Founded in 1996, Texas Children’s Health Plan is the nation's first health maintenance organization (HMO) created just for children. We provide STAR/Medicaid and Children's Health Insurance Program (CHIP) to pregnant women, teens, children and adults in Houston and surrounding areas. Currently, the Health Plan has more than 375,000 members who receive care from our network of more than 1,100 primary care physicians, 3,200 specialists, and 70 hospitals. Texas Children's Health Plan is also the largest combined STAR/CHIP Managed Care Organization in the Harris County service area.
Texas Children’s is proud to be an equal opportunity employer. All applicants and employees are considered and evaluated for positions at Texas Children's without regard to mental or physical disability, race, color, religion, gender, national origin, age, genetic information, military or veteran status, sexual orientation, gender identity, marital status or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.
We are searching for a Transaction Entry Clerk — someone who works well in a fast-paced setting. In this position, you will enter all claims received for adjudication. You’ll open, sort and scan daily mail, data enter claims into the system, file, verify and update Coordination of Benefits (COB) information in the Claims system, create form letters and other duties as assigned.
Think you’ve got what it takes?
Being fully vaccinated against COVID-19, including any booster dose(s) of the COVID-19 vaccine recommended by the Centers for Disease Control when eligible, is required for all employees at Texas Children’s, unless approved for a medical or religious exemption.
H.S. Diploma or GED Required
1 Year of Data Entry Experience Required
Claim Entry Experience Preferred
Open, sort and scan daily mail received.
Data enters claims in the system
Verify Coordination of Benefits (COB) information in an external vendor's system and update verified information in a web based application
Pull claims from filed batches, refile, work assigned work queues daily, print faxes and other duties and tasks as assigned
Create form letters for rejected claims
Complete special projects as requested
Open, sort into various categories, scan and data enter claims and miscellaneous documents into data entry system for uploading into claims processing system. Claims that are rejected for missing required information must be returned to the provider within 3 days from the date rejected
Sort, scan and key claims
Thank you for your interest in applying for this job position.
Texas Children’s is excited to announce that we are transitioning to a new applicant tracking system. During this transition, from April 11-17, 2016 our application functions on our Careers website will be temporarily deactivated.
We sincerely apologize for this inconvenience. Visit us on Monday, April 18, 2016 to check out our new features and apply!