Top 6 Claims resolution specialist Jobs in Lubbock, Tx

Claims Resolution Specialist
Moxie Healthcare Solutions LTD —Lubbock, TX
- From $18 an hour
- Full-time
- HIPAA
- Mid-level
- High school diploma or GED
- Health insurance
- Dental insurance
Quick Apply
Denials & Follow Up Specialist
MicroGenDX LLC —Lubbock, TX
- $18 - $20 an hour
- Full-time
- Writing skills
- Basic math
- HIPAA
Quick Apply
Accounts Receivable Coding Specialist FT
StarCare Specialty Health System —Lubbock, TX
- $24.50 - $27.50 an hour
- Full-time
- Pass drug screening
- HIPAA
- Mid-level
- Health savings account
- Paid holidays
Appeals Professional III (Licensed Clinician)
Tanaq Support Services LLC —United States
- Full-time
- Remote
- Nursing
- RN License
- Writing skills
10d

Discover related jobs

Based on your search for claims resolution specialist jobs.

Claims Resolution Specialist
Moxie Healthcare Solutions LTD —Lubbock, TX
*Compliance and Policy Adherence*: Stay up to date with payer-specific policies, state and federal healthcare regulations, and HIPAA requirements.
From $18 an hour
Quick Apply
Medical Office Biller/Certified Professional Coder
Lubbock Dermatology and Skin Cancer Center —Lubbock, TX
Our billers will work as a team to assist to code claims, submit claims, post payments, manage A/R, work appeals, obtain prior authorizations, and complete…
From $20 an hour
Quick Apply

Show more related jobs

Explore jobs in cities nearby

Check out jobs in cities near your current location, Columbus

Employee Relations Specialist
Woda Cooper —Columbus, OH
Bachelor’s degree in Human Resources, Labor Relations, Business, Accounting, or related field required. Unemployment: Responds to separation requests; tracks…
Quick Apply
Appeals and Grievances Specialist
Sidecar Health —Columbus, OH
Bachelor's degree required, in a relevant field such as healthcare administration, business, public health, or a related discipline.
$65,000 - $75,000 a year
Quick Apply
2d

Show more jobs in cities nearby

I want to receive the latest job alert for claims resolution specialist in lubbock, tx

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

claims resolution specialist jobs near lubbock, tx

Claims Resolution Specialist

Moxie Healthcare Solutions LTD -
Lubbock, TX

Quick Apply

Job Details

Full-time
From $18 an hour

Benefits

Health insurance
Dental insurance
401(k)
Paid time off
Vision insurance
401(k) matching
Flexible schedule
Life insurance

Qualifications

HIPAA
High school diploma or GED
Insurance medical billing
Continuous improvement
Attention to detail
Medical billing and coding communication with insurance companies
Medical insurance appeals management

Full Job Description

We are seeking an experienced Claims Resolution Specialist to join our team. This role is ideal for an analytical problem-solver with a background in claims processing, customer service, and issue resolution. The successful candidate will handle and resolve complex claims efficiently, collaborating with internal teams and external stakeholders to ensure timely and accurate claims processing.

Essential Functions Include:

Claims Management: Review and analyze denied, underpaid, and outstanding claims to identify the cause of the issue and necessary action steps.
Resolution and Appeals: Contact insurance companies, providers, or patients as needed to appeal denied claims and resolve discrepancies. Prepare and submit required documentation or corrected claims for reconsideration.
Billing and Coding Verification: Ensure proper coding on claims by verifying against CPT, ICD-10, and HCPCS coding standards, and adjust claims as needed.
Documentation and Reporting: Accurately document actions taken on each claim, maintain detailed records in the claims system, and prepare periodic reports on claim status, recovery rates, and trends in denials.
Compliance and Policy Adherence: Stay up to date with payer-specific policies, state and federal healthcare regulations, and HIPAA requirements.
Customer Service: Communicate effectively with healthcare providers, insurers, and patients regarding claim status, payment issues, and billing inquiries. Provide compassionate and clear assistance to patients regarding their account status.
Problem-Solving: Identify root causes of claim issues and suggest process improvements to prevent future denials or underpayments.

We are looking for qualified candidate with 1-3 years of full revenue cycle management experience. If you’re a detail-oriented professional with a passion for customer satisfaction and expertise in claims resolution, we encourage you to apply.

Job Type: Full-time

Pay: From $18.00 per hour

Benefits:

401(k)
401(k) matching
Dental insurance
Flexible schedule
Health insurance
Life insurance
Paid time off
Vision insurance

Experience:

medical billing: 1 year (Required)

Location:

Lubbock, TX 79423 (Required)

Work Location: In person

Quick Apply

Refine Your Search

claims resolution specialist jobs in lubbock, tx

Claims Resolution Specialist

Denials & Follow Up Specialist

Accounts Receivable Coding Specialist FT

Appeals Professional III (Licensed Clinician)

Discover related jobs

Explore jobs in cities nearby

I want to receive the latest job alert for claims resolution specialist in lubbock, tx

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected