claims coordinator

BEACON BEHAVIORAL SUPPORT SERVICES

<div>Job Summary:
The Claims Coordinator is responsible for reviewing, validating, and correcting claims before they are submitted to insurance payers. This role ensures the accuracy and completeness of claims to minimize rejections, denials, and payment delays. The ideal candidate has a strong understanding of medical billing practices, payer requirements, and coding standards (ICD-10, CPT, HCPCS).
Experience in mental health is required. 
Key Responsibilities:<ul><li>Review claims for completeness, coding accuracy, and payer-specific compliance prior to submission.</li><li>Identify and correct errors or inconsistencies in claims data, including diagnosis and procedure codes.</li><li>Work closely with coding, billing, and provider teams to resolve discrepancies or missing information.</li><li>Utilize claim-scrubbing software and electronic health record (EHR) systems to process and validate claims.</li><li>Stay current on payer guidelines, CMS updates, and regulatory requirements.</li><li>Monitor and report trends in claim errors or rejections to support quality improvement efforts.</li><li>Assist with claim re-submissions and appeals as needed.</li><li>Review all claim rejections, correct, and resubmit claims.</li></ul>
Qualifications:
Required:<ul><li>High school diploma or equivalent.</li><li>1&ndash;2 years of experience in medical billing or claims processing.</li><li>Familiarity with ICD-10, CPT, and HCPCS coding systems.</li><li>Strong attention to detail and analytical skills.</li></ul>
Preferred:<ul><li>1&ndash;2 years of experience in mental health/psychiatry</li><li>Knowledge of payer policies including Medicare, Medicaid, and commercial insurance plans.</li></ul>
Skills:<ul><li>Excellent communication and organizational skills.</li><li>Ability to work independently and manage multiple priorities.</li><li>Problem-solving mindset with a focus on accuracy and efficiency.</li><li>Comfortable working in a fast-paced, deadline-driven environment.</li></ul> 
Work Environment:<ul><li>In office, Legacy Towers, Plano, TX</li><li>Office hours 7:30am-4pm CST or 8am-4:30pm</li></ul> 
Beacon Behavioral is an Equal Opportunity Employer.</div>

Claims Coordinator

Gridhawk LLC

Job Title: 
Claims Coordinator
 
Job Category: 
Exempt
 
Department/Group: 
Utility / Claims
 
Reports To: 
Regional Manager
 
Level: 
Mid-Level
 
Position Type: 
Regular Full-time
 
Job Summary
 
Oversee the damage investigation process, manage damage files, negotiate resolution on outstanding claims and approve claim payments in the assigned area(s) in accordance with all LineQuest standard and guidelines. Track and control cost of damages. Develop and maintain strong relationships with our customers and timely reporting of liabilities due to damages. Provide key indicator data for reporting and work closely with other support functions within the Area to facilitate a learning loop with the ultimate goal of improving quality and reducing the overall cost of damages.
 
Education Requirements
 
High School diploma or equivalent required
 
BS or BA preferred in areas of construction, management, or logistics.
 
Qualifications Requirements
 
2+ years’ experience in contract line locating preferred.
 
Must be able to effectively communicate with internal and external customers
 
Attention to detail
 
Ability to work independently and in a fast-paced environment
 
Excellent organizational skills and attention to detail
 
Integrity
 
Leadership capabilities
 
Detail Oriented/strong organization skills
 
Proactive
 
Creativity
 
Knowledge of legal system is a plus
 
Strong written and negotiation skills required
 
Must have a valid Driver’s license with a safe driving record
 
Able to pass a drug screen and background check
 
Physical Requirements
 
Prolonged periods sitting at a desk and working on a computer
 
Must be able to lift up to 25 pounds at times
 
Role and Responsibilities
 
Responsible for tracking all customer utility damages to include 3rd party claims against the company.
 
Create and dispatch damages to field supervisors.
 
Review of all investigations and supporting documents to determine liability and present case to customer or 3rd party claimant.
 
Provide help and site visit to all high cost and HP profile damages.
 
Meet customer contractual requirements for providing investigations and supporting documents.
 
Skilled in negotiation to limit companies’ liability.
 
Knowledge of locating, state laws, and requirements pertaining to contract line locating.
 
Great customer service required.
 
Primary job is to limit company liability through relationships, knowledge, and accurate objective review of investigation and supporting documents.
 
