ZipRecruiter

Log In

1

Claim System Configuration Coordinator Jobs (NOW HIRING)

Cook Children's

Claim Auditor I

Fort Worth, TX · On-site

... and system configuration. Audit reports may include UB-1450 and HCFA CMS 1500 claim forms not ... coordination of benefit plan, medical terminology and coding. * Must have strong organizational ...

Cook Children's

... and system configuration. Audit reports may include UB-1450 and HCFA CMS 1500 claim forms not ... coordination of benefit plan, medical terminology and coding. Must have strong organizational ...

Cook Children's

Claim Auditor I

Fort Worth, TX · On-site

... and system configuration. Audit reports may include UB-1450 and HCFA CMS 1500 claim forms not ... coordination of benefit plan, medical terminology and coding. Must have strong organizational ...

Forhyre

OH · On-site

... of improved claim system configuration and call flows that would positively impact quality ... and coordinates project efforts as directed in order to achieve desired results. * Serves as a ...

Forhyre

... of improved claim system configuration and call flows that would positively impact quality ... and coordinates project efforts as directed in order to achieve desired results. * Serves as a ...

Conner Strong & Buckelew

Claim Coordinator

Camden, NJ · On-site

$29.69 - $32/hr

Assists Claims Team in the assigned coordinating activity of scheduling meetings and managing ... Accesses individual insurance carrier and TPA claim systems for gathering claim and loss ...

Qualifacts

RCMS Configuration Associate

Tampa, FL · On-site +1

... with system configuration, document customer needs, support implementation readiness, and help ... Support RCM-related EHR configuration activities, including claim setup, payer requirements ...

Qualifacts

RCMS Configuration Associate

Nashville, TN · On-site +1

... with system configuration, document customer needs, support implementation readiness, and help ... Support RCM-related EHR configuration activities, including claim setup, payer requirements ...

HMSA

Claims Liaison Coordinator

Honolulu, HI · On-site

Function as a subject-matter resource on claim workflows and policies. * Process Improvement & Compliance * Identify opportunities to improve claims workflows, system configuration, and provider ...

previous page

Showing results 41-60

All JobsFinance And Insurance JobsInsurance JobsInsurance Claims Specialist JobsClaim System Configuration Coordinator Jobs

Claim System Configuration Coordinator information

See salary details

$12

$20

$36

How much do claim system configuration coordinator jobs pay per hour?

As of Sep 9, 2026, the average hourly pay for claim system configuration coordinator in the United States is $20.27, according to ZipRecruiter salary data. Most workers in this role earn between $15.38 and $19.71 per hour, depending on experience, location, and employer.

What are popular job titles related to Claim System Configuration Coordinator jobs?

For Claim System Configuration Coordinator jobs, the most frequently searched job titles are:

Claim Auditor I

Fort Worth, TX • On-site

Cook Children's Health Care System
Health Care and Social Assistance • 5 - 10K employees
Learn more about Cook Children's Health Care Systemexternal

Full-time

Re-posted 16 days ago

Cook Children's Health Care System rating

7.9

Company rating: 7.9 out of 10

Based on 78 frontline employees who took The Breakroom Quiz

111th of 898 rated healthcare providers

Job description

Location:

Calmont Operations Building

Department:

Reimbursement Analysis

Shift:

First Shift (United States of America)

Standard Weekly Hours:

40

Summary:

The Claim Auditor I is responsible for auditing behavioral and medical claims and ensuring quality metrics are met by conducting post claims reviews on posted claims for Texas Medicaid and CHIP programs. The Claim Auditor I is responsible for auditing a set claim sampling on a monthly basis of routine to moderate complexity which includes paper and electronic claims submission. The Claim Auditor I ensures that claims payment integrity aligns with regulatory standards, timelines, business policy, provider and HHSC contracts, appropriate coding and system configuration. Audit reports may include UB-1450 and HCFA CMS 1500 claim forms not limited to behavioral health, physician, Institutions for Mental Disease, hospital outpatient and inpatient, and long term services and support claims. The Claim auditor is also responsible for pre-auditing high dollar claims to ensure claim payment is accurate before releasing the claim for payment. The Claim Auditor I is also responsible for communicating audit results to the Reimbursement and Analysis Manager in a structured report format within required timelines. Results of the audits are to be communicated to the Claims Department. The individual in this position performs all job functions in accordance with HIPPA and security rules as it relates to protected health information and has a thorough understanding of claims life cycle.

Additional Information:

  • The Claim Auditor I is responsible for auditing behavioral and medical claims and ensuring quality metrics are met by conducting post claims reviews on posted claims for Texas Medicaid and CHIP programs. The Claim Auditor I is responsible for auditing a set claim sampling on a monthly basis of routine to moderate complexity which includes paper and electronic claims submission. The Claim Auditor I ensures that claims payment integrity aligns with regulatory standards, timelines, business policy, provider and HHSC contracts, appropriate coding and system configuration. Audit reports may include UB-1450 and HCFA CMS 1500 claim forms not limited to behavioral health, physician, Institutions for Mental Disease, hospital outpatient and inpatient, and long term services and support claims. The Claim auditor is also responsible for pre-auditing high dollar claims to ensure claim payment is accurate before releasing the claim for payment. The Claim Auditor I is also responsible for communicating audit results to the Reimbursement and Analysis Manager in a structured report format within required timelines. Results of the audits are to be communicated to the Claims Department. The individual in this position performs all job functions in accordance with HIPPA and security rules as it relates to protected health information and has a thorough understanding of claims life cycle.


Education:

  • Associates degree required or a minimum of 5 years of claims/audit experience which includes experience with federal programs (Medicaid, CHIP) or in a health plan/payor environment preferred. 7-10 years of medical claims processing, claim adjudication, coordination of benefit plan, medical terminology and coding.
  • Must have strong organizational skills, problem solving and decision-making skills. Advanced knowledge of claim adjudication and benefit plan application for Medicaid and CHIP programs.
  • Microsoft Office skills including Word, Excel and Access. Excellent customer service skills with ability to explain complicated benefit issues to staff and providers.

Certification/Licensure:

About Us:

Cook Children's Health Plan

Cook Children's Health Plan provides vital coverage to nearly 120,000 people in low-income families who qualify for government-sponsored programs in our six county service region. Cook Children's Health Plan provides health coverage for CHIP, CHIP Perinatal, STAR (Medicaid) and STAR Kids Members in the Tarrant county service area. The counties we serve includes Tarrant, Johnson, Denton, Parker, Hood and Wise.

Cook Children's is an EOE/AA, Minority/Female/Disability/Veteran employer.

What Cook Children's Health Care System employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

Cook Children's Health Care System logo

About Cook Children's Health Care System

Sourced by ZipRecruiter

Cook Children's Health Care System, based in Fort Worth, Texas, operates in the healthcare industry with a primary focus on pediatric health services. Established in 1918, the system has been committed to improving the health of children through the prevention and treatment of childhood diseases. This integrated pediatric healthcare system includes a medical center, physician network, home health company, research institute, and a health plan. At the core of its operations is the mission to 'Improve the Health of Every Child' in its community, reflecting its commitment to providing quality care, research, education, and prevention and wellness services.

Industry

Health care and social assistance

Company size

5,001 - 10,000 Employees

Headquarters location

Fort Worth, TX, US

Year founded

1918

Social media

FacebookTwitter

View All Cook Children's Health Care System Jobs

Apply