Top 25 Claims processor Jobs in Texas

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
Healthcare Claim Processor
Qualfon —Texas
- $17.50 an hour
- Full-time
- Remote
- HIPAA
- Research
- Mid-level
6h
Title Processor (Remote)
Copart —Dallas, TX
- $20.26 - $22.84 an hour
- Overtime
- Basic math
- English
- High school diploma or GED
- AD&D insurance
- Employee stock purchase plan
Quick Apply
3d
Claims Processor
Service Insurance Companies —Austin, TX
- $25 an hour
- Overnight shift
- Microsoft Word
- Spanish
- Basic math
- Paid holidays
- Health insurance
Quick Apply
2d
Medical Claims Processor
Datamark, Inc. —El Paso, TX
- $34,000 a year
- Full-time
- Computer literacy
- Research
- Office
- AD&D insurance
- Disability insurance
Quick Apply
Risk Management - Claims Processing Specialist
City of McAllen —McAllen, TX
- From $19.27 an hour
- Full-time
- Mid-level
- Paid holidays
- Dental insurance
Quick Apply
10d
Healthcare Document Processing Specialist
Ventra Health, Inc. —Fort Worth, TX
- Full-time
- Word processing
- Basic math
- Research
- Referral program
Claims Processor L1
iA American Warranty Group —Austin, TX
- Full-time
- English
- Research
- High school diploma or GED
- Health insurance
- Dental insurance
9d
Loan Processor
US Small Business Administration —Fort Worth, TX
- $54,857 - $71,315 a year
- Temporary
- Hybrid work
- Background check
- Pass drug screening
- Mid-level
Money Out Processor
Corebridge —Amarillo, TX
- Overtime
- Hybrid work
- Research
- Mid-level
- Office
- Wellness program
- Health insurance
AR Processor
Ceco Concrete Construction, LLC —Beaumont, TX
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Mid-level
- Health savings account
- Disability insurance
8d
Claims Processor
National Healthcare Solutions Group LLC —El Paso, TX
- Full-time
- Mid-level
- Analysis skills
- Bachelor's degree
Quick Apply
9d
Processor I, Gap Claims
CareGard Warranty Services, Inc. —Grapevine, TX
- $16 - $23 an hour
- Full-time
- Spanish
- Writing skills
- Basic math
- Paid holidays
- Disability insurance
Quick Apply
Loan Processor
TEXELL CREDIT UNION —Temple, TX
- Full-time
- Mid-level
- Office
- Organizational skills
- Health insurance
- Dental insurance
1d
Dental Claims Processor
DY MANAGEMENT CONSULTANTS LLC —San Antonio, TX
- $15 an hour
- Full-time
- Medical office experience
- Administrative experience
- High school diploma or GED
- Paid training
- 401(k)
Quick Apply
AR Processor
Bo-Mac Contractors, Ltd —Beaumont, TX
- Microsoft Excel
- Microsoft Outlook
- Mid-level
- Health savings account
- Disability insurance
Quick Apply
9d
Assistant Manager of Claims Processing
WebTPA —San Antonio, TX
- Full-time
- Mid-level
- Bachelor's degree
- Travel
- Wellness program
- Disability insurance
2d
Processor - Title Documents - Denton, TX
Dealer Services Network —Denton, TX
- $19 - $21 an hour
- Full-time
- Background check
- Customer service
- Computer literacy
- Paid holidays
- Disability insurance
Quick Apply
Return Processor
Living Spaces —Humble, TX
- $16.65 - $21.60 an hour
- Weekends as needed
- Computer literacy
- Research
- High school diploma or GED
- Paid holidays
- Employee assistance program
Quick Apply
8d
Processor Grapeland,TX
Dealer Services Network —Palestine, TX
- $18 - $21 an hour
- Full-time
- Background check
- Customer service
- Computer literacy
- Paid holidays
- Disability insurance
Quick Apply
3d

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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 processor jobs in texas

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Healthcare Document Processing Specialist

Claims Processor L1

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AR Processor

Claims Processor

Processor I, Gap Claims

Loan Processor

Dental Claims Processor

AR Processor

Assistant Manager of Claims Processing

Processor - Title Documents - Denton, TX

Return Processor

Processor Grapeland,TX

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