Top 352 Claims specialist Jobs in Plano, Tx

Revenue Cycle Collections Specialist
Behavioral Innovations —Plano, TX
- Full-time
- Hybrid work
- 5 years
- Medical office experience
- HIPAA
- Health insurance
- Dental insurance
Claims Specialist I, Auto BI
Zurich Insurance Company Ltd. —Addison, TX
- $49,500 - $81,000 a year
- Full-time
- Hybrid work
- Mid-level
- Office
- High school diploma or GED
7d
Collections Specialist
Robert Half —McKinney, TX
- $60,000 - $65,000 a year
- Research
- Mid-level
- Office
- Disability insurance
- Dental insurance
Quick Apply
9d
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
Appeals and Grievance Specialist
Dexian —Irving, TX
- $28 - $34 an hour
- Contract
- Research
- Mid-level
- Office
Quick Apply
9d
Claim Specialist- Auto Injury-Hybrid
State Farm —Richardson, TX
- $66,071.85 - $83,535.93 a year
- Overtime
- Hybrid work
- Customer service
- Mid-level
- Office
- Paid holidays
- Health insurance
Claims Specialist - Professional Liability
Philadelphia Insurance Companies —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
Claims Denial Managment/AR Specialist
OMS MEDICAL BILLING LLC —Addison, TX
- Mid-level
- Analysis skills
- Continuous improvement
Quick Apply
Claims Specialist II
Komodo Claims US —Dallas, TX
- $65,000 - $68,000 a year
- Full-time
- Hybrid work
- Customer service
- Mid-level
- Office
- Commuter assistance
- Paid parental leave
Quick Apply
7d
Claims Specialist III, Auto & General Liability
AIG Claims, Inc. —Dallas, TX
- $84,000 - $100,000 a year
- Email
- Office
- 3 years
- Bachelor's degree
- Health insurance
Quick Apply
Claims Specialist - Professional Liability
Philadelphia Insurance Companies (PHLY) —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
Insurance Specialist II
Texas Oncology —Richardson, TX
- 8 hour shift
- Microsoft Excel
- Customer service
- HIPAA
7d
A/R Insurance Specialist
Texas Oncology —Richardson, TX
- Full-time
- Microsoft Excel
- Customer service
- HIPAA
4d
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
Accounts Payable Specialist (Hybrid)
RTX Corporate —Richardson, TX
- $53,100 - $100,900 a year
- Full-time
- Hybrid work
- 6 years
- Oracle
- Customer service
- Paid holidays
- Disability insurance
8d
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
4d
Claims Specialist
BITCO INSURANCE COMPANIES —Irving, TX
- Hybrid work
- Mid-level
- 3 years
- Team management
- Profit sharing
- Paid holidays
Quick Apply
Claims Specialist - Marine
Markel Service Inc. —Plano, TX
- $62,400 - $85,800 a year
- Email
- Microsoft Excel
- Microsoft Outlook
- Mid-level
- AD&D insurance
- Employee stock purchase plan
Quick Apply
2d
Customs Specialist - Entry Writer
DSV —Dallas-Fort Worth, TX
- $22.25 - $30.25 an hour
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Computer literacy
Claims Support Specialist
Smart AutoCare —Richardson, TX
- Full-time
- Spanish
- Computer literacy
- Mid-level
Quick Apply

I want to receive the latest job alert for claims specialist in plano, 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 specialist jobs near plano, tx

Claims Specialist jobs in Irving, TX

Collection Agent jobs in McKinney, TX

Claims Specialist jobs in Plano, TX

Medical Billing And Coding Specialist jobs in Plano, TX

Senior Claims Specialist jobs in Dallas, TX

Claims Specialist jobs in Richardson, TX

Intake Coordinator jobs in Frisco, TX

Accounts Receivable Clerk jobs in Richardson, TX

Senior Claims Specialist jobs in Plano, TX

Accounts Payable Specialist jobs in Richardson, TX

Claims Specialist jobs in Addison, TX

Revenue Cycle Specialist jobs in Plano, TX

Claims Specialist jobs in Chicago, IL

Claims Specialist jobs in Stockton, CA

Claims Specialist jobs in Washington, DC

Onboarding Specialist Nyc Health jobs in New York, NY

Credentialing Specialist jobs in Remote

Claims Adjuster jobs in Virginia

Claims Specialist jobs in Corpus Christi, TX

Communications Writer jobs in Remote

Revenue Cycle Collections Specialist

Behavioral Innovations -
Plano, TX

Apply Now

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 plano, tx

Revenue Cycle Collections Specialist

Claims Specialist I, Auto BI

Collections Specialist

Hybrid/Remote Medical Billing and Coding Specialist

Appeals and Grievance Specialist

Claim Specialist- Auto Injury-Hybrid

Claims Specialist - Professional Liability

Claims Denial Managment/AR Specialist

Claims Specialist II

Claims Specialist III, Auto & General Liability

Claims Specialist - Professional Liability

Insurance Specialist II

A/R Insurance Specialist

Acute Clearance Specialist - Intake Coordinator - Remote

Accounts Payable Specialist (Hybrid)

Senior Casualty Claims Specialist - Central Time Zone

Claims Specialist

Claims Specialist - Marine

Customs Specialist - Entry Writer

Claims Support Specialist

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

Related Searches

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected