Healthcare Claims Analyst

6 days ago


Fort Worth, Texas, United States CornerStone Staffing Full time
Job Summary

CornerStone Staffing is partnering with a leading healthcare organization to find a skilled Claims Processor/Revenue Cycle Analyst.

We are seeking an experienced professional with expertise in processing hospital claims and manual data entry to join our team.

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.

Requirements:

  • 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.


  • Fort Worth, Texas, United States CornerStone Staffing Full time

    Job OverviewCornerStone Staffing is collaborating with a prominent healthcare organization to identify a skilled Healthcare Claims Analyst.We are seeking candidates with a solid background in hospital claims processing and manual data entry. Position Details:Location: Remote after initial trainingJob ID: 146836Employment Type: Direct HireCompensation:...

  • Claims Analyst

    1 week ago


    Fort Worth, Texas, United States CornerStone Staffing Full time

    Company Overview: CornerStone Staffing is collaborating with a prominent healthcare organization to identify a skilled Claims Processor/Revenue Cycle Analyst. Position Summary: The Claims Processor is tasked with the analysis and oversight of claims audit data across various systems. This role involves performing follow-up activities to ensure the precision...


  • Fort Worth, Texas, United States CorVel Corporation Full time

    Job Summary:We are seeking a highly skilled Medical Claims Analyst to join our team at CorVel Corporation. As a Medical Claims Analyst, you will be responsible for receiving and processing medical claims with accuracy and efficiency.Key Responsibilities:Ensure that medical claims are eligible for review and processingOrganize and prioritize claims for timely...


  • Fort Worth, Texas, United States The Bank of America Corporation Full time

    Join Our Team at Bank of AmericaAt Bank of America, we are committed to a shared mission of enhancing financial well-being through every interaction.Role Overview:As a Senior Claims Analyst, you will play a pivotal role in our organization, focusing on:Claims Management: Overseeing and analyzing claims processes to ensure efficiency and accuracy.Client...


  • Fort Worth, Texas, United States CornerStone Staffing Full time

    Company Overview: CornerStone Staffing is collaborating with a prominent healthcare organization to identify a skilled Claims Processor/Revenue Cycle Analyst. Position Summary: The Revenue Cycle Analyst plays a crucial role in analyzing and overseeing claims audit data across various systems. This position involves executing follow-up tasks to guarantee the...


  • Fort Worth, Texas, United States CornerStone Staffing Full time

    Company Overview: CornerStone Staffing is collaborating with a prominent healthcare organization to identify a skilled Claims Processor/Revenue Cycle Analyst. Position Summary: The Claims Processor will play a crucial role in the analysis and oversight of claims audit data across various systems. This position involves performing follow-up activities to...


  • Fort Worth, Texas, United States CornerStone Staffing Full time

    Company Overview: CornerStone Staffing is collaborating with a prominent healthcare organization to identify a skilled Claims Processor/Revenue Cycle Analyst. Position Summary: The Claims Processor is tasked with the analysis and oversight of claims audit data across various systems. This role involves executing follow-up activities to guarantee the accuracy...


  • Fort Worth, Texas, United States CornerStone Staffing Full time

    Company Overview: CornerStone Staffing is collaborating with a prominent healthcare organization to identify a skilled Claims Processor/Revenue Cycle Analyst. Position Summary: The Claims Processor is tasked with the analysis and oversight of claims audit data across various systems. This role involves conducting follow-up activities to ensure the precision...


  • Fort Worth, Texas, United States CornerStone Staffing Full time

    Company Overview: CornerStone Staffing is collaborating with a prominent healthcare organization to identify a skilled Claims Processor/Revenue Cycle Analyst. Position Summary: The Claims Processor will play a crucial role in the analysis and oversight of claims audit data across various systems. This position involves executing follow-up tasks to guarantee...


