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
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#J-18808-Ljbffr Evolve Treatment Centers- ...Claims Processing Specialist Hybrid Southlake Headquarters - Southlake, TX 76092 Overview Position Type Full Time Education Level High School Category Health Care Description Job Summary: The Spine Team Texas Claims Processing Specialist is responsible...SuggestedFull timeWork at office
- Spine Team Texas is seeking a Claims Processing Specialist in Southlake, TX to ensure timely and accurate submission of medical claims and proper handling of payments. The role supports the revenue cycle team by tracking payments and maintaining documentation to maximize...Suggested
- 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
- CareGard Warranty Services is seeking a detail-oriented Processor I to join the GAP Claims team in Grapevine, TX. You will review, process, and adjudicate GAP claims in accordance with guidelines, while maintaining accuracy and timely communication with stakeholders. The...SuggestedMonday to Friday
- ...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
z_Advertised on Indeed Hosted
Euless, TX3 days ago - Spine Team Texas is seeking a Claims Processing Specialist to ensure timely and accurate submission of medical claims and proper posting of payments. You will monitor batch status, resolve edits in clearinghouses and payor portals, and support secondary billing with organized...
- ...Claims Specialist Therapy & Beyond is one of the largest BCBA-owned ABA organizations, founded and led by Dr. Regina Crone, BCBA-D, since... ...Revenue Lifecycle Management: Manage the end-to-end claims process, including claim submission, adjudication, payment posting, and...Work at office
- ...Claims Loss Reporting Specialist This is an Onsite/In-office Position in Coppell, TX Job Summary The Claims Loss Report Specialist is a para... ...effectively communicating at the beginning of the claims process. Provide members legendary service quality and claims...Work at office
- 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
- Therapy & Beyond is seeking a skilled Claims Specialist in Flower Mound, TX to manage the end-to-end billing process and ensure accurate revenue flow. You will coordinate with clinics, payers, and internal teams to keep claims moving smoothly and reduce denials. The role...Full time
- ...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...
Grubbsvolvocars
Grapevine, TX3 days ago - ...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
Grubbs Acura Tulsa
Grapevine, TX2 days ago - ...Then, don’t miss your chance to join our Franchise as a new Claims Manager. In this position, you will be making a difference each... ...using Xactimate ~ Experience with writing estimates, job file processes, and quality assurance a plus ~ Experience in the service industry...Work at officeFlexible hours
SERVPRO of Hurst-Euless-Bedford
Grapevine, TX22 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...
- ...researching and compiling information on claims filed for settlement. Ensures files are... ...organizational skills Knowledge of claims processing required Knowledge of Collateral... ...holding company for insurance, reinsurance, specialist advisory and investment operations...Full timeWork at officeLocal areaWork from home
- Markel is seeking a detail-oriented individual to support claims processing and information gathering for settlements. You will act as the primary contact for borrowers, clients, and vendors, coordinating status updates and ensuring complete documentation before adjustments...Work at office
- Markel Group in the United States is seeking a claims processor to obtain, research and compile information on files for settlement.... ...before the adjuster review. Strong attention to detail and knowledge of claims processing are essential. #J-18808-Ljbffr State National Co.
$63.8k - $78k
Federated Mutual Insurance Company is seeking a claims representative in North Richland Hills, Texas. This role focuses on assisting clients throughout the claims process, ensuring they return to normalcy after a loss. No prior insurance experience is required, as an exceptional...- 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...
- ...multiple countries. We deliver Customer Experience (CX), Business Process Outsourcing (BPO), and Anything-as-a-Service (XaaS) cloud... ...other departments when necessary. Process customer requests, claims, and account updates accurately while maintaining detailed documentation...Full timeTemporary workCasual workWork at officeLocal areaRemote workWork from homeShift work
MCI
Grapevine, TX2 days ago - SERVPRO® of Hurst-Euless-Bedford is seeking a Claims Manager to support the insurance claim process and ensure timely, accurate documentation. The candidate will leverage 5+ years of administrative and insurance-related experience to review estimates, manage file status...
$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 teammates...Contract workMonday to FridayAfternoon shift$16 - $23 per hour
CareGard Warranty Services, Inc. is seeking a claims adjuster in Grapevine, TX. The ideal candidate should have experience processing claims and a customer-centric approach. Candidates will need proficiency in Microsoft Office and should be bilingual (Spanish/English) if...Hourly payWork at office- ...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...Full timeTemporary workWork experience placementCasual workWork at officeWork from homeShift work
z_Advertised on Indeed Targeted
Grapevine, TX3 days ago - ...researching and compiling information on claims filed for settlement. Ensures files are... ...partners Preferred Skills Claims processing or auto title experience Knowledge of... ...company for insurance, reinsurance, specialist advisory and investment operations around...Full timeWork at officeLocal areaRemote workWork from home
- Therapy & Beyond in Flower Mound, TX is seeking a Claims Specialist to manage the revenue cycle, ensure accurate claims, and collaborate across departments to support timely reimbursement. You will verify visit details, submit and post claims, resolve payer issues, and...
$63.8k - $78k
..., professional - Does that sound like you? We are seeking someone who possesses those skills to assist our clients through the claims process and to help them return to normalcy after a loss. No previous insurance or claims experience needed! Federated provides an exceptional...Temporary workFor contractorsWork at officeWork from homeVisa sponsorshipWork visa- Insurance Specialist The Insurance Specialist is a key member of the Legal and Risk Management... ..., general liability, property, and auto claims programs. Reporting to the Director of... ...and respond to internal inquiries. Process invoices, purchase orders, and claim‑related...Full timeContract workPart timeSeasonal workWork at officeLocal areaWork from homeHome officeMonday to FridayFlexible hours
$75k
...) face-to-face to build trust and educate them about Platinum’s supplemental insurance solutions. 2. Leverage Our 10-Step Sales Process : Follow a time-tested system that helps you identify prospects, deliver compelling presentations, and close more sales—backed by...Flexible hoursNight shiftPlatinum Supplemental Insurance
Southlake, TX1 day ago$75k
...commission‑based position offers uncapped earnings, with many reps earning $75,000 or more in their first year and top performers surpassing six figures. You’ll receive AI‑driven training, marketing support, and a clear 10‑step sales process to guide #J-18808-Ljbffr...Monday to ThursdayPlatinum Supplemental Insurance
Grapevine, TX2 days ago
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