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Claims Processor Associate Jobs in Texas (NOW HIRING)

Emergicon LLC

Fire Claims Billing Specialist

Terrell, TX · On-site

$20/hr

... associate degree in insurance, business administration, accounting, or a related field preferred. • Minimum of one year of experience in fire incident claims processing or a related field required ...

Allied Solutions

Claims Investigator

Plano, TX

Associates in this position must process and investigate a high volume of incoming claim ... Adjudicate claims within the guidelines of the appropriate carrier on GAP and CPI. Then, refer to ...

Allied Solutions

Claims Investigator

Plano, TX · On-site

Associates in this position must process and investigate a high volume of incoming claim ... Adjudicate claims within the guidelines of the appropriate carrier on GAP and CPI. Then, refer to ...

Elevance Health

Claims Auditor Lead

Grand Prairie, TX · Hybrid

Claims Auditor Lead Hybrid 1: This role requires associates to be in-office1 - 2days per week ... Coaches, mentors and develops associates to ensure processes, guidelines and tools are utilized ...

ServiceMaster

Claims Coordinator

Corpus Christi, TX · On-site

$15 - $16/hr

Understanding of the claims flow process - Water Mitigation, Reconstruction, Contents, and other ... performed by associates assigned to this classification. They are not to be construed as an ...

Adecco

Medical Claims Examiner

San Antonio, TX · On-site

$22.50/hr

In this role, you will be responsible for processing and evaluating health plan claims while ... In addition, our associates may be eligible for paid leave including Paid Sick Leave or any other ...

Adecco

Medical Claims Examiner

San Antonio, TX · On-site

$22.50/hr

In this role, you will be responsible for processing and evaluating health plan claims while ... In addition, our associates may be eligible for paid leave including Paid Sick Leave or any other ...

Adecco

Medical Claims Examiner

San Antonio, TX

$22.50/hr

In this role, you will be responsible for processing and evaluating health plan claims while ... In addition, our associates may be eligible for paid leave including Paid Sick Leave or any other ...

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All JobsClaims Processor Associate JobsClaims Processor Associate Jobs in Texas

Claims Processor Associate information

What does a claims processor associate do?

A Claims Processor Associate is responsible for reviewing, processing, and verifying insurance claims to ensure they are accurate and comply with policy guidelines. They investigate claim details, communicate with policyholders or medical providers for additional information, and enter claim data into company systems. Their role is crucial in ensuring timely and accurate payments or denials, helping both insurance companies and clients. Attention to detail, strong organizational skills, and excellent communication abilities are important for success in this position.

What are the key skills and qualifications needed to thrive as a claims processor associate, and why are they important?

To thrive as a Claims Processor Associate, you need strong attention to detail, analytical skills, and a high school diploma or equivalent, with some employers preferring experience in insurance or healthcare. Familiarity with claims management software, data entry systems, and basic office applications is typically required. Excellent organizational skills, clear communication, and the ability to work efficiently under deadlines are essential soft skills for this role. These abilities ensure accurate claims processing, minimize errors, and support timely service for clients and providers.

What are some common challenges faced by claims processor associates, and how can they be effectively managed?

Claims Processor Associates often encounter challenges such as handling a high volume of claims, navigating complex policy details, and meeting strict deadlines. Successfully managing these challenges requires strong organizational skills, attention to detail, and the ability to prioritize tasks effectively. Collaborating closely with team members and regularly communicating with supervisors can also help resolve discrepancies and ensure accuracy. Most organizations provide training and support to help associates stay updated on procedures and regulatory requirements, fostering a supportive work environment.

Is claims processing a stressful job?

Claims processing can be a stressful job due to tight deadlines, high volume of claims, and the need for accuracy. It often requires attention to detail, strong organizational skills, and the ability to handle complex or difficult cases. However, workload and stress levels vary depending on the employer and work environment.

What are the most commonly searched types of Claims Processor jobs in Texas?

The most popular types of Claims Processor jobs in Texas are:

What are popular job titles related to Claims Processor Associate jobs in Texas?

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

What job categories do people searching Claims Processor Associate jobs in Texas look for?

The top searched job categories for Claims Processor Associate jobs in Texas are:

What cities in Texas are hiring for Claims Processor Associate jobs?

Cities in Texas with the most Claims Processor Associate job openings:

Claims Processor Associate jobs near you
Infographic showing various Claims Processor Associate job openings in Texas as of August 2026, with employment types broken down into 1% As Needed, 73% Full Time, 24% Part Time, 1% Temporary, and 1% Contract. Highlights an 97% Physical, 1% Hybrid, and 2% Remote job distribution.

Healthcare Claims Denial/AR Management Specialist

Catapult Solutions Group

Addison, TX • On-site

$27/hr

Contractor

This job post has expired today. Applications are no longer accepted.

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

Apply