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Remote Claim Reviewer Jobs in Texas (NOW HIRING)

Addison Group

Remote Medicaid Collector

Mesquite, TX · On-site +1

$23 - $26/hr

Remote Pay Range: $23-$26/hr Start Date: ASAP Benefits: This position is eligible for medical ... Review claim history to identify the underlying reason for nonpayment * Determine the appropriate ...

UTMB Health

Coder - RCO Coding (Remote)

Galveston, TX · On-site +1

$17.50 - $23.50/hr

Works coding related charge reviews/claim edits daily to ensure timely and accurate billing within ... Remote, Monday through Friday, Full-Time Position. Equal Employment Opportunity UTMB Health strives ...

UTMB Health

Coder - RCO Coding (Remote)

Galveston, TX · Remote

$17.50 - $23.50/hr

Works coding related charge reviews/claim edits daily to ensure timely and accurate billing within ... Remote, Monday through Friday, Full-Time Position. Equal Employment Opportunity UTMB Health strives ...

UTMB Health

Coder - RCO Coding (Remote)

Galveston, TX · Remote

$17.50 - $23.50/hr

Works coding related charge reviews/claim edits daily to ensure timely and accurate billing within ... Remote, Monday through Friday, Full-Time Position. Equal Employment Opportunity UTMB Health strives ...

WarrCloud

Warranty Specialist

Dallas, TX · Remote

Claim Optimization: Conduct thorough analysis of claims by reviewing labor operations, warranty ... Remote Mastery: Self-motivated, proactive, and fully capable of working independently while ...

Manulife

$97K - $114K/yr

This is a remote role open to any location in continental US Manulife is a leading international ... May process all aspects of auditing, formal appeal reviews and contestable claim review. * Audit ...

Qcells

Warranty Manager, EPC

Houston, TX · On-site +1

Remote/Hybrid Supervisor: Director of EPC Warranty FLSA Status: Exempt Position Status: Permanent ... Support preparation of claim packages and correspondence to Owners and OEMs for review and approval ...

Ccfs

Risk Claims Manager

Houston, TX · Remote

$85K - $95K/yr

The role ensures complete and sound claim settlements, legal reviews, and investigations in ... This position has the potential to be remote. ESSENTIAL JOB DUTIES * Personally investigate and ...

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Showing results 21-40

All JobsClaim Reviewer JobsRemote Claim Reviewer JobsRemote Claim Reviewer Jobs in Texas

Remote Claim Reviewer information

What is the difference between Remote Claim Reviewer vs Remote Claims Processor?

AspectRemote Claim ReviewerRemote Claims Processor
Required CredentialsHigh school diploma or equivalent; insurance knowledge often preferredHigh school diploma or equivalent; basic insurance or data entry skills
Work EnvironmentHome-based, independent review settingHome-based, processing claims and data entry
Industry UsageInsurance companies, third-party administratorsInsurance companies, healthcare providers
Common Search IntentComparing roles involving claim review and evaluationRoles focused on processing and data entry of claims

The main difference is that Remote Claim Reviewers evaluate and assess insurance claims for accuracy and validity, often requiring insurance knowledge. Remote Claims Processors handle the entry and processing of claims, focusing on data entry and administrative tasks. Both roles are remote and industry-specific but differ in responsibilities and skill requirements.

What are the most commonly searched types of Claim Reviewer jobs in Texas?

The most popular types of Claim Reviewer jobs in Texas are:

What are popular job titles related to Remote Claim Reviewer jobs in Texas?

For Remote Claim Reviewer jobs in Texas, the most frequently searched job titles are:

What job categories do people searching Remote Claim Reviewer jobs in Texas look for?

The top searched job categories for Remote Claim Reviewer jobs in Texas are:

What cities in Texas are hiring for Remote Claim Reviewer jobs?

Cities in Texas with the most Remote Claim Reviewer job openings:

Remote Claim Reviewer jobs near you
Infographic showing various Remote Claim Reviewer job openings in Texas as of August 2026, with employment types broken down into 67% Full Time, and 33% Part Time. Highlights an 100% Remote job distribution.

Remote Medicaid Collector

Addison Group

Mesquite, TX • On-site, Remote

$23 - $26/hr

Contractor

Medical, Dental, Vision, Retirement

Posted 5 days ago

Job description

Medicaid Collections Specialist - Hospital Revenue Cycle
Location: Remote
Pay Range: $23-$26/hr
Start Date: ASAP
Benefits: This position is eligible for medical, dental, vision and 401(k).
This is a long term contract role with potential to be hired on
About Our Client
Addison Group is hiring for our client, an established healthcare organization, seeking an experienced Medicaid Collections Specialist to support its hospital revenue cycle operations.
This position is focused primarily on inpatient rehabilitation Medicaid accounts, including high-dollar and significantly aged claims. The ideal candidate has strong hospital-side Medicaid and Managed Medicaid experience and is comfortable independently researching complex reimbursement issues through resolution.
Job Description
The Medicaid Collections Specialist will manage outstanding hospital claims from research through final resolution. This role requires someone who understands the full Medicaid billing and collections process and can identify why a claim has not paid correctly, determine the appropriate next step, and take ownership of the account.
Most research and follow-up will be completed electronically through billing systems and payer portals, with phone outreach primarily reserved for claims requiring additional clarification.
Key Responsibilities
  • Manage Medicaid and Managed Medicaid hospital accounts receivable
  • Research high-dollar, aged, denied, and unpaid claims
  • Review claim history to identify the underlying reason for nonpayment
  • Determine the appropriate billing or collection action needed to resolve outstanding accounts
  • Correct and resubmit claims when necessary
  • Review payer responses and reimbursement information for accuracy
  • Navigate Medicaid payer portals and healthcare billing systems to research account status
  • Work claims independently from initial research through final resolution
  • Maintain complete and accurate documentation of all account activity
  • Prioritize complex accounts while consistently meeting daily productivity expectations
  • Escalate unusual reimbursement issues when additional support is required

Required Qualifications
  • 3+ years of Medicaid collections experience
  • Recent hospital/facility billing or collections experience
  • Experience working with Medicaid and Managed Medicaid claims
  • Strong understanding of hospital reimbursement and insurance claim workflows
  • Ability to explain the Medicaid billing and collections process from start to finish
  • Experience researching denials and identifying appropriate corrective action
  • Strong analytical and critical-thinking abilities
  • Excellent attention to detail and follow-through
  • Strong verbal and written communication skills
Addison Group is an Equal Opportunity Employer. Addison Group provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, genetic information, marital status, amnesty, or status as a covered veteran in accordance with applicable federal, state and local laws. Addison Group complies with applicable state and local laws governing non-discrimination in employment in every location in which the company has facilities. Reasonable accommodation is available for qualified individuals with disabilities, upon request.
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