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Medical Claims Processor Jobs in Texas

Claims Processor Ii- Medi-Cal (Remote)
By Inland Empire Health Plan At , Rancho Cucamonga
ICD-9 and CPT coding and general practices of claims processing. Prefer knowledge of capitated managed care environment.
Major Functions (Duties and Responsibilities)
Major Functions (Duties and Responsibilities) Cont
Two (2) years experience in examining and processing medical claims; professional or institutional.
Medicare/Medi-Cal experience preferred. Claim adjustments, provider appeals and/or disputes preferred.
Microcomputer skills, proficiency in Windows applications preferred. Excellent communication and interpersonal skills, strong organizational skills.
Claims Processor, Government Team
By UF Health Shands Hospital At , Gainesville, 32608, Fl $17.70 - $21.15 an hour
Minimum Education and Experience Requirements:
College education may be substituted for experience.
Prefer some college-level business, finance or accounting courses.
Experience in Blue Cross, Medicare, Medicaid and/or other third-party payer billing or collections preferred.
Must have above average math skills and be proficient on a calculator.
Experience with computerized insurance billing system and Microsoft programs preferred.
Medical Claims Processor Jobs
By ISI Professional Services At Waco, TX, United States
One (1) year experience processing, researching and adjudicating medical claims.
Understand electronic claims editing and submission capabilities including Medicare and NEIC on-line claims processing and query system.
Essential Job Functions & Responsibilities
The MCP is responsible for the accurate and timely processing of medical claims.
Researches and processes claims according to business regulation, internal standards and processing guidelines.
Verifies the coding of procedure and diagnosis codes.
Medical Claims Processor (Home-Based)
By IQVIA At , Dallas, Tx $18 an hour
Recognize operational challenges and suggest recommendations to management, as necessary.
Claim processing and data entry experience preferred
Processing patient reimbursement claims (i.e., medical claims processing, data entry) and interpreting pharmacy labels and pharmacy receipts
Call Center experience of at least 6 months required
Experience in medical claim processing preferred.
Contract Remote Role – Location (Open to Remote US)
Claims Processor Jobs
By Tesla At , Austin, Tx
Remains current on requirements and legislation for assigned state(s).
Provides support for unit claims associates and managers. Acts as a point of contact for internal/external customers.
Delivers an outstanding customer service experience to all internal, external, current, and prospective nationwide customers.
May perform other responsibilities as assigned.
3-5 years directly related work experience.
Reviews and determines payment of minor, undisputed and/or limited authorization claims. Assigns all other claims to appropriate adjuster.
Typing Claims Processor In Amarillo, Texas - Remote | Hybrid
By Get.It Recruit - Administrative At Amarillo, TX, United States

We are seeking motivated and detail-oriented individuals to join our dynamic team as Dental Claims Processors. In this role, you will have the opportunity to navigate various computer systems, ...

Are you looking for an exciting opportunity to join a fast-paced medical claims processing team? We are looking for a motivated individual to join our team and help us process medical claims quickly and accurately. If you have a passion for accuracy and a desire to help people, this could be the perfect job for you!

Overview A Medical Claims Processor is responsible for processing medical claims for insurance companies, healthcare providers, and other organizations. They review and verify patient information, process claims, and ensure that claims are paid accurately and on time. Detailed Job Description A Medical Claims Processor is responsible for processing medical claims for insurance companies, healthcare providers, and other organizations. They review and verify patient information, process claims, and ensure that claims are paid accurately and on time. They must be familiar with medical terminology and coding, and must be able to interpret insurance policies and regulations. They must also be able to communicate effectively with patients, providers, and insurance companies. Job Skills Required
• Knowledge of medical terminology and coding
• Knowledge of insurance policies and regulations
• Ability to interpret and analyze medical claims
• Excellent communication and customer service skills
• Attention to detail and accuracy
• Ability to work independently and as part of a team
• Proficiency in computer software programs
Job Qualifications
• High school diploma or equivalent
• Previous experience in medical claims processing
• Certification in medical coding (preferred)
Job Knowledge
• Knowledge of medical terminology and coding
• Knowledge of insurance policies and regulations
• Ability to interpret and analyze medical claims
Job Experience
• Previous experience in medical claims processing
• Experience working with medical billing software
Job Responsibilities
• Review and verify patient information
• Process medical claims
• Ensure that claims are paid accurately and on time
• Communicate with patients, providers, and insurance companies
• Resolve any discrepancies or issues with claims
• Maintain accurate records and documentation