Top 91 Claims processing specialist Jobs in Southlake, Tx

Claims Processing Specialist
SPINE TEAM TEXAS MANAGEMENT COMPANY —Southlake, TX
- Full-time
- HIPAA
- English
- Mid-level
Quick Apply
23h
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
5d
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
Licensed P&C Insurance Customer Service Expert - IN OFFICE
Mark Jameson Allstate Agency —Southlake, TX
- $45,000 - $75,000 a year
- Full-time
- Spanish
- English
- Mid-level
- Health insurance
- 401(k)
Quick Apply
Claims Research Specialist - State National
Markel Service Inc. —Bedford, TX
- Email
- Hybrid work
- Microsoft Excel
- Microsoft Outlook
- Research
- AD&D insurance
- Employee stock purchase plan
Quick Apply
5d
Claims Specialist
Pearl Street Dental Group —Dallas, TX
- Full-time
- Dental office
- Microsoft Outlook
- 5 years
- Paid holidays
- Health insurance
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
Payer Contract Specialist
Dallas CSO - Hospital (01072) —Dallas, TX
- Full-time
- Mid-level
- Hospital experience
Benefits Specialist - Workers' Compensation
A First Name Basis —Plano, TX
- $65,000 - $75,000 a year
- 5 years
- Office
- Bachelor's degree
- Paid holidays
- Dental insurance
Quick Apply
Claims Denial Managment/AR Specialist
OMS MEDICAL BILLING LLC —Addison, TX
- Mid-level
- Analysis skills
- Continuous improvement
Quick Apply
Payer Compliance Specialist I - Remote
US Anesthesia Partners, Inc. —Dallas, TX
- $16.49 - $26.39 an hour
- Full-time
- Microsoft Word
- Writing skills
- Basic math
Medical Billing/AR Specialist
Ophthalmology Associates —Fort Worth, TX
- Microsoft Outlook
- Mid-level
- High school diploma or GED
- 401(k) matching
Quick Apply
Revenue Cycle Specialist I
CorVel Corporation —Fort Worth, TX
- $19.21 - $28.73 an hour
- Full-time
- Remote
- Microsoft Excel
- Microsoft Outlook
- Mid-level
- Health savings account
- Disability insurance
Quick Apply
Senior Claims Specialist I
Liberty Mutual —Plano, TX
- $67,000 - $126,000 a year
- Full-time
- Hybrid work
- Mid-level
- Office
- 3 years
13d
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
4h
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
Home Care Billing Specialist
Rehab at Home Healthcare Services —Arlington, TX
- $22 an hour
- 8 hour shift
- Mid-level
- Office
- High school diploma or GED
- Disability insurance
- Health insurance
Quick Apply
Medical Authorization Specialist
Enovis —Dallas, TX
- Full-time
- Research
- Mid-level
- Office
- Health insurance
- Dental insurance
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
2d
Health Plan Referral Specialist - HP Utilization Management
Christus Health —Irving, TX
- 8 hour shift
- Customer service
- Computer literacy
- Mid-level
8d

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Claims Processing Specialist

SPINE TEAM TEXAS MANAGEMENT COMPANY -
Southlake, TX

Quick Apply

Job Details

Full-time
23 hours ago

Qualifications

Practice management software
Patient management software
English
High school diploma or GED
ICD-10
HCPCS
Desktop applications
Productivity software

Full Job Description

Job Summary:

The Spine Team Texas Claims Processing Specialist is responsible for timely and accurate processing of medical insurance claims, resolution of claim edits and rejections, coordination of secondary billing, preparation of payment posting batches. This position serves as a key member of the revenue cycle team by ensuring claims are properly submitted, payments are tracked, and supporting documentation is accurately maintained to maximize reimbursement and minimize claim delays.

This position requires full understanding and active participation in fulfilling the mission of Spine Team Texas. The Claims Processing Specialist reports directly to the Revenue Cycle Manager who is under the direction of the Director of Revenue Cycle.

