
• Strong analytical and problem-solving skills.
• Excellent attention to detail and accuracy.
• Strong written and verbal communication skills.
• Proficiency with data entry and navigating multiple systems.
• Knowledge of dispute resolution, arbitration, or regulatory processes is a plus.
• Medical Coding certification and/or paralegal experience is preferred.

Responsibilities

• Review and analyze medical claims for accuracy, quality, and compliance.
• Audit claim determinations and supporting documentation.
• Research claim discrepancies and identify trends.
• Communicate with providers, arbitrators, and stakeholders to obtain necessary documentation.
• Process claim determinations and enter information into company systems.
• Maintain accurate records and ensure deadlines are met.
• Support quality assurance and continuous improvement initiatives.

Skills

Medical billing

Medical coding

Claims processing

Claims review

Healthcare administration

Analytical skills

Attention to detail

Written and verbal communication

Data entry

Job description

Job Description

Job Description

Medical Claims Analyst (Auditor)

· Houston Heights, TX, 90045

· $25.00/hour

· Monday-Friday | 8:00 AM - 5:00 PM

· 100% Onsite

· Contract-to-Hire

Join a growing healthcare services organization specializing in medical claims review and reimbursement support. We are seeking a detail-oriented professional with experience in medical billing, coding, claims review, healthcare administration, or insurance reimbursement.

Responsibilities

• Review and analyze medical claims for accuracy, quality, and compliance.
• Audit claim determinations and supporting documentation.
• Research claim discrepancies and identify trends.
• Communicate with providers, arbitrators, and stakeholders to obtain necessary documentation.
• Process claim determinations and enter information into company systems.
• Maintain accurate records and ensure deadlines are met.
• Support quality assurance and continuous improvement initiatives.

Qualifications

• Experience in medical billing, coding, claims processing, claims review, or healthcare administration.
• Strong analytical and problem-solving skills.
• Excellent attention to detail and accuracy.
• Strong written and verbal communication skills.
• Proficiency with data entry and navigating multiple systems.
• Knowledge of dispute resolution, arbitration, or regulatory processes is a plus.
• Medical Coding certification and/or paralegal experience is preferred.

Note: Due to the fully onsite schedule and Houston traffic, candidates should reside within approximately 30 minutes of the Houston Heights area.