County Indigent Claims Specialist

Galveston County Health District•Texas City, TX

1d•Onsite

About The Position

Galveston County Health District is looking for a detail-oriented County Indigent Claims Specialist to support the administration of the county’s indigent healthcare program. This is your opportunity to play a key role in ensuring accurate and timely healthcare claims processing while making a meaningful impact in our community!

Requirements

Three (3) years of progressively responsible office experience
Strong analytical, organizational, and data entry skills
Excellent written and verbal communication skills
Strong customer service and interpersonal skills
Proficiency in Microsoft Office
Ability to manage multiple priorities and work independently
Valid Texas driver’s license (or ability to obtain)
Must comply with immunization requirements
Must pass background check, MVR check (if applicable), and drug/alcohol screening

Nice To Haves

Bachelor’s degree preferred or equivalent combination of education and experience
Knowledge of medical terminology, coding, or healthcare claims preferred
Ability to interpret financial and healthcare-related documents preferred

Responsibilities

Review and process hospital and specialty claims for the indigent healthcare program
Verify patient eligibility, demographics, and coverage prior to claim approval
Maintain accurate and detailed records for all claims
Monitor workflow and backlog to ensure timely claim processing
Serve as a liaison with healthcare providers, third-party administrators, and county partners
Identify errors or discrepancies and recommend process improvements
Review check registers and prepare monthly and annual reports
Research aged claims, process refunds, and resolve denied or past-due claims
Assist clients and providers with questions regarding claims
Stay up to date with indigent healthcare regulations and program requirements
Maintain compliance with HIPAA and organizational policies
Perform other duties as assigned