Claims Processor at CornerStone Staffing

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 (2 weeks of on-site training, then 100% Remote)
Job ID: 147394
Employment Type: Temp to Hire
Pay Range: $19/hr (based on experience)

Flexible Hours: Monday and Friday, 8 am to 5 pm.

Position Overview: The Claims Processor 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.

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.

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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