Provide training and help to supervisors along with Area Manager on proper completion of investigation per customer requirements.
 
Track and manage all damages in the Area(s) assigned, in addition track liable damages by tech and supervisor group.
 
Through review process document points of concern with locating and provide that information in detail to Area Manager
 
Attend 811 meetings to support efforts in Damage Prevention for the State and on behalf of company.
 
Make recommendations of contractual missed based on audits and review of investigation data.
 
Other duties may be required as changes or customer requirements become known.
 
Reports to Claims Manager.

IIQAF

<div>Location: Dubai, UAE 
Industry: Hospital / Health Care 
Job Type: Full-Time 
Salary: AED 7,500 &ndash; AED 8,500 per month
<h3 class="jobSectionHeader">Job Overview</h3>
IIQAF Group is seeking a detail-oriented and analytical Claims Analyst to manage and process healthcare insurance claims efficiently within our hospital and healthcare operations in Dubai. The ideal candidate will review claim submissions, ensure accuracy, verify documentation, and coordinate with insurance providers to facilitate timely reimbursement and resolution.
This role is perfect for candidates searching for Claims Analyst jobs in Dubai, Health Insurance Claims Specialist UAE, Medical Claims Processing roles, or Healthcare Claims Coordinator positions.
<h3 class="jobSectionHeader">Key Responsibilities</h3>
<ul><li>Review and process healthcare insurance claims for accuracy and compliance</li><li>
Verify patient information, treatment records, and supporting documentation</li><li>
Liaise with insurance companies, healthcare providers, and internal departments</li><li>
Identify and resolve claim discrepancies and issues promptly</li><li>
Ensure compliance with UAE health insurance regulations and hospital policies</li><li>
Prepare claims reports, data analysis, and trend tracking for management</li><li>
Maintain accurate records of claims processing and documentation</li><li>
Support audits and provide necessary information for insurance reviews</li></ul>
<h3 class="jobSectionHeader">Required Skills &amp; Qualifications</h3>
<ul><li>Proven experience as a Claims Analyst, Medical Claims Specialist, or Insurance Claims Processor</li><li>
Knowledge of health insurance policies, claim procedures, and healthcare regulations</li><li>
Strong analytical, detail-oriented, and problem-solving skills</li><li>
Proficiency in claims management software and Microsoft Office Suite</li><li>
Excellent communication and interpersonal skills</li><li>
Familiarity with UAE healthcare system and insurance regulations</li></ul>
<h3 class="jobSectionHeader">Preferred Qualifications</h3>
<ul><li>Bachelor&rsquo;s degree in Health Administration, Insurance, Finance, or related field</li><li>
Experience working in hospitals, clinics, or healthcare insurance companies in Dubai</li><li>
Ability to handle high-volume claims processing efficiently</li></ul>
<h3 class="jobSectionHeader">Why Join IIQAF Group</h3>
<ul><li>Competitive salary: AED 7,500 &ndash; AED 8,500 per month</li><li>
Opportunity to work in a professional healthcare and insurance environment in Dubai</li><li>
Career growth in medical claims, healthcare operations, and insurance analysis</li><li>
Supportive and structured work culture</li></ul></div>

