Claims Processing Specialist
Evolve Treatment Centers
Overview Praesum Healthcare: Position Title: Claims Processing Specialist Founded in 2003, Praesum Healthcare provides administrative services for healthcare providers in key geographical locations throughout the Northeast, mid-Atlantic, and Southeast regions. Praesum is an established leader in the healthcare industry. With a solid, growth-focused business model, strong finances, and expert management team, Praesum will continue to grow in the years to come. Praesum currently provides services to behavioral health facilities providing all levels of care from inpatient psychiatric and substance abuse detoxification, through SUD and mental health outpatient clinics. Claims Processing Specialist Job Description: The Claims Processing Specialist will review and audit patient medical records and assign codes to diagnoses and procedures performed by service providers. This position will prepare all billing forms to send to 3rd party biller for timely insurance claim submission. This position will ensure accuracy encompassing billing, coding and insurance requirements, in addition to state and federal laws surrounding Protected Health Information (PHI) and HIPPA, 42CFR, Part 2. Responsibilities Review and audit medical records for accuracy in billing, coding and insurance requirements Organize and manage patients\' health information data Prepares daily charges and claims to be submitted electronically to clearing house and insurance carriers Accounts Receivable follow up with insurance carriers Claim denial management with electronic clearing house Utilizes 3 different code sets: CPT, HCPCS, and ICD-10 for appropriate billing to insurance carriers Release information to persons and agencies according to state and federal regulations Possess the ability to critically analyze documentation, assigning proper codes. Qualifications High School Diploma or GED equivalent required, AA Degree or Vocational training preferred A minimum of 2 years of office or related healthcare industry experience Working knowledge of Microsoft Office applications Schedule Full Time Sunday - Thursday 8:30am to 05:00pm Compensation Hourly rate competitive with experience and location Benefits Insurance: Medical, Dental, Vision, and STD options Medical FSA and Dependent Care Account 401k with company match up to 5% Accrued Paid Time Off (PTO) Education reimbursement Career Advancement Opportunities *** This job does NOT sponsor visa's and we are unable to consider out of country applicants *** How to Apply If you are interested in this opportunity or know someone that you respect who would be a good fit for this position, please email: Ray Davis - View email address on click.appcast.io Talent Acquisition Manager
#IND123
#J-18808-Ljbffr Evolve Treatment Centers- ...Overview Praesum Healthcare: Position Title: Claims Processing Specialist Founded in 2003, Praesum Healthcare provides administrative services for healthcare providers in key geographical locations throughout the Northeast, mid-Atlantic, and Southeast regions. Praesum...SuggestedHourly payFull timeWork at officeVisa sponsorship
Evolve
Southlake, TX4 days ago - Allstate is looking for an Outbound Specialty Mail - Claims professional in Coppell, Texas, who will manage claim-related mail requests using various mailing methods. This role is critical for ensuring accurate and timely distribution of documents. The ideal candidate...SuggestedWork at office
- ...Claims Examiner Healthcare Claims Processing (UB-04 & CMS-1500) Location: Irving, TX (Onsite) Duration: 3-Month Contract Schedule: MondayFriday, 40 Hours per Week Company: Sigma Inc. Hiring Claims Examiners in Irving, TX! Sigma Inc. is seeking a detail-oriented...SuggestedContract work
- A healthcare provider is seeking a full-time Claims Processing Specialist in Lake Worth, Texas. The role involves reviewing and auditing patient medical records, preparing billing forms for 3rd party submissions, and managing claims with insurance carriers. Candidates...SuggestedFull time
- ...to support inbound customer service, help desk, and back-office processing representatives for commercial and public sector support... ...account management tasks Accurately document and process customer claims in appropriate systems Follow all required scripts, policies...SuggestedFull timeTemporary workWork experience placementCasual workWork at officeLocal areaWork from homeShift work
MCI
Euless, TX2 days ago - .../week until fully oriented. Come grow with GEICO’s Casualty Claims Team! It’s an exciting time! We’re in search of highly motivated... ...promise, communicating and guiding them through the claims process Assure coverage for each loss and all policy provisions before...Work at officeLocal areaRelocation packageMonday to FridayFlexible hoursAfternoon shift3 days per weekEarly shift
GEICO
Grapevine, TX1 day ago - ...Claims Intake Specialist CITON Claims Solutions, stands out as a leading provider of claim management and administration services tailored... ..., equipped with cutting-edge technology, ensures seamless processes, accurate assessments, and prompt resolutions, providing unparalleled...Temporary workFlexible hours
Orion180
Irving, TX1 day ago - ...Claims Specialist BITCO Corporation, headquartered in Davenport, IA, is currently seeking a Claims Specialist to join our branch office... ...customer service to insureds and claimants throughout the claims process Negotiates and resolves claims with claimants and insureds...Work at officeFlexible hours
BITCO Insurance Companies
Irving, TX2 days ago - ## Claims Resolution SpecialistApplylocations: Flower Mound, TXtime type: Full timeposted on: Posted Todayjob requisition id: R000000... ...States of America)**Please review the following job description:**Process claims, which includes evaluating policy for coverage; working...Full timeTemporary workWork at officeShift workNight shiftDay shift
CRC Group
Flower Mound, TX1 day ago - ...Job Title Process claims, which includes evaluating policy for coverage; working with the insured, outside adjusters, agents and attorneys on the claim and coordinating the payment of claims. In addition, prepare reports such as loss runs and monthly bordereau....Work experience placementWork at officeNight shift
- ...Southland Holdings is looking for a highly experienced Commercial and Claims Manager to join our growing construction team. This individual... ...for contract administration related to the claims management process that includes review, negotiation, data collection, analysis,...Full timeContract workWork at officeLocal area
Southland Holdings
Grapevine, TX11 days ago - ...Liability Claims Specialist By joining our growing Claims team as a Liability Claims Specialist, you will ensure high quality claim handling... ...litigation strategy and development through the litigation process Assists team development with subject matter expertise...Temporary work
- Federated Insurance is seeking a dedicated individual to assist clients through the claims process in North Richland Hills, TX. This in-office position requires customer service experience and a four-year degree. You will work collaboratively to resolve claims, explain...Work at office
- ...questionable, hire an attorney for coverage counsel and analysis. Settle claims within settlement authority, where applicable. Work with... ...) for accuracy in reporting. Audit invoices for accuracy. Process incoming and outgoing claims and vendor payments. Maintain loss...Full timeWork experience placementWork at officeNight shiftDay shift
$16 - $23 per hour
...About You You have a solid understanding of aftermarket warranties and enough mechanical knowledge to confidently review and process claims. You communicate clearly with repair facilities, support smooth claim payments, and handle questions from customers and...Contract workMonday to FridayAfternoon shiftCareGard Warranty Services, Inc.
Grapevine, TX3 days ago$21 - $22 per hour
...Claims Refund Specialist Join our team at Cobalt Benefits Group and start an exciting new career in employee benefits solutions. As a Claims... ...queue claims, reviewing summary plan documents, processing refunds and overpayments, documentation, and reporting. At...Hourly payFull timeTemporary workFlexible hours- Grubbs Automotive in Grapevine, Texas is seeking an experienced Warranty Administrator responsible for managing warranty claims submissions to manufacturers and after-market companies. The ideal candidate will ensure adherence to policies, review repair orders, and maintain...Weekly pay
- Grubbs Wichita Falls is looking for an experienced Warranty Administrator to manage warranty claims with a commitment to excellence. The role requires strong organizational skills and attention to detail, with a minimum of 1-year experience in automotive administration...
- ...Haltom City, Texas is seeking a Returns Associate responsible for managing daily dealer returns and claims. You will work closely with the warehouse to ensure efficient processing of credits back to Ford and GM dealerships. This role requires a high school diploma and offers...Full timeDay shift
- Grubbsvolvocars in Grapevine, Texas is seeking an experienced Warranty Administrator responsible for managing warranty claims and documentation. The ideal candidate will have strong organizational skills, a commitment to excellence, and at least one year of experience...
- ...Tulsa is looking for an experienced Warranty Administrator to ensure the accurate submission of manufacturer and after-market warranty claims. The ideal candidate will have a high school diploma and at least 1 year of relevant experience. Your responsibilities will include...Weekly pay
- CRC Group in Flower Mound, Texas, is looking for a Claims Adjuster to process claims, evaluate policies, and coordinate with various stakeholders. The role involves settling claims, overseeing vendors, and preparing reports. The ideal candidate must have a High School...
- ...Accessory-Group in Haltom City, Texas is looking for a Returns Associate responsible for the daily upkeep of claims and dealer returns. This role involves processing credits to Ford and GM, tracking damaged claims, and maintaining a clean workspace. The ideal candidate...Full timeDay shift
- ...of Dealerships is looking for an experienced Warranty Administrator in Grapevine, Texas. This position involves submitting warranty claims accurately, maintaining strong relationships with manufacturers, and ensuring proper documentation for all warranty transactions....
- CRC Group, located in Flower Mound, Texas, is seeking a Claims Adjuster to manage claims and ensure policies are reviewed accurately for coverage. Responsibilities include processing claims, negotiating settlements, and preparing reports. The ideal candidate should have...Full time
- ...Coordination: Work closely with insurance companies to facilitate claims, ensuring all necessary documentation is provided and... ...~ Client Education: Educate customers on the roofing process, materials, and the benefits of our services, ensuring a clear...
MTM
Grapevine, TX3 days ago - ...with a company that has seen 10x growth over the last 2 years, look no further and apply today! The Claims Manager is responsible for overseeing insurance claim processes from start to finish, ensuring accurate documentation, timely communication, and strong...
- SERVPRO Team Shaw, based in Grapevine, TX, is seeking a Claims Manager to oversee insurance claim processes. The role entails managing claims, ensuring compliance, and collaborating with production teams to drive effective claim resolutions. Candidates should have experience...
$60k - $78k
...General Liability Claims Adjuster - Licensure required ARE YOU AN IDEAL CANDIDATE? We are looking for driven individuals that embody... ...liability and resolves claims within evaluation. Approves and processes assigned claims, determines benefits due, and manages action plan...Contract workFlexible hoursSedgwick
Irving, TX4 days ago$15 per hour
...positive attitude and actively listen to their needs. Provide detailed information regarding our products, services, and installation processes. Utilize a CRM system to document customer interactions and track leads. Schedule appointments for estimates and consultations...Hourly payFlorida Window and Door
Southlake, TX4 days ago
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Claims Processing Specialist. Be the first to apply!
