Top 500 Claims processing Jobs in Dallas, Tx

Senior Medical Claims Processor
CHRISTUS Health (IHE/Hosted) —Irving, TX
- $20.83 - $25.00 an hour
- Full-time
- Mid-level
- 3 years
- Analysis skills
- Health savings account
- Health insurance
Quick Apply
Casualty Claims Examiner ($2,500 Sign-On)
GEICO —Richardson, TX
- Full-time
- Hybrid work
- Office
- Senior level
- Communication skills
6h
Pharmacy Claims Representative 2 - Remote
Dragonfly Health —Arlington, TX
- From $22 an hour
- 12 hour shift
- Remote
- HIPAA
- Mid-level
- High school diploma or GED
- Health insurance
- Dental insurance
Quick Apply
Call Center Representative
Optum —Dallas, TX
- $20 - $36 an hour
- Full-time
- Remote
- 18 years or older
- Computer literacy
- Pass drug screening
- On-the-job training
1d
Entry Level Claims Call Center Specialist
GAINSCO Auto Insurance —Richardson, TX
- $50,000 a year
- Full-time
- Hybrid work
- Background check
- Spanish
- Pass drug screening
- Paid holidays
- Disability insurance
6d
Claims Examiner - Workers Compensation | Jurisdiction: FL,TN,CA,GA | Licensing: FL, GA, TN - Required (Remote)
Sedgwick —Plano, TX
- Remote
- Customer service
- 5 years
- High school diploma or GED
- Health savings account
- Disability insurance
6d
Claims In-take Specialist
OMS MEDICAL BILLING LLC —Addison, TX
- $20 - $25 an hour
- Full-time
- Mid-level
- Office
- High school diploma or GED
- Dental insurance
- 401(k)
Quick Apply
Claims Examiner I
WebTPA —Irving, TX
- Full-time
- Remote
- Microsoft Word
- Microsoft Excel
- HIPAA
- Wellness program
- Disability insurance
7h
Operational Audit – Quality Audit Analyst
Accenture —Irving, TX
- $21.39 - $49.57 an hour
- Full-time
- Remote
- Analysis skills
- Bachelor's degree
- Children
- Paid holidays
- Disability insurance
1d
Senior Claims Representative
Liberty Mutual —Plano, TX
- $46,000 - $76,000 a year
- Full-time
- Data analysis skills
- Research
- Mid-level
- Paid training
6d
Claims Coordinator
BEACON BEHAVIORAL SUPPORT SERVICES —Plano, TX
- Full-time
- Office
- High school diploma or GED
- Analysis skills
Quick Apply
13d
Claims Denial Managment/AR Specialist
OMS MEDICAL BILLING LLC —Addison, TX
- Mid-level
- Analysis skills
- Continuous improvement
Quick Apply
Claims Assistant, Road US
DSV —Lancaster, TX
- $20.50 - $27.50 an hour
- Extended hours
- Mid-level
- High school diploma or GED
- Analysis skills
Patient Disability Advocate
Medical City Dallas —Dallas, TX
- Full-time
- Entry level
- Employee stock purchase plan
- Disability insurance
Quick Apply
8d
Billing Specialist
Koya Medical, Inc. —Dallas, TX
- $55,000 - $60,000 a year
- Full-time
- Hybrid work
- HIPAA
- Mid-level
- Office
- Health insurance
Customs Specialist - Entry Writer
DSV —Dallas-Fort Worth, TX
- $22.25 - $30.25 an hour
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Computer literacy
Provider Research & Resolution Specialist - Remote
NTT DATA —Dallas, TX
- $16.75 an hour
- Remote
- Microsoft Excel
- Microsoft Outlook
- HIPAA
- Health savings account
- AD&D insurance
Quick Apply
Eligibility Denial Specialist I
UT Southwestern —Dallas, TX
- 8 hour shift
- Remote
- Research
- Mid-level
- High school diploma or GED
- Paid parental leave
- Paid holidays
7h
Property Desk Adjuster - Dallas, TX.
Sedgwick —Farmers Branch, TX
- Part-time
- Computer literacy
- Writing skills
- Mid-level
8d
HC & Insurance Operations Processing Sr Rep
NTT Ltd —Plano, TX
- Overtime
- Computer literacy
- Basic math
- English
8d

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claims processing jobs near dallas, tx

Senior Medical Claims Processor

CHRISTUS Health (IHE/Hosted)
Irving, TX

Quick Apply

Job Details

Full-time
$20.83 - $25.00 an hour

Benefits

Health savings account
Health insurance
Flexible spending account
Tuition reimbursement
Paid time off
Vision insurance
Professional development assistance
Flexible schedule

Qualifications

Teamwork
Organizational skills
Clerical experience
Health information management
Medical terminology

Full Job Description

Overview
We are seeking a highly skilled and detail-oriented Senior Medical Claims Processor to join our team. This role requires deep expertise in medical claims processing, with a strong emphasis on accurately reviewing and adjudicating claims using standard billing forms and coding systems.

The ideal candidate will have hands-on experience processing medical claims and a thorough understanding of CMS-1500 and CMS-1450 (UB-04) claim forms, as well as proficiency in CPT and HCPCS coding. This position plays a critical role in ensuring claims are processed efficiently, accurately, and in compliance with regulatory and payer guidelines.

Key responsibilities include evaluating complex medical claims, verifying insurance and documentation, and ensuring proper coding and billing practices are followed. The Senior Examiner will also help drive quality, accuracy, and timeliness within the claims workflow while supporting compliance and operational excellence.

Minimum of 3 years’ experience processing medical claims in the healthcare industry.
Prior experience working with managed care, Medicare, Medicare Advantage, Health Exchange, and TRICARE are highly desirable.
Associate's degree or equivalent job-related experience required.

This is an excellent opportunity for a subject matter expert in medical claims processing who thrives in a fast-paced environment and is committed to delivering high-quality outcomes..

Duties

Review and evaluate complex medical insurance claims, ensuring accuracy and adherence to established policies and procedures.
Verify insurance coverage through detailed insurance verification processes, including assessing eligibility for Medicare, Workers' Compensation, and other health plans.
Analyze medical documentation, including medical records and reports, to determine claim validity and appropriate reimbursement levels.
Apply medical coding principles using ICD-9, ICD-10, CPT codes, HCPCS, DRG classifications, and ICD coding standards to accurately process claims.
Conduct thorough filing of claims documentation within electronic and physical records systems while maintaining organized records management.
Collaborate with healthcare providers and insurance carriers to resolve discrepancies or issues related to claims adjudication.
Ensure compliance with Workers' Compensation law and other relevant regulations during claim evaluation processes.
Utilize financial software to process payments, track claim statuses, and generate detailed reports for management review.
Maintain up-to-date knowledge of medical terminology, medical billing practices, and industry standards to enhance processing accuracy.

Qualifications

Proven clerical experience with a focus on claims processing or medical billing within an insurance or healthcare setting.
Strong organizational skills with the ability to manage multiple complex claims simultaneously while maintaining attention to detail.
Familiarity with medical terminology, ICD-9/ICD-10 coding systems, CPT coding, HCPCS codes, DRG classifications, and ICD coding standards.
Experience verifying insurance coverage for Medicare, Workers' Compensation law compliance, and other health plans.
Knowledge of medical documentation review procedures and medical records management.
Proficiency in using financial software applications for claims processing and reporting purposes.
Excellent communication skills for effective collaboration with healthcare providers, insurers, and internal teams.
Prior experience working with medical billing systems or electronic health records (EHR) is preferred but not required. Join our team as a Senior Processing Medical Claims Examiner to ensure the precise evaluation of claims while supporting efficient healthcare reimbursement processes through expert analysis and dedicated service!

Pay: $20.83 - $25.00 per hour

Benefits:

Flexible schedule
Flexible spending account
Health insurance
Health savings account
Paid time off
Professional development assistance
Tuition reimbursement
Vision insurance

Application Question(s):

Have you worked with CMS-1500 and/or CMS-1450 forms in medical claims processing? (Yes/No) If yes, please provide a brief example.
Have you processed medical claims using CPT and HCPCS codes? If yes, how many years of experience do you have?
Do you have experience processing or paying medical claims?

Work Location: In person

Quick Apply

Refine Your Search

claims processing jobs in dallas, tx

Senior Medical Claims Processor

Casualty Claims Examiner ($2,500 Sign-On)

Pharmacy Claims Representative 2 - Remote

Call Center Representative

Entry Level Claims Call Center Specialist

Claims Examiner - Workers Compensation | Jurisdiction: FL,TN,CA,GA | Licensing: FL, GA, TN - Required (Remote)

Claims In-take Specialist

Claims Examiner I

Operational Audit – Quality Audit Analyst

Senior Claims Representative

Claims Coordinator

Claims Denial Managment/AR Specialist

Claims Assistant, Road US

Patient Disability Advocate

Billing Specialist

Customs Specialist - Entry Writer

Provider Research & Resolution Specialist - Remote

Eligibility Denial Specialist I

Property Desk Adjuster - Dallas, TX.

HC & Insurance Operations Processing Sr Rep

I want to receive the latest job alert for claims processing in dallas, tx

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