Spine Team Texas Attributes

For Spine Team Texas to meet the goals expressed through the company mission statement, it is imperative that all employees possess the following attributes:

Knowledge – The blending of job-related education, skills and experience.
Quantity – Level of satisfactory output generated in position per unit time.
Accuracy – Absence of errors.
Judgment – Capacity to make reasonable decisions.
Innovation – Imagination and creativity used to better position.
Appearance & Habits – Personal habits, grooming, uniform / clothing.
Orderliness – Organization of the individual’s work and work area.
Courtesy – Respect for the feelings of others. Politeness on the job.
Cooperation – Willingness to help others accomplish their objectives.
Initiative – Voluntarily starting projects. Attempting non-routine jobs and tasks.
Reliability – Dependability and trustworthiness.
Perseverance – Steadfast pursuit of job objectives when faced with unexpected obstacles.
Stability – Even temperament. Acceptance of unavoidable tension and pressure.
Alertness – Ability to quickly understand new information and situations.
Professionalism – Professional actions, communications, and attitude.
Teamwork– Ability to work in a team for the betterment of staff, patients, and the Company.
Observance – Observance of Company policies and procedures.
Attendance – Consistent adherence to work schedule.

Job Responsibilities

Prepare, review, and submit medical claims to insurance carriers in a timely and accurate manner.
Monitor claim batch status and investigate any errors.
Review and resolve claim edits through clearinghouse and payor portals.
Submit secondary claims using information provided on primary payer EOBs.
Scan, upload, and electronically file EOBs, insurance correspondence, checks, and billing documentation.
Open, sort, distribute mail.
Print and distribute faxes.
Prepare payment batches according to protocol for payment posting.
Maintain detailed records of all claim submissions.
Ensure full compliance with HIPAA regulations and organizational policies.
Other duties and responsibilities may be assigned.

Customer Service

All Spine Team Texas employees are required to maintain the highest level of customer service at all times. Employees must always speak in a kind, courteous and professional manner when dealing with a patient/customer or co-worker. Employees are required to fulfill the Spine Team Texas mission of “Offering an Unparalleled Patient Experience!” All employees must exhibit a spirit of cooperation and positive attitude. Professionalism is to be always maintained.

Team Concept:

Spine Team Texas was founded on a team concept approach. To build and enhance the team, each employee must contribute positive interaction, promote value and be a “team-player” not only for their unit or department, but for Spine Team Texas as a whole.

Physical Requirements & Work Environment

Must be able to sit for long periods of time in a well-lit, air-conditioned office environment. Must have the ability to lift a minimum of 5 pounds. Must be able to work under pressure. Tasks involve no exposure to blood or other potentially infectious materials.

Educational Requirements & Position Qualifications:

High School diploma or equivalent is required, medical billing certification preferred.
2 to 3 years of experience in medical billing, insurance claims processing, or revenue cycle management operations
Preferred knowledge of CPT, ICD-10, and HCPCS coding systems.
Knowledge of insurance claim submission processes and reimbursement procedures.
Knowledge of EOBs claims edits, denials, rejections and secondary billing procedures.
Familiarity with electronic health records (EHR), practice managements systems and clearinghouses.
Strong organizational skills and attention to detail.
Proficiency in document scanning.
Strong proficiency in Microsoft Office applications.
Proficient in communicating in the English language both written and verbally.

Quick Apply

Refine Your Search

claims processing specialist jobs in southlake, tx

Claims Processing Specialist

Claims Specialist II

Acute Clearance Specialist - Intake Coordinator - Remote

Licensed P&C Insurance Customer Service Expert - IN OFFICE

Claims Research Specialist - State National

Claims Specialist

Claims In-take Specialist

Payer Contract Specialist

Benefits Specialist - Workers' Compensation

Claims Denial Managment/AR Specialist

Payer Compliance Specialist I - Remote

Medical Billing/AR Specialist

Revenue Cycle Specialist I

Senior Claims Specialist I

Claims Specialist - Marine

Claims (Billing) Specialist / Patient Account Representative - Healthcare

Home Care Billing Specialist

Medical Authorization Specialist

Senior Casualty Claims Specialist - Central Time Zone

Health Plan Referral Specialist - HP Utilization Management

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

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