Plastics Revenue Cycle Specialist — Claims Expert

Houston Methodist; Houston (TX); On-site; USD 45,000 - 60,000; Full time

Job summary

A leading healthcare organization in Houston is seeking an experienced Revenue Cycle Professional to manage insurance claims, communicate effectively with payers, and analyze denial trends. The ideal candidate will have a high school diploma or equivalent, five years of experience in insurance follow-up, and strong analytical abilities. Knowledge of payor policies and a customer service focus are essential. This role contributes to maximizing payments and ensuring compliance with regulations.

Qualifications

• Minimum five years’ experience in commercial insurance follow-up.
• CRCP - Certified Revenue Cycle Professional (AAHAM) Technician certification preferred.
• Proficiency in English necessary to perform job functions.

Responsibilities

• Collaborate with management to target complex claims.
• Manage denials and appeals efforts.
• Communicate with third-party payers to expedite payments.

Skills

Communication skills

Analytical abilities

Customer service focus

Understanding of insurance policies

Education

High School diploma or equivalent

Associate's Degree

Job description

A leading healthcare organization in Houston is seeking an experienced Revenue Cycle Professional to manage insurance claims, communicate effectively with payers, and analyze denial trends. The ideal candidate will have a high school diploma or equivalent, five years of experience in insurance follow-up, and strong analytical abilities. Knowledge of payor policies and a customer service focus are essential. This role contributes to maximizing payments and ensuring compliance with regulations.