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Claims Processing Manager Jobs in Texas (NOW HIRING)

Claims Manager

Dallas, TX · On-site

$110 - $190/hr

The Claims Manager supports TCR's risk management function through the management of insurance ... Support business leaders throughout the claims process and provide guidance on incident reporting ...

Medical Claims Processor

El Paso, TX

$16.50/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... and accurate prescription processing. This is a back-office position that requires strong ... Ability to manage productivity metrics in a fast-paced environment * Basic computer proficiency and ...

NTT DATA is seeking to hire a Remote Claims Processing Associate to work for our end client and ... management with the ability to cope in a complex, changing environment About NTT DATA NTT DATA is a ...

Process inspection and claim payments, including over-the-phone payments. Monitor claim statuses and follow up on unpaid or delayed claims to ensure timely resolution. Manage appeals and respond to ...

Claims Processor LPO

San Antonio, TX · On-site

$15.25 - $19.50/hr

  • Medical

  • Retirement

SWBC is seeking a talented individual to perform functions associated with processing claim ... Ability to prioritize tasks, manage time effectively, and meet deadlines * Strong analytical and ...

Claims Processor LPO

San Antonio, TX · On-site

$15.25 - $19.50/hr

  • Medical

  • Retirement

SWBC is seeking a talented individual to perform functions associated with processing claim ... Ability to prioritize tasks, manage time effectively, and meet deadlines * Strong analytical and ...

Medical Claims Processor

El Paso, TX · On-site

$16.50/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... and accurate prescription processing. This is a back-office position that requires strong ... Ability to manage productivity metrics in a fast-paced environment * Basic computer proficiency and ...

Support business leaders throughout the claims process and provide guidance on incident reporting ... Bachelor's degree in Risk Management, Business, Finance, Legal Studies, or a related field * 5+ ...

NTT DATA is seeking to hire a Remote Claims Processing Associate to work for our end client and ... management with the ability to cope in a complex, changing environment About NTT DATA NTT DATA is a ...

Showing results 41-60

Claims Processing Manager information

See Texas salary details

$32.6K

$81.9K

$129.5K

How much do claims processing manager jobs pay per year?

As of Aug 13, 2026, the average yearly pay for claims processing manager in Texas is $81,856.00, according to ZipRecruiter salary data. Most workers in this role earn between $63,400.00 and $97,800.00 per year, depending on experience, location, and employer.

What are the primary challenges faced by a claims processing manager, and how can they be addressed?

Claims Processing Managers often navigate challenges such as ensuring timely and accurate claim adjudication, managing a team with varying workloads, and staying up to date with regulatory changes. Balancing efficiency with compliance requires strong organizational skills and effective communication. Successful managers foster a collaborative environment, implement regular training, and leverage technology to streamline processes, all while maintaining high standards of customer service and data integrity.

What does a claims processing manager do?

A Claims Processing Manager oversees the team responsible for reviewing, evaluating, and processing insurance claims. Their duties include ensuring claims are handled efficiently and accurately, developing procedures to improve workflow, and maintaining compliance with industry regulations. They also resolve complex or escalated claims issues, provide staff training, and report on performance metrics. The role requires strong leadership, analytical skills, and attention to detail to ensure a fair and timely claims process.

What are the key skills and qualifications needed to thrive as a claims processing manager?

To thrive as a Claims Processing Manager, you need expertise in insurance claims procedures, analytical skills, and a solid understanding of regulatory compliance, often supported by a bachelor's degree and relevant industry experience. Familiarity with claims management software, workflow automation tools, and data analysis systems is typically required. Strong leadership, attention to detail, and effective communication are crucial soft skills that set top performers apart in this role. These abilities ensure accurate and efficient claims processing, regulatory adherence, and effective team management, all of which are vital for organizational success.
What are the most commonly searched types of Claims Processing jobs in Texas? The most popular types of Claims Processing jobs in Texas are:
What cities in Texas are hiring for Claims Processing Manager jobs? Cities in Texas with the most Claims Processing Manager job openings:

Healthcare Claims Denial/AR Management Specialist

Catapult Solutions Group

Addison, TX • On-site

$27/hr

Contractor

Posted 21 days ago


Job description

Healthcare Claims Denial Management Specialist
Contract to Hire
Onsite - Addison TX 75001
About the Company
Our client is a healthcare revenue cycle and medical billing organization dedicated to helping healthcare providers maximize reimbursement accuracy and efficiency. They partner with practices and providers to manage the full claims lifecycle - from submission through resolution - while maintaining strict compliance with payer and regulatory standards.
Job Description
We're seeking a detail-oriented Healthcare Claims Denial Management Specialist to identify, analyze, and resolve denied or underpaid medical insurance claims. This role is critical to ensuring accurate and timely reimbursement, working cross-functionally with payers, internal billing teams, and healthcare providers to reduce denial rates and improve revenue cycle performance.
What You'll Be Responsible For
  • Reviewing and analyzing denied, underpaid, and rejected medical claims to determine root causes
  • Correcting claim errors, updating coding or documentation as needed, and resubmitting claims to payers within required timeframes
  • Following up with insurance companies to resolve outstanding denials and secure payment
  • Communicating directly with insurance representatives to verify claim status and resolve discrepancies
  • Maintaining detailed documentation of actions, correspondence, and outcomes in billing/practice management systems
  • Identifying denial patterns and trends across payers, coding categories, or service lines
  • Collaborating with coding, billing, and clinical teams to prevent future denials through process improvements and training
  • Preparing and submitting formal appeals with supporting medical records, coding references, and payer policy documentation
  • Tracking appeal outcomes and ensuring compliance with appeal deadlines and payer regulations
  • Ensuring claim corrections and submissions comply with federal, state, and payer-specific regulations
  • Generating denial reports, analyzing metrics, and providing insights to leadership
  • Monitoring KPIs such as denial rate, appeal success rate, and days in accounts receivable (A/R)

Required Experience/Skills
  • 2-4 years of experience in medical billing, claims processing, or denial management within a healthcare or payer environment
  • Strong knowledge of revenue cycle processes
  • Proficiency with CPT/HCPCS and ICD-10 coding
  • Familiarity with insurance payer rules (commercial, Medicare, Medicaid)
  • Solid understanding of medical terminology
  • Proficiency with EMR/EHR systems, clearinghouses, and billing software
  • Strong analytical skills with attention to detail and the ability to identify trends and interpret payer policies
  • Excellent verbal and written communication skills
  • Strong organizational skills with the ability to manage multiple priorities and deadlines

Nice-to-Haves
  • CPC, CPB, or other AAPC/AHIMA certification
  • Experience in high-volume claims environments
  • Familiarity with appeals and audit processes

Education
  • High school diploma or equivalent required; Associate's or Bachelor's degree in healthcare administration, business, or related field preferred

Pay Summary
  • $27/hr. W2

Apply Now!
Denial Management Specialist, Medical Billing, Claims Processing, Revenue Cycle Management, CPT, HCPCS, ICD-10, Medical Coding, Insurance Appeals, EMR, EHR, Accounts Receivable, Healthcare Billing, Payer Relations, Medicare, Medicaid, AAPC, AHIMA, CPC, CPB