Claims Processor

4 weeks ago


Fort Worth, Texas, United States CornerStone Staffing Full time

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

This role involves analyzing and monitoring claims audit data across multiple platforms, ensuring accurate reimbursement to healthcare providers.

Key responsibilities include:

  • Claims analysis and adjustment to ensure accurate reimbursement per contractual agreements and payer guidelines.
  • Pricing structure development and maintenance to support competitive and profitable billing strategies.
  • Error identification and resolution in reconciliation files across various platforms and partners.
  • Contract and reimbursement analysis to identify overpayments or billing errors.
  • Data analysis to generate reports and support trend analysis for accurate revenue cycle data.
  • Regulatory compliance with billing protocols, federal and state regulations, and internal procedures.
  • Confidentiality in maintaining strict confidentiality of medical records and personal information.

Requirements include:

  • Minimum 3 years of experience in claims processing, repricing, pricing configuration, or provider maintenance.
  • High School Diploma or equivalent (verification required).
  • Proficiency in MS Office and Windows operating systems.
  • Strong understanding of healthcare revenue cycle, claims reimbursement, ICD-10 coding, and CMS guidelines.
  • Excellent problem-solving abilities and attention to detail.

This is a temp-to-hire opportunity with flexible hours, Monday and Friday, 8 am to 5 pm, and a pay range of $19/hr based on experience.


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