Reimbursement Specialist - Medical Claims & Denials

Texana Center; Rosenberg (TX); On-site; USD 30,000 - 33,000; Full time

Job summary

Texana Center in Rosenberg, TX is seeking a Reimbursement Coordinator to manage accounts receivable for Behavioral Health, Children’s Center for Autism, Early Childhood Intervention and Intellectual Developmental Disability Services.

The role requires Medicare/Medicaid and private insurance knowledge, accuracy in claims processing, and serving as the subject matter expert on reimbursement inquiries. Work hours are 8–5, Monday–Friday, with a pay range of $21.47–$23.85 hourly.

Qualifications

• High School Diploma or GED required.
• Five years of experience in medical/behavioral settings with Medicare/Medicaid or private insurance.
• Ability to verify insurance, collect, bill claims and post payments for large health plans.
• Experience with patient account management in an Electronic Health Record.

Responsibilities

• Manage accounts receivable for Behavioral Health, Children’s Center for Autism, Early Childhood Intervention and Intellectual Developmental Disability Services.
• Process third party payments, denials/appeals, and maximize reimbursement under contracts.
• Review all claims to ensure payments align with third party contracts; act as SME for reimbursement inquiries.
• Based in Rosenberg with hours of Monday–Friday 8:00 AM to 5:00 PM; comply with policy.

Skills

Patient account management

Insurance verification

Electronic Health Record

Education

High School Diploma/GED

Associates Degree- Healthcare supplement

Tools

Netsmart MyAvatar

Job description

Texana Center in Rosenberg, TX is seeking a Reimbursement Coordinator to manage accounts receivable for Behavioral Health, Children’s Center for Autism, Early Childhood Intervention and Intellectual Developmental Disability Services.

The role requires Medicare/Medicaid and private insurance knowledge, accuracy in claims processing, and serving as the subject matter expert on reimbursement inquiries. Work hours are 8–5, Monday–Friday, with a pay range of $21.47–$23.85 hourly.