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Claims Associate Three Jobs in Texas (NOW HIRING)

NTT DATA Services

Accumulator Coordinator

Plano, TX · Remote

NTT DATA is seeking to hire a Remote Claims Processing Associate to work for our end client and ... 3 year(s) hands-on experience in Healthcare Claims Processing 2+ year(s) using a computer with ...

NTT DATA Services

Accumulator Coordinator

Plano, TX · On-site

NTT DATA is seeking to hire a Remote Claims Processing Associate to work for our end client and ... Requirements: • 3 year(s) hands-on experience in Healthcare Claims Processing • 2+ year(s ...

NTT DATA Services

Accumulator Coordinator

Plano, TX · Remote

NTT DATA is seeking to hire a Remote Claims Processing Associate to work for our end client and ... Requirements: • 3 year(s) hands-on experience in Healthcare Claims Processing • 2+ year(s ...

IQVIA

Claims Audit Coordinator, Billing

Houston, TX · Hybrid

Job Location Houston, TX (Galleria Area) Work Arrangement Hybrid (3 days in office, 2 remote ... Associate's or Bachelor's degree preferred * Strong preference for those who have experience with ...

Wegman

Litigation Associate

Houston, TX · On-site

... are claims, premises liability, real estate foreclosures, bankruptcy, mortgage litigation, and other civil litigation matters . The associate in this position should have 3-5 years of relevant ...

Allen Stewart, P.C.

ASSOCIATE ATTORNEY

Dallas, TX · On-site

Communicate directly with prospective new clients, primarily by phone, to discuss their claims ... Has 2-3 years of legal experience with a plaintiffs firm ( preferred but not required ). * Has ...

New

Fred Loya Insurance

Staff Trial Attorney

El Paso, TX · On-site

$95K - $155K/yr

... to claims associates and clients. * Represent clients and the company in court proceedings ... Minimum 3 years of civil litigation experience, preferably insurance defense litigation, including ...

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All JobsClaims Associate Three JobsClaims Associate Three Jobs in Texas

Claims Associate Three information

What is the difference between Claims Associate Three vs Claims Associate Two?

AspectClaims Associate ThreeClaims Associate Two
Required CredentialsHigh school diploma or equivalent; some roles may prefer relevant certificationsHigh school diploma or equivalent; entry-level position
Work EnvironmentOffice setting, handling complex claims, collaborating with teamsOffice setting, processing standard claims, customer interaction
Employer & Industry UsageInsurance companies, third-party administratorsInsurance companies, claims processing centers
Common Search & ComparisonClaims Associate Three vs Claims Associate Two

The Claims Associate Three typically handles more complex claims and may require some experience or specialized knowledge, whereas the Claims Associate Two focuses on standard claims processing. The roles differ mainly in responsibility level and complexity, with Claims Associate Three often taking on more advanced tasks within the same industry environment.

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For Claims Associate Three jobs in Texas, the most frequently searched job titles are:

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Claims Associate Three jobs near you

Claims Reconciliation Specialist

OMS MEDICAL BILLING LLC

Addison, TX

$23 - $27/hr

Full-time

Medical, Dental, Vision, Retirement

Re-posted 12 days ago

Job description

The Claims Reconciliation Specialist is responsible for comprehensive billing procedures and verification prior to coding for anesthesia services. This role ensures accurate documentation collection, provider verification, and compliance with medical direction requirements to maximize revenue recovery. This is a full-time position based at our corporate office in Addison, TX, reporting to the Scheduling/Intake/Scrubbing Lead. This role requires on-site presence during regular business hours. 

Key Responsibilities 

Documentation and Verification 

  • Documentation Collection: Ensure receipt of complete anesthesia records including pre-anesthesia evaluation, intraoperative records, PACU documentation, and addendums 

  • Provider Verification: Confirm all applicable providers are properly identified with supervising and rendering provider details 

  • Case Details Review: Validate date of service, facility information, and cross-check surgeon details against anesthesia records 

  • Time Accuracy Review: Verify anesthesia start/stop times, document breaks and hand-offs, ensure consistency across cases 

Compliance and Coding 

  • Medical Direction Compliance: Ensure seven required elements are documented including pre-anesthesia evaluation, presence at induction, monitoring, availability, emergence, post-anesthesia care, and 4:1 supervision ratio 

  • Modifier Verification: Confirm correct ASA status assignment and anesthesia modifiers 

  • Supporting Documentation: Verify documentation supports additional procedure codes for pain blocks, line placement, and ultrasound guidance 

Administrative Tasks 

  • Insurance Verification: Confirm patient eligibility and obtain required authorizations 

  • Charge Ticket Review: Ensure anesthesia records align with internal charge tickets 

  • Batch Management: Verify case counts and upload complete batches for data entry team 

Required Qualifications 

  • High school diploma or equivalent; associate degree in healthcare administration preferred 

  • 2+ years of experience in medical billing, particularly anesthesia billing 

  • Knowledge of CPT, ICD-10, and anesthesia-specific coding (ASA base units, time units, modifiers) 

  • Understanding of medical direction vs. medical supervision billing requirements 

  • Familiarity with CMS guidelines for concurrent care limitations 

  • Proficiency in practice management software and electronic health records 

  • Strong attention to detail and analytical skills 

  • Excellent communication and problem-solving abilities 

At OrthoMed, you'll be part of a team dedicated to excellence in patient care. We offer competitive compensation, health/dental/vision insurance, 401(k) with 3% non-discretionary company contributions, professional development opportunities, and a fun collaborative work environment. 

Join us in our mission to elevate healthcare standards and make a lasting impact. Apply now to become an integral part of our dynamic team! 

Apply