ZipRecruiter

Log In

1

Medicare Inbound Jobs in Texas (NOW HIRING)

Discovery At Home Texas

Community Liaison

Dallas, TX · On-site

Successfully communicate and create community/industry awareness around Discovery at Home's services for both Medicare Skilled services and Non-Skilled Private Pay services. * Take inbound calls ...

Discovery at Home

Community Liaison

Dallas, TX · On-site

$75K - $85K/yr

Successfully communicate and create community/industry awareness around Discovery at Home's services for both Medicare Skilled services and Non-Skilled Private Pay services. * Take inbound calls ...

Discovery At Home Texas

Community Liaison

Dallas, TX

$75K - $85K/yr

Successfully communicate and create community/industry awareness around Discovery at Home's services for both Medicare Skilled services and Non-Skilled Private Pay services. * Take inbound calls ...

Hawkins Personnel Group

$14 - $18/hr

... Medicare, CHIP, Medicaid, and Commercial Dental plans for state agencies and managed care associations across the nation. You are responsible for both inbound and outbound calls, emails, or chat ...

previous page

Showing results 41-60

All JobsMedicare Inbound JobsMedicare Inbound Jobs in Texas

Medicare Inbound information

What is a Medicare Inbound representative?

Medicare Inbound representatives are customer service professionals who handle incoming calls from individuals seeking information about Medicare plans, enrollment, and benefits. They assist callers—often seniors or those approaching eligibility—with understanding plan options, coverage details, and the enrollment process. Their role is crucial in providing accurate, clear information to help people make informed healthcare decisions. These representatives often work for insurance companies or third-party agencies that support Medicare beneficiaries.

What skills and qualifications are needed to thrive as a Medicare Inbound representative?

To excel as a Medicare Inbound Representative, you typically need strong knowledge of Medicare plans, excellent customer service skills, and a high school diploma or equivalent. Familiarity with CRM systems, call center software, and sometimes a health insurance license are important technical qualifications. Outstanding communication, patience, and problem-solving abilities help representatives build trust and effectively address client needs. These competencies ensure accurate information delivery, regulatory compliance, and a positive customer experience for Medicare beneficiaries.

What is the difference between Medicare Inbound vs Medicare Customer Service Representative?

AspectMedicare InboundMedicare Customer Service Representative
CertificationsKnowledge of Medicare policies, possibly required certificationsSame certifications, focus on Medicare knowledge
Work EnvironmentCall centers, remote or office-basedCall centers, remote or office-based
Employer & IndustryHealth insurance companies, Medicare providersHealth insurance companies, Medicare providers
Job FocusHandling inbound calls about Medicare plans and coverageAssisting customers with Medicare inquiries and issues

Both roles involve assisting Medicare beneficiaries via inbound calls, requiring similar certifications and work environments. The main difference lies in job titles used by employers, but their responsibilities and industry context are closely aligned.

What are common challenges faced by Medicare Inbound representatives, and how can they be managed?

Medicare Inbound representatives often encounter challenges such as handling high call volumes, addressing complex customer inquiries about benefits and coverage, and staying current with frequently changing Medicare regulations. To manage these challenges, it's important to develop strong organizational skills, utilize internal resources and knowledge bases, and actively participate in ongoing training. Effective communication and patience are also key, as representatives regularly interact with seniors who may need extra assistance understanding their options.
What are popular job titles related to Medicare Inbound jobs in Texas? For Medicare Inbound jobs in Texas, the most frequently searched job titles are:
What job categories do people searching Medicare Inbound jobs in Texas look for? The top searched job categories for Medicare Inbound jobs in Texas are:
What cities in Texas are hiring for Medicare Inbound jobs? Cities in Texas with the most Medicare Inbound job openings:
Medicare Inbound jobs near you
Infographic showing various Medicare Inbound job openings in Texas as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% In-person job distribution.

Patient Accounts Representative

Harris County Emergency Services District 11

Spring, TX • On-site

$16 - $21.25/hr

Full-time

Posted 7 days ago

Job description

SUMMARY:
The Patient Accounts Representative is responsible for managing the full lifecycle of insurance claims, ensuring accurate billing, timely reimbursement, and exceptional communication with patients, payers, and internal departments. This role requires strong analytical skills, attention to detail, and the ability to navigate complex payer requirements across Medicare, Medicaid, and commercial insurance plans.
ESSENTIAL FUNCTIONS:
  • Performs proactive follow-ups on insurance claims with Medicare, Medicaid, and commercial payers to drive timely resolution of outstanding balances and reduce aging accounts.
  • Reviews, analyzes, and resolves denied or rejected claims by identifying root causes, correcting errors, and submitting accurate documentation to payers.
  • Contacts patients to obtain missing information, clarify billing concerns, and provide clear updates on claim status and financial responsibilities.
  • Maintains detailed, compliant records of all claim activity, payer interactions, and follow-up actions within internal systems to support audit readiness.
  • Partners with billing, coding, verification and external vendors to insure accuracy and address system issues contributing to denials.
  • Tracks payer behavior and reimbursement patterns, escalating issues to leadership to support process improvements and revenue protection.
  • Assists the verification team as needed to confirm patient eligibility and benefits, preventing avoidable claim delays.
  • Identifies overpayments for both patients and insurance carriers, prepares refund requests with proper documentation, and notifies management promptly.
  • Answers inbound calls from patients, attorneys, and other stakeholders, providing accurate information and resolving billing-related inquiries.
  • Monitors and maintains accounts receivables by processing aging reports and specific workflows as indicated by the collection procedures for each payer type.
  • Refers accounts to Patient Account Supervisor/Manager, as needed.
  • Performs other duties as assigned.

QUALIFICATIONS:
  • High School Diploma or GED equivalent.
  • Minimum of three (3) years of experience in medical billing, insurance follow-up, or healthcare accounts receivable.
  • Knowledge of medical terminology, ICD-10 coding, and insurance claim filing processes.
  • Understanding of Medicare, Medicaid, commercial insurance, and ambulance billing policies and procedures.
  • Experience resolving denied or rejected claims and working payer accounts receivable.
  • Proficient in Microsoft Office, including Excel and Word, and billing system software.
  • Strong communication, organizational, and customer service skills.
  • Ability to multi-task, prioritize workload, and work effectively in a fast-paced environment.
  • Must have been excluded by the OIG to Participate in Federally Funded Health Care Programs

PHYSICAL REQUIREMENTS:
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform these essential functions.
  • Sit for extended periods of time
  • Walk, stand, bend, squat, twist and reach
  • Simple grasping and fine manipulation
  • Extended keyboarding

WORKING CONDITIONS
  • Air-conditioned office environment

Apply