  • Fort Worth, Texas, United States Creative Solutions in Healthcare Full time

    Job OverviewCreative Solutions in Healthcare is seeking a dedicated Medicaid Billing Specialist to join our team. The successful candidate will possess a minimum of 2-5 years of experience in a billing environment specific to Long-Term Care.Employee BenefitsWe offer a comprehensive benefits package that includes:Health, Dental, and Vision InsuranceAncillary...


  • Fort Worth, Texas, United States The Bank of America Corporation Full time

    About UsAt Bank of America, we are driven by a shared mission to enhance financial well-being through meaningful connections.Role OverviewThe Senior Claims Analyst plays a crucial role in our organization, focusing on the following responsibilities:Client Support: Provide exceptional assistance to clients regarding claims inquiries.Analytical Expertise:...


  • Fort Worth, Texas, United States CorVel Healthcare Corporation Full time

    Position OverviewThe Claims Audit Supervisor is tasked with leading the evaluation and oversight of claims audit metrics across various platforms. This role involves managing team assignments to guarantee prompt and precise handling of requests and claims. The Supervisor aims to minimize response durations and proactively enhance departmental operations to...


  • Fort Worth, Texas, United States CorVel Healthcare Corporation Full time

    Job SummaryWe are seeking a highly skilled Recovery Operations Manager to oversee the analysis and monitoring of claims audit data across multiple platforms. The ideal candidate will manage staff work assignments to ensure timely and accurate processing of requests and claims, reducing response timeframes and proactively improving department activities to...


  • Fort Worth, Texas, United States CorVel Healthcare Corporation Full time

    Job OverviewThe Claims Processing Specialist is tasked with the critical responsibility of receiving and inputting medical claims while ensuring precision and adherence to turnaround expectations. This role is integral to the Setup department, fostering personal development and contributing to the overarching objectives of CorVel Healthcare Corporation.KEY...


  • Fort Worth, Texas, United States Cook Children's Health Care System Full time

    Job SummaryThe Insurance Claims Specialist is responsible for managing and resolving outstanding insurance claims for Cook Children's Physician Network providers. This role requires strong communication and problem-solving skills to navigate complex claims processes and ensure timely resolution.Key ResponsibilitiesManage claims workqueues and prioritize...


  • Fort Worth, Texas, United States CorVel Healthcare Corporation Full time

    Job OverviewThe role of the Correspondence Specialist I involves the meticulous handling and input of medical claims, ensuring precision and adherence to turnaround expectations. This position plays a crucial role in supporting the objectives of the Setup department while fostering personal development and contributing to the mission of CorVel Healthcare...


  • Fort Worth, Texas, United States CornerStone Staffing Full time

    Position Overview: We are looking for a meticulous and empathetic Appeals Coordinator to become a part of a reputable Healthcare Company. In this capacity, you will be tasked with the critical role of evaluating and managing appeals and grievances submitted by patients and healthcare providers, ensuring timely resolution in compliance with regulatory...


  • Fort Worth, Texas, United States CorVel Healthcare Corporation Full time

    Professional Review SupervisorThe Professional Review Supervisor plays a crucial role in conducting thorough evaluations of medical documentation to ensure accurate application of Fee Schedules and adherence to coding regulations. This position requires expertise in various review methodologies tailored to the specific requirements of each state serviced....


  • Fort Worth, Texas, United States CERIS Health Full time

    Claims Audit Team SupervisorThe Claims Audit Team Supervisor is responsible for overseeing the evaluation and tracking of claims audit data across various systems. This role entails managing and prioritizing team assignments to ensure the effective handling of internal and external inquiries, quality assessments, and claims management. The Supervisor aims to...


  • Fort Worth, Texas, United States Cook Children's Health Care System Full time

    Job SummaryCook Children's Health Care System is seeking a highly skilled Insurance Claims Specialist II to join our team. As a key member of our healthcare team, you will be responsible for managing insurance claims, analyzing reimbursement data, and providing exceptional customer service to our patients and healthcare providers.Key Responsibilities:Manage...