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4 results for Customer Service Specialist in Waller, TX

Member Services Representative

Pearland, TX
onsite
Temporary
13 - 13.41 USD / Hourly
We are looking for a dedicated Member Services Rep to join our client's team in Pearland, Texas, on a contract basis. This position focuses on supporting the Utilization Management department by ensuring accurate and timely processing of authorization requests while maintaining clear communication with providers and members. The role offers an opportunity to contribute to operational efficiency, regulatory compliance, and quality patient care in a health insurance environment. Key Responsibilities:<ul><li>Handle inbound calls from providers, members, and facilities regarding authorization requests, status updates, and coverage questions</li><li>Review and process authorization requests received via phone, fax, and electronic systems</li><li>Create and document authorization cases accurately within utilization management systems or EHR platforms</li><li>Route cases requiring medical necessity review to clinical staff (RNs, LVNs, Medical Directors)</li><li>Communicate authorization determinations to providers and members in compliance with regulatory requirements</li><li>Maintain accurate, timely documentation to support compliance and operational standards</li><li>Collaborate with internal teams to ensure efficient case processing and resolution</li></ul>
2026-04-02T00:00:00Z

Coordinator, Customer Service

Houston, TX
onsite
Temporary
19 - 20 USD / Hourly
We are looking for a dedicated Customer Service Coordinator to join our team in Houston, Texas. In this long-term contract role, you will serve as the primary point of contact for employees, addressing inquiries and ensuring they are directed to the appropriate resources. This position requires strong organizational and communication skills to effectively manage customer interactions and resolve service-related issues. Responsibilities: • Respond to employee inquiries and provide guidance by directing them to relevant resources. • Create, assign, and update customer service tickets on a daily basis to ensure efficient tracking and resolution. • Communicate with customers to address service issues and collaborate with internal departments for timely solutions. • Utilize company programs, software tools, and online systems to manage benefit changes, ticket requests, and customer inquiries. • Apply effective listening and communication techniques to identify customer needs, resolve problems, and uncover opportunities. • Perform regular evening work hours as needed to meet operational requirements. • Operate telephony systems effectively to manage customer calls and inquiries. • Demonstrate proficiency in basic computer skills to access and navigate online resources. • Focus on providing exceptional customer service while coordinating with internal teams to handle service-related tasks.
2026-04-17T00:00:00Z

Client Solutions Manager

Houston, TX
onsite
Permanent
0 - 0 USD / Yearly
About the RoleWe are a growing staffing agency seeking a motivated Sales Professional to join our internal team. This role is focused on new business development and client relationship management. While staffing or IT experience is a plus, it is not required — we are open to strong sales professionals from other industries who thrive in a fast‑paced, target‑driven environment and want to build a long‑term career in staffing.Key Responsibilities<ul><li>Generate new business through cold calling, prospecting, networking, and referrals</li><li>Identify client needs and present staffing solutions</li><li>Build and maintain long‑term client relationships</li><li>Lead discovery calls, client meetings, and solution discussions</li><li>Negotiate pricing, rates, and service agreements</li><li>Partner closely with internal recruiting teams to ensure successful placements</li><li>Track sales activity, pipeline, and performance in CRM systems</li><li>Meet or exceed sales targets and revenue goals</li></ul>
2026-04-07T00:00:00Z

Eligibility Specialist

Houston, TX
remote
Contract / Temporary to Hire
22.8 - 26.4 USD / Hourly
We are seeking an experienced and detail‑oriented RCM Reimbursement Specialist focused on Appeals and Denials to join our team on a contract-to-hire basis. This fully remote role is essential in maximizing reimbursement by following up on outstanding insurance balances, resolving unpaid claims, and managing appeals through multiple levels.The ideal candidate thrives in a fast‑paced environment, is meticulous in their work, and has deep expertise in medical billing, payer processes, and denial management. Responsibilities<ul><li>Resolve aged claims and appeals lacking payer responses through payer portals and outbound calls.</li><li>Identify claims requiring first, second, or third‑level appeals.</li><li>Support teammates with special projects and denial work queue management.</li><li>Prioritize an assigned work queue to ensure timely follow‑up while maximizing reimbursement opportunity.</li><li>Identify non‑payment trends and partner with Revenue Cycle leadership to escalate groups of claims to Market Access.</li><li>Investigate denial and non‑payment trends identified by Revenue Cycle Analytics and collaborate cross‑functionally to propose and implement solutions.</li><li>Communicate opportunities to improve upstream processes that may prevent future denials.</li><li>Engage patients when their involvement is required during the appeal process.</li><li>Collaborate professionally with Revenue Cycle team members and respond promptly to requests requiring assistance.</li></ul>
2026-04-16T00:00:00Z