Claims Processor

7 days ago

Fort Worth, United States CornerStone Staffing Full time

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


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