Claims Analyst

Families First Family Medical Practice

Position SummaryThe Billing Coordinator is responsible for managing medical records requests from insurance companies and supporting the overall billing workflow. This role focuses heavily on preparing and sending medical documentation needed for claims, audits, and insurance reviews. The ideal candidate has strong attention to detail, understands insurance request processes, and can communicate effectively with payers and internal staff to ensure timely and compliant documentation handling.Key ResponsibilitiesMedical Records &amp; Documentation<ul><li>Prepare, organize, and send medical records to insurance companies for claim reviews, audits, and appeals.</li><li>Ensure all documentation meets HIPAA standards and complies with privacy and release regulations.</li><li>Maintain accurate logs for all records sent, including dates, request details, and confirmations of receipt.</li><li>Follow up on pending documentation requests to prevent delays in claims processing.</li></ul>Insurance Request Management<ul><li>Review, interpret, and respond to insurance correspondence, including requests for additional documentation, clarification of services, or medical necessity.</li><li>Understand insurance terminology, common documentation requirements, and payer-specific guidelines.</li><li>Communicate with insurance representatives to resolve issues that impact claims or reimbursement.</li></ul>Billing Workflow Support<ul><li>Assist billing team members by providing requested documentation and supporting information needed for claims submission or appeals.</li><li>Help investigate delays or denials related to missing or incomplete medical records.</li><li>Maintain organized digital and physical files for easy retrieval during audits or billing reviews.</li><li>Support special billing department projects as assigned.</li></ul>QualificationsRequired:<ul><li>Excellent attention to detail and organizational skills.</li><li>Strong written and verbal communication abilities.</li><li>Understanding of HIPAA and medical record confidentiality standards.</li></ul>Preferred:<ul><li>Experience handling medical records for insurance audits or claims reviews.</li><li>Familiarity with CPT, ICD‑10, and HCPCS codes (not required but beneficial).</li><li>Background in a clinic, hospital, or specialty practice setting.</li></ul>Work Environment<ul><li>Full-time role in a fast-paced billing or administrative department.</li><li>Responsibilities involve handling confidential patient health information.</li><li>Deadline-driven environment requiring accuracy and consistency.</li></ul>Job Type: Full-timePay: $17.00 - $22.00 per hourExpected hours: 40 per weekBenefits:<ul><li>401(k)</li><li>Dental insurance</li><li>Health insurance</li><li>Paid time off</li><li>Vision insurance</li></ul>Work Location: In person

Medical Billing Coordinator

Nextcare

<div>
 
 
 Key Responsibilities
 
 /What You Do
 
 
 
 <ul>
 <li>
 Review and analyze claims to ensure they are accurate and complete.
 </li>
 <li>
 Process claims adjustments and corrections as necessary.
 </li>
 <li>
 Reconcile claims data with financial records and systems.
 </li>
 <li>
 Identify and investigate discrepancies in claims transactions and ensure timely and accurate reconciliation of claims.
 </li>
 <li>
 Analyze claims data to identify trends and patterns.
 </li>
 <li>
 Prepare reports and presentations on claims performance and reconciliation outcomes.
 </li>
 <li>
 Utilize data analytics tools to improve the efficiency of the claims reconciliation process.
 </li>
 <li>
 Assist in internal and external audits related to claims and reconciliation.
 </li>
 <li>
 Maintain accurate and organized documentation for audit purposes.
 </li>
 <li>
 Work closely with the finance, processors, and customer service departments to resolve claims issues.
 </li>
 <li>
 Communicate effectively with stakeholders to address and resolve claims discrepancies.
 </li>
 <li>
 Handle and support direct communication with the healthcare providers on their rejection ratio and reconciliation review findings.
 </li>
 <li>
 Conduct Reconciliation meetings with the stakeholders as required by the reconciliation process.
 </li>
 <li>
 Other Ad hoc duties as required
 
 
 </li>
 </ul>
 
 AI READINESS
 
 Work effectively in an environment shaped by artificial intelligence (AI), machine learning, data analytics and cloud-based tools, using insights responsibly with our standards of data governance, security and ethical use
 
 
 
 Key Requirements/What You Bring
 
 
 
 <ul>
 <li>
 Bachelor&rsquo;s degree in any Medical field, Finance, Business Administration, Insurance, or a related field preferred.
 </li>
 <li>
 Minimum of 2-3 years of experience in claims reconciliation, financial analysis, or a similar role.
 </li>
 <li>
 Experience in the insurance or healthcare industry is preferred.
 </li>
 <li>
 Strong analytical and problem-solving skills.
 </li>
 <li>
 Proficiency in Microsoft Excel and other data analysis tools.
 </li>
 <li>
 Excellent attention to detail and accuracy.
 </li>
 <li>
 Strong organizational and time management skills.
 </li>
 <li>
 Ability to work independently and as part of a team.
 </li>
 <li>
 Excellent written and verbal communication skills.
 </li>
 <li>
 Familiarity with claims processing systems and software.
 </li>
 <li>
 Understanding of regulatory requirements related to claims and reconciliation.
 </li>
 <li>
 Knowledge of accounting principles and practices.
 </li>
 <li>
 Legally permitted to work in the country of operations.
 </li>
 <li>
 Hybrid working option available as per business requirements.
 
 
 </li>
 </ul>
 
 How we hire
 
 Allianz Partners does not accept unsolicited CV&rsquo;s or approaches from agencies. We only work with partners on our approved supplier list, under contract. Any unsolicited submission will not be considered.
 
