About Texas Children's HospitalThe Texas Children’s Hospital system is the largest pediatric integrated care system and is an industry leader in pediatric population health. Founded in 1996, Texas Children’s Health Plan is the nation's first health maintenance organization (HMO) created just for children and pregnant women. We are an Integrated Community System providing holistic care that empowers families to live healthier lives. Texas Children's Health Plan is also the largest combined STAR/CHIP Managed Care Organization in the Harris County service area. Currently, the Health Plan serves more than 450,000 members across three state territories (Harris, Jefferson, North East), who receive care from our network of more than 1,100 primary care physicians, 3,200 specialists, and 70 hospitals. To join our community of 13,000 dedicated team members, visit www.texaschildrenspeople.org for career opportunities. You can also learn more about our amazing culture at www.infinitepassion.org
We are on the hunt for a Claims/Benefits Specialist—someone who can thrive in a fast-paced managed care environment. In this position, you’ll investigate and accurately process claim appeals within the regulatory requirements mandated by the State of Texas. We need someone who can provide effective, timely investigations and follows up on all internal customer requests.
Think you’ve got what it takes?