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Claims Processor

2 months ago

Fort Worth, United States CornerStone Staffing Full time
Job DescriptionJob Description

CornerStone Staffing is partnering with a leading healthcare company in Fort Worth to find a talented Claims Processor/Revenue Cycle Analyst.

If you have experience in processing hospital claims and manual data entry, we want to hear from you

 

 

Location: Fort Worth, TX (On-site training, then 100% Remote)
Job ID: 146836
Employment Type: Direct Hire
Pay Range: $20-$21/hr (based on experience)

Position Overview:
The Revenue Cycle Analyst is responsible for analysis and monitoring of claims audit data across multiple platforms. Performs various follow-up activities to ensure the accuracy and appropriateness of reimbursement made to healthcare providers. Responsibilities include identifying payment variances and working internally and externally to resolve such issues.

 

Key Responsibilities:

  • Claims Analysis & Adjustment: Review, adjust, and reprice claims to ensure accurate reimbursement per contractual agreements and payer guidelines.

  • Pricing Structures: Develop and maintain precise pricing structures to support competitive and profitable billing strategies.

  • Error Identification: Detect and resolve errors in reconciliation files across various platforms and partners.

  • Contract & Reimbursement Analysis: Perform detailed variance analysis and identify overpayments or billing errors.

  • Data Analysis: Analyze claims data, generate reports, and support trend analysis to ensure accurate revenue cycle data.

  • Regulatory Compliance: Stay current on billing protocols, federal and state regulations, and internal procedures.

  • Confidentiality: Maintain strict confidentiality of medical records and personal information.

Flexible Hours:
Choose any 8-hour shift between Monday and Friday, 8 am to 5 pm.

Essential Skills & Qualifications:

  • Experience: Minimum of 3 years in claims processing, repricing, pricing configuration, or provider maintenance.

  • Education: High School Diploma or equivalent (verification required).

  • Technical Skills: Proficiency in MS Office (Word, Excel, PowerPoint, Outlook) and Windows operating systems.

  • Knowledge: Strong understanding of healthcare revenue cycle, claims reimbursement, ICD-10 coding, and CMS guidelines.

  • Analytical Skills: Excellent problem-solving abilities and attention to detail.

Additional Requirements:

  • Ability to work independently and think critically.

  • Demonstrated knowledge of billing and coding regulations.

  • Strong analytical skills and ability to deliver results in a fast-paced environment.

 

Why Join Us?

  • Career Growth: Direct hire opportunity with a reputable healthcare company.

  • Flexibility: Enjoy the benefits of remote work after initial training.

  •  

Ready to make an impact in healthcare claims processing? Apply now to join our dynamic team

 

To Apply for this Job:

Click the Apply Online button, then:

  • If you are currently registered with CornerStone Staffing, click the Log In button to add yourself as a candidate to this job.

  • If you are NOT currently registered with CornerStone Staffing, click the Create Account button to complete the application.

 

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Company DescriptionCornerStone Staffing has been servicing the Dallas-Fort Worth metroplex since 1991. We are committed to supporting our community through our core values of compassion, integrity, self discipline, and faith.

CornerStone currently has 11 offices across the Metroplex to serve your needs. If you are a job seeker looking for short-term supplemental income or a full-time position that will launch a new career, we can assist you in finding the right opportunityCompany DescriptionCornerStone Staffing has been servicing the Dallas-Fort Worth metroplex since 1991. We are committed to supporting our community through our core values of compassion, integrity, self discipline, and faith.\r
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CornerStone currently has 11 offices across the Metroplex to serve your needs. If you are a job seeker looking for short-term supplemental income or a full-time position that will launch a new career, we can assist you in finding the right opportunity