Creative Solutions In HealthCare · 1 month ago
HMO/Managed Care Billing Specialist - Long Term Care
Fort Worth, TX
Full-time
Onsite
Entry, Mid Level
2+ years expCreative Solutions in Healthcare is seeking a reliable and detail-oriented HMO/Managed Care Billing Specialist to join their corporate billing team. This role is crucial for managing billing for long-term care residents, requiring excellent communication and organizational skills to ensure financial accuracy and timely claims processing.
Creative AgencyCustomer ServiceHealth CareHospital
Responsibilities
Manage Claims Processing: Accurately process and submit HMO and managed care claims for long-term care facilities in Texas
Resolve Account Balances: Work to reconcile patient accounts and reduce balances before they reach collections status
Communicate Effectively: Respond to phone calls and messages promptly and courteously; address questions from patients, insurance representatives, and internal departments
Handle Account Adjustments: Update patient demographics, initiate account adjustments, and maintain up-to-date billing records
Support Leadership: Communicate concerns and areas for process improvement to Creative Solutions management
Ensure Timeliness: Meet deadlines for claims submissions and account follow-ups while maintaining accuracy
Collaborate Cross-Functionally: Coordinate with other billing team members and departments to support accurate and timely billing processes
Qualification
Required
2-5 years of experience in HMO/Managed Care claims processing within a long-term care setting
Strong computer skills, including Microsoft Excel, Microsoft Word, and the ability to learn new software programs quickly
Excellent communication skills—both written and verbal
Organized, detail-oriented, and committed to meeting deadlines
Genuine interest in serving elderly and disabled individuals with professionalism and care
Upholds the Patient Bill of Rights, Employee Responsibilities, and safety policies and procedures
High school diploma or GED required
Preferred
Texas experience preferred
College degree preferred
Benefits
Comprehensive Benefits: Health, Dental, and Vision Coverage
Extra Protection: AD&D, Short-Term Disability, Cancer, Critical Illness, and more
Life Insurance: Whole and Term Policies
Professional Growth: Tuition Reimbursement for continued education
Time to Recharge: Paid Time Off
Retirement Planning: Immediate 401(k) eligibility
Unwavering Support: Exceptional corporate resources and leadership
Company
Creative Solutions In HealthCare
Creative Solutions in Healthcare is a Hospitals and Health Care company.
10001+ employees
Funding
Current Stage
Late StageLeadership Team
Gary Blake
CEO and Co-Founder
Christopher Eamiguel
Chief Financial Officer
Recent News
2025-08-27
2025-07-01
Company data provided by crunchbase