 
 
 Key Benefits/What We Offer
 
 
 
 Allianz Partners is a world leader in B2B2C insurance and assistance, offering global solutions that span international health and life, travel insurance, automotive and assistance. Customer driven, our innovative experts are redefining insurance services by delivering future-ready, high-tech high-touch products and solutions that go beyond traditional insurance.
 
 
 Our products are embedded seamlessly into our partners&rsquo; businesses or sold directly to customers and are available through four commercial brands: Allianz Assistance, Allianz Automotive, Allianz Travel and Allianz Care. Present in 75 countries, our 21,100 employees speak 70 languages, handle over 71 million cases each year, and are motivated to go the extra mile to offer peace of mind to our customers around the world.
 
 
 We at Allianz believe in a strong inclusive culture that encourages people to speak their minds, get involved and question the status quo. We are proud to be an equal opportunity employer and encourage you to bring your whole self to work, no matter where you are from, what you look like, who you love, or what you believe in.
 
 
 We therefore welcome applications regardless of race, ethnicity or cultural background, age, gender, nationality, religion, social class, disability, sexual orientation, or any other characteristics protected under applicable local laws and regulations.
 
 
 At Allianz Partners, AI is revolutionizing customer service and claims management through innovative solutions. These AI-driven tools enhance productivity by streamlining complex claims processes, reducing administrative burdens, and accelerating resolution times. Our AI-powered technology has made claims processing faster, offering quicker resolutions. All while ensuring human oversight for claims to maintain service integrity. By embracing AI and Emerging Technologies, Allianz Partners continues to lead the industry, meeting ever-changing customer needs with innovative solutions. Our commitment to Ethical AI practices safeguards data integrity and trust, ensuring responsible deployment across all operations. This approach not only enhances customer experiences but also supports strategic initiatives like fraud detection and personalized product offerings, solidifying Allianz Partners' position as a leader in the insurance sector.
 
 
 Great to have you on board. Let's care for tomorrow.
</div>

Claims Reconciliation Officer

Heritage Grocers Group, LLC

<div><div><div>At Heritage Grocers Group, LLC, how we work is defined by shared values that include absolute integrity, respect, and collaboration. But it's more than that, it's smart and highly driven people united in purpose to serve one another.</div>
<div> 
Bring your energy and unique perspective and you'll have the opportunity to grow with us professionally, personally, and financially. You'll be part of a team that genuinely cares about helping you succeed, and you'll work alongside talented colleagues, while making a difference in our communities.</div>
<div> 
POSITION SUMMARY:
 
