Texas Reimbursement Specialist

Job Summary

To support Texas first responders, the full-time Reimbursement & Credentialing Specialist will manage enrollment and re-enrollment applications for various health plans, ensuring timely payment processes while working remotely.

Key responsibilities

• Prepare enrollment and re-enrollment applications for all health plans, including Medicare and Medicaid
• Set up payer portals for eligibility, claim filing, claim status, and appeals
• Maintain provider licenses and insurance addresses while ensuring compliance with deadlines

Required qualifications

• High school diploma
• 2+ years of provider enrollment experience
• Ability to explain the differences between EFT, ERA, EOB, and COB
• Knowledge of federal and state insurance laws
• Understanding of insurance claim processing and third-party reimbursement