Claims Coordinator
Beacon Behavioral Partners · Plano, TX · 3 mo ago
On-siteFinanceFull-time
Key Responsibilities
- Review claims for completeness, coding accuracy, and payer-specific compliance prior to submission.
- Identify and correct errors or inconsistencies in claims data, including diagnosis and procedure codes.
- Work closely with coding, billing, and provider teams to resolve discrepancies or missing information.
- Utilize claim-scrubbing software and electronic health record (EHR) systems to process and validate claims.
- Stay current on payer guidelines, CMS updates, and regulatory requirements.
- Monitor and report trends in claim errors or rejections to support quality improvement efforts.
- Assist with claim re-submissions and appeals as needed.
- Review all claim rejections, correct, and resubmit claims.
Qualifications
- High school diploma or equivalent.
- 1–2 years of experience in medical billing or claims processing.
- Familiarity with ICD-10, CPT, and HCPCS coding systems.
- Strong attention to detail and analytical skills.
Skills
- Excellent communication and organizational skills.
- Ability to work independently and manage multiple priorities.
- Problem-solving mindset with a focus on accuracy and efficiency.
- Comfortable working in a fast-paced, deadline-driven environment.