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Healthcare Claims Specialist

2 months ago

Dallas, Texas, United States CornerStone Staffing Full time

Company Overview: CornerStone Staffing is actively seeking dedicated individuals with experience in the medical provider sector.

Position Overview: We are looking for motivated candidates with a background in healthcare and outbound call center operations to join a reputable healthcare organization.

Job Title: Medical Claims Analyst

Compensation: $18/hr

Location: Dallas, TX - Fully On-Site

Work Schedule: Monday to Friday, 8 AM to 5 PM

Employment Type: Temp to Hire

Role Responsibilities:

  • Acquire, validate, and maintain the most current provider contact details essential for claims processing while ensuring compliance with privacy regulations.
  • Contact providers via phone, fax, or email to verify, update, or correct all necessary information required for documentation requests.
  • Ensure that contact information is confirmed by communicating with the highest-ranking member of the relevant department (medical records or billing).
  • Maintain and regularly update the provider contact database.
  • Conduct biannual validations of provider contact information; obtain updated lists from departments as necessary.
  • Handle real-time requests from analysts and follow up as needed.
  • Identify and rectify duplicates and misspellings in the database.
  • Report any issues or concerns to the respective Lead/Supervisor or Manager as required.
  • Adhere to HIPAA compliance in all communication aspects.
  • Exhibit punctuality and consistent attendance.
  • Meet production standards and requirements.
  • Support colleagues, supervisors, or management in achieving product goals and proactively report potential issues.
  • Perform additional duties as assigned.

Required Knowledge & Skills:

  • Clear and pleasant speaking voice with professional phone etiquette.
  • Proficient in Microsoft Office Suite.
  • Strong attention to detail.
  • Able to work independently in a fast-paced production environment.
  • Exceptional follow-up capabilities.
  • Highly organized.

Education & Experience:

  • High school diploma or equivalent is mandatory.
  • 1-2 years of experience in a medical office or administrative role.
  • Experience in a call center is highly desirable.
  • Demonstrated attention to detail.
  • Proven history of excellent attendance.
  • Experience in a production-driven environment is advantageous.
  • Soft sales experience is preferred.