The Claims Specialist will be responsible for directing, monitoring, and processing all workers' compensation and general liability claims for HGG business units. A successful candidate will provide high-level support and customer service to team members across the organization. Primarily communicating with store administrators, store directors, human resources department, industrial clinics, insurance adjusters and legal representatives.</div>
<div></div><div>ESSENTIAL DUTIES AND RESPONSIBILITIES: 
The essential duties and responsibilities of this position include, but are not limited to, the following:</div>
<ul><li>Oversee and navigate the complete lifecycle of the workers' compensation claims and general liability claims, guaranteeing precise and punctual resolution.</li>
<li>Evaluate and review all claim intake paperwork for accuracy.
</li><li>Ensure the claim files follow company best practices.
</li><li>Report on-the-job injuries of team members to the third-party administrator via online portal within 24-hours of receipt of injury.</li>
<li>Report customer incidents and injuries to the third-party administrator via online portal within 24-hours of receipt of Letter of Representation or failure to resolve the incident in-house.</li>
<li>Maintain incident and claim information in the claims' assignment log and in the SharePoint folder.
</li><li>Monitor to ensure all the necessary paperwork is submitted to the third-party administrator.</li>
<li>Communicate with injured team members, store administrators, store directors and insurance adjusters to provide updates on claims and medical status.</li>
<li>Monitor the claims to ensure they are processed accordingly, and that proper medical treatment is provided to the injured team member.</li>
<li>Provide support to store administrators/store directors for submission of transitional work report documents and ensure modified work restrictions are being followed.</li>
<li>Investigate, address, and resolve any inconsistencies in the handling of the claims.</li>
<li>Communicate to insurance adjusters, legal representatives, and other outside parties with questions involving medical/indemnity/litigated claims within 24 hours.
</li><li>Collaborate with the Safety Department when a workplace danger or safety risk is recognized for investigation and documentation.</li>
<li>Prepare and analyze various reports - disbursement expenses such as replenishment and claim activity payments from Third Party Administrators.</li>
<li>Adhere to strict confidentiality and ethical standards when handling sensitive claim information.</li>
<li>Other projects and duties as assigned.</li>
</ul><div>EDUCATION AND EXPERIENCE:</div>
<ul><li>High School Graduate (college degree, professional certifications and licenses preferred).</li>
<li>Minimum 1-3 years of claims management experience; workers' compensation preferred.
</li><li>Must be bilingual in Spanish including in writing.</li>
</ul><div>SKILLS AND QUALIFICATIONS:</div>
<ul><li>Attention to detail and thoroughness of work completed.</li>
<li>Positive attitude and ability to manage multiple tasks at once.</li>
<li>Timely execution of deliverables.
</li><li>Proficiency in typing required.</li>
<li>Basic to intermediate proficiency with Microsoft Office applications.</li>
<li>Excellent communication, collaboration, organizational, and critical thinking skills.</li>
</ul><div>PHYSICAL DEMANDS AND WORK CONDITIONS: 
The physical demands and work conditions below represent those that must be met to successfully perform the essential functions of this job. Some requirements may be modified to accommodate individuals with disabilities:</div>
<ul><li>While performing the duties of this job, the employee is regularly required to sit, stand, and use the hands to handle objects, tools or controls.</li>
<li>Successful performance requires vision abilities that include close vision and the ability to adjust focus.</li>
<li>The work environment is that typical of an office.</li>
<li>Ability to lift up to 10lbs.</li>
</ul><div>IMPORTANT DISCLAIMER NOTICE 
The job duties, elements, responsibilities, skills, functions, experience, educational factors, and the requirements and conditions listed in this job description are representative only and not exhaustive of the tasks that an employee may be required to perform. The Employer reserves the right to revise this job description at any time and to require employees to perform other tasks as circumstances or conditions of its business or the work environment change.</div>
<div>
</div><div></div><div>Disclaimer :

Pay Scale $22 to $23

The pay scale above is a good faith estimate of the salary or hourly wage range that the employer reasonably expects to pay for the position. Within this range, individual pay is determined by multiple factors including, but not limited to, specific skills, relevant work experience, and relevant education and/or training. This information is provided to applicants in accordance with California Labor Code &sect; 432.3 and state and local minimum wage standards.</div> 
</div>
 
Compensation: $22 to $23</div>

Claims Specialist, Risk Management

NTT DATA

<div>Company Overview: 
Req ID: 360808 
NTT DATA strives to hire exceptional, innovative and passionate individuals who want to grow with us. If you want to be part of an inclusive, adaptable, and forward-thinking organization, apply now. 
 
We are currently seeking a Claims Specialist to join our team and REMOTE. The position is for 6 months and pay rate is $19.25/hour W2 
 
Job Description: 
Claims Specialist 
Job Description 
The claims Specialist will Identify primary vs. secondary coverage when a member has more than one health plan. Reviewing and updating claims to reflect correct COB rules Applying COB primacy rules (subscriber status, effective dates, plan type, Medicare coordination, etc.) Communicating with members, providers, and other insurers to verify coverage details Correcting overpayments, initiating refunds or reprocessing, and maintaining accurate claim records Working within claims systems and following regulatory and compliance requirements (e.g., HIPAA) 
 
Job Duties 
Duties may include the following responsibilities or functions required to support the claims unit.
<ul><li>Reviews, research, and make necessary updates to claims that may include the following: recalculation of benefits to previously processed claims, the processing of claims edits, or initiation of refund requests, according to contractual benefits or provider reimbursement rules, ultimately providing a high degree of customer satisfaction.</li>
<li>Achieves and maintains a clear understanding of all systems, applications, and procedures necessary to identify denial codes, edits, and processing codes pertaining to all claims (including our coordination with additional coverage plans) to process both coordinated and non-coordinated claims correctly. Requesting medical records may be required.</li>
<li>Communicates, both orally and in writing, with internal and external contacts to provide necessary and accurate information for the establishment of sound claims records. This may include, but is not limited to, the coordination of benefits (COB), medical record requests, etc.</li>
