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- 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
$18 - $27 per hour
CareGard Warranty Services, Inc. is seeking a Claims Adjuster to join our team in Grapevine, TX. In this role, you will handle claims processing, verify contract adherence, and maintain meticulous records while ensuring exceptional customer service. The ideal candidate...SuggestedHourly payContract work- ...together, and making therapy fun! Job Description As a Claims Specialist , you are the engine behind our financial health. You’ll be... ...Revenue Lifecycle Management: Manage the end-to-end claims process, including claim submission, adjudication, payment posting,...SuggestedFull timeWork at office
Therapy and Beyond
Flower Mound, TX10 days ago - About RYZE Claim Solutions RYZE Claim Solutions is a national insurance claims management TPA serving carriers across property, casualty... ...a hybrid capacity. In this role, you'll review, evaluate, and process claims on behalf of mortgage servicer and lender clients — applying...Suggested
- 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 Claims Specialist in Flower Mound, TX to manage the end-to-end claims process and ensure accurate reimbursement. The role bridges clinics with insurance payers, requiring meticulous attention to visit details, billing data, and timely communications...
- ...Grubbs Family of Dealerships is seeking a detail-driven Warranty Administrator to manage and submit warranty claims accurately and on time. You will protect dealership revenue by auditing claims and ensuring compliance across all manufacturers. In this role you will coach...
Grubbs Family of Dealerships
Grapevine, TX4 days ago - Grubbs Family of Dealerships is seeking a detail-driven Warranty Administrator to manage and submit warranty claims accurately and on time. You will protect the dealership’s revenue, minimize aging, and ensure audit-ready service operations with precision and diligence...
- Grubbs Family of Dealerships in Texas seeks a detail-driven Warranty Administrator to manage and submit warranty claims accurately and on time. You will audit repair orders, ensure correct documentation, and minimize aging while protecting dealership revenue. Responsibilities...
- SERVPRO Team Shaw in Grapevine, TX is seeking a Claims Coordinator to ensure top-quality service for homeowners, insurers, and internal teams. You will manage file documentation, upload photos, estimates, invoices, and notices while coordinating with Estimators, Project...
- ...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, TX23 days ago - ...The Commercial Auto & GL Claims Adjuster is responsible for investigating, evaluating, and resolving automobile and general liability... ...moderate complex claims Demonstrates understanding of the reserving process for indemnity and expense in analyzing the potential exposure...Flexible hours
EDGE CLAIMS LLC
Roanoke, TX5 days ago - RYZE Claim Solutions in the Dallas area is seeking a detail-oriented Lender Placed Claims Examiner to join our hybrid team. You will review, evaluate, and process lender placed claims for coverage, apply policy language, and support adjusters with questions to ensure timely...
- ...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...
$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, TX9 days ago$18 - $27 per hour
...sharp, problem-solving professional ready to take your technical claims knowledge to the next level. You have a strong understanding of... ..., and technical evaluations. You balance standard claim processing with advanced, specialized scenarios, using your expertise to make...Contract workMonday to FridayAfternoon shiftCareGard Warranty Services, Inc.
Grapevine, TX12 days ago$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...
- 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
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, TX5 days ago - As a Casualty Claims Examiner at GEICO, you play a crucial role in our mission to offer superior insurance products and unmatched service to our customers. In this role, you will handle complex casualty claims, conduct detailed investigations, and make decisions that have...
GEICO
Grapevine, TX6 days ago $50k
...acceptable levels of credit risk; promote consistency in underwriting decisions and adherence to established credit standards; recommend process improvements that increase efficiency while maintaining strong risk controls; participate as a member of the Credit Committee or...Full timePart timeCasual workWork at officeMonday to FridayFlexible hoursFort Worth Community Credit Union
Bedford, TX4 days ago$33 - $38 per hour
...Health profileonce, and get access to thousands of opportunities across the country. Then keep up to date with your job application process and conversations with our easy to use app. Benefits ~ Discount program ~ Life insurance ~ Mileage reimbursement ~...Hourly payWeekly payDaily paidContract workLocal areaWork from homeShift workMedical Solutions Allied
Southlake, TX1 day ago$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- CRC Group seeks a qualified Claims Adjuster in Flower Mound, TX to evaluate coverage, coordinate settlements, and work with insureds, attorneys, and agents. You will prepare loss runs and bordereau reports, manage vendor relationships, and support claim status updates....
$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
Trophy Club, TX2 days ago- 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
- ...Agent is seeking an organized and efficient specialist to fulfill administrative duties and... ..., coverages, policy changes, transfers, claim submissions and billing clarification. Use... ...a customer-focused, needs-based review process to educate customers about insurance...Flexible hours
Lauren Stone - State Farm Agent
Grapevine, TX5 days ago
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Claims Processing Specialist. Be the first to apply!
