Top 124 Claims specialist Jobs in Denton, Tx

Revenue Cycle Collections Specialist
Behavioral Innovations —Plano, TX
- Full-time
- Hybrid work
- 5 years
- Medical office experience
- HIPAA
- Health insurance
- Dental insurance
Staff Accountant – HR & Payroll Specialist
Four Stars Auto Group —Corinth, TX
- $26 - $32 an hour
- Full-time
- Dealership
- Mid-level
- Data entry
- Health insurance
- Dental insurance
Quick Apply
Healthcare Claims Denial Specialist - Dallas, TX
Concero Technology Group —Addison, TX
- $27 - $29 an hour
- Contract
- Background check
- Research
- Mid-level
Quick Apply
3d
Warranty Audit Specialist
Advantage Technical —Plano, TX
- $38 - $42 an hour
- Temporary
- Dealership
- Mid-level
- Travel
- Health savings account
- AD&D insurance
Quick Apply
11d
Hybrid/Remote Medical Billing and Coding Specialist
Claros Solutions LLC. —Plano, TX
- $19.03 - $23.58 an hour
- 8 hour shift
- Hybrid work
- HIPAA
- Mid-level
- Office
- Health savings account
- Health insurance
Quick Apply
Claims (Billing) Specialist / Patient Account Representative - Healthcare
Guidehouse Managed Services LLC —Lewisville, TX
- $38,000 - $64,000 a year
- Full-time
- Hybrid work
- Customer service
- Basic math
- Mid-level
- Health savings account
- Paid holidays
Claim Specialist - Property Field Inspection
State Farm —Denton, TX
- $59,059.65 - $90,000.00 a year
- Overtime
- Mid-level
- Residential
- Analysis skills
- Paid holidays
- Health insurance
Claims Specialist - Professional Liability
Tokio Marine North America (TMNA) —Plano, TX
- $95,000 - $105,000 a year
- Online Application
- Hybrid work
- Customer service
- High school diploma or GED
- Bachelor's degree
- Health insurance
- Tuition reimbursement
Financial Management Specialist
Child Care Associates —Denton, TX
- Full-time
- Bilingual
- Computer literacy
- Office
Claims Loss Reporting Specialist
ACSC Management Services Inc —Coppell, TX
- Full-time
- Microsoft Outlook
- English
- Travel
- Paid parental leave
- Health insurance
Workforce Development Specialist-ES
Career Team Enterprises —Denton, TX
- $45,000 - $55,000 a year
- Full-time
- Bilingual
- Background check
- Mid-level
- Paid holidays
- Disability insurance
Acute Clearance Specialist - Intake Coordinator - Remote
Soleo Health Inc —Frisco, TX
- $23 - $27 an hour
- Urgently hiring
- Remote
- Microsoft Word
- HIPAA
- Mid-level
- Paid parental leave
- Health savings account
Quick Apply
Workflow Specialist Claims Processing
Tata Consultancy Services —Frisco, TX
- $50,000 - $54,000 a year
- Mid-level
- Office
- Analysis skills
- Commuter assistance
- Health insurance
Patient Service Specialist - Medical Front Office
Baylor Scott & White Institute for Rehabilitation - Outpatient —Little Elm, TX
- $18 - $25 an hour
- Full-time
- Float pool
- High school diploma or GED
- Clinic
- Mileage reimbursement
- Disability insurance
Claims Processing Specialist
SPINE TEAM TEXAS MANAGEMENT COMPANY —Southlake, TX
- Full-time
- HIPAA
- English
- Mid-level
Quick Apply
3d
Patient Services Specialist 2 – Primary Care Frisco
Baylor Scott & White Health —Frisco, TX
- Primary Care
- Mid-level
- High school diploma or GED
- Health insurance
- Tuition reimbursement
12d
Billing Specialist - Healthcare
BayMark Health Services —Lewisville, TX
- Full-time
- Medical office experience
- Pass drug screening
- HIPAA
- Health insurance
- Dental insurance
Provider Relations QA Specialist
Careington International Corporation —Frisco, TX
- Call employer
- Hybrid work
- Microsoft Excel
- Microsoft Outlook
- Research
- Opportunities for advancement
Quick Apply
Senior Casualty Claims Specialist - Central Time Zone
Liberty Mutual —Plano, TX
- $61,000 - $126,000 a year
- Full-time
- Mid-level
- Bachelor's degree
- Experience equivalent to degree accepted
5d
Workers Compensation Claims Specialist
CNMK Texas Properties, LLC. —Plano, TX
- Full-time
- Microsoft Word
- Microsoft Excel
- Customer service
- Health insurance
- Paid time off
Quick Apply

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claims specialist jobs near denton, tx

Revenue Cycle Collections Specialist

Behavioral Innovations -
Plano, TX

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Job Details

Full-time

Benefits

Health insurance
Dental insurance
Employee assistance program
Vision insurance

Qualifications

Managed care
Medical debt collection accounts
Collections account management

Full Job Description

Overview:

We're Hiring: Revenue Cycle Collections Specialist (All applicants must currently reside in DFW area)

Location: Corporate Office based in West Plano

Schedule: Onsite In-Office, eligible to transition to hybrid schedule based on individual performance.

Reports to: Revenue Cycle Management Manager

Why Choose Behavioral Innovations:

Compensation: Hourly Pay
Insurance: Medical, Vision, Dental, and Supplemental Insurance Policies.
Wellbeing Program: Equipping you with tools to achieve your wellness goals.
Employee Assistance Program (EAP): Comprehensive support for your mental, emotional, and physical health.
Award-Winning Culture – Honored with the Clinical Excellence Award in 2021 for our commitment to ethical standards and compassionate care.
Recognized Industry Leader – Named Company of the Year in 2022, reflecting our continued growth and impact in the ABA field.
National Recognition – Proudly ranked on the Inc. 5000 list as one of America’s Fastest Growing Private Companies.
Mission-Driven Work – Dedicated to transforming the lives of children with autism through high-quality, center-based ABA therapy.
Values-Driven Organization – Guided daily by our Core Values, with Integrity at the heart of everything we do.

Position Summary:

The Revenue Cycle Collections Specialist is responsible for ensuring the accurate and timely adjudication of all third-party claims submitted to insurance carriers. This role plays a critical part in increasing cash collections and reducing aging in third-party accounts receivable (A/R). The ideal candidate will focus on timely A/R follow-up and resolution of outstanding patient account balances. Responsibilities include, but are not limited to: addressing payer denials, zero payments, submitting corrected claims, providing medical records, locating missing payments, initiating claim appeals, correcting posting errors, processing claim adjustments and write-offs, resolving credit balances, navigating payer and clearinghouse portals, and managing payer correspondence. This position requires strong communication skills, both written and verbal, to effectively interact with Commercial, Medicaid, and Managed Care payers, as well as Revenue Cycle Management (RCM) leadership. Successful candidates will be solutions-oriented, capable of conducting detailed research, and well-versed in payer guidelines, company policies, and third-party collection best practices.

Your Role and What You'll Do:

Analyze and evaluate claim payments using internal systems and tools to ensure provider reimbursement aligns with applicable state fee schedules.
Review payer documentation and follow up with insurance carriers via phone to confirm receipt of claims and facilitate prompt reimbursement.
Investigate and resolve third-party payer claim issues, including initiating claim adjustments and resubmissions according to payer-specific guidelines.
Follow up on submitted claims to ensure timely payment; escalate unresolved issues to payers, internal departments, or RCM leadership as needed.
Evaluate payment and denial accuracy, apply payments appropriately to patient accounts, and identify bad debt write-offs and A/R adjustments per company policy.
Detect and resolve duplicate or overpayments and process necessary corrections.
Maintain communication with internal departments to gather missing patient or insurance information.
Ensure compliance with HIPAA regulations and all applicable federal, state, and payer guidelines.
Verify billing accounts against A/R ledger to confirm accurate payment posting.
Clearly document all interactions in the EHR, including call details, contact information, and outcomes.
Address denial issues within three (3) days of receipt.
Submit required medical records and documentation for medical necessity reviews, denials, and appeal processes in a timely manner.
Submit secondary claims promptly upon receipt of the primary remit to prevent payment delays.
Work to reduce third-party accounts receivable (A/R) and improve days sales outstanding (DSO).
Use electronic medical records (EMR) and billing systems efficiently.
Collaborate effectively with team members, leadership, and other departments using strong interpersonal and communication skills.
Support workflow across departments and assist with other duties as assigned.

Qualifications:

This position requires onsite work at our corporate office in Addison, TX.
Minimum 5 years of experience in the healthcare industry required.
Minimum 5 years of experience in medical revenue cycle collections required.
Minimum 5 years of experience in a behavioral health or medical clinic setting preferred, but not required.
Strong attention to detail and commitment to high-quality work.
Excellent judgment and decision-making skills.
Clear and effective communication abilities.
Proactive approach to identifying and resolving issues.
Eagerness to learn and take on new responsibilities.
Demonstrated resourcefulness, collaboration, and teamwork.
Consistently uphold and reflect BI’s core values in all professional interactions.

About Us:

For more than 25 years, Behavioral Innovations (BI) has been a leading provider committed to transforming lives by providing compassionate, center-based Applied Behavioral Analysis (ABA) therapy for children with autism, ages 18 months to 10 years. With more than 100+ locations across 6 states (TX, OK, CO, VA, MD, NC) - and more to come - we’re continuing to expand rapidly. Join our dynamic team and make a meaningful difference in the lives of the families we serve.

Ready to Join Us?

If you’re passionate about making a difference and excel in revenue cycle management, we’d love to hear from you!

APPLY TODAY and be part of a mission-driven organization dedicated to transforming lives.

#LI-SN1

#LI-Hybrid

CORP2026

Apply Now

Refine Your Search

claims specialist jobs in denton, tx

Revenue Cycle Collections Specialist

Staff Accountant – HR & Payroll Specialist

Healthcare Claims Denial Specialist - Dallas, TX

Warranty Audit Specialist

Hybrid/Remote Medical Billing and Coding Specialist

Claims (Billing) Specialist / Patient Account Representative - Healthcare

Claim Specialist - Property Field Inspection

Claims Specialist - Professional Liability

Financial Management Specialist

Claims Loss Reporting Specialist

Workforce Development Specialist-ES

Acute Clearance Specialist - Intake Coordinator - Remote

Workflow Specialist Claims Processing

Patient Service Specialist - Medical Front Office

Claims Processing Specialist

Patient Services Specialist 2 – Primary Care Frisco

Billing Specialist - Healthcare

Provider Relations QA Specialist

Senior Casualty Claims Specialist - Central Time Zone

Workers Compensation Claims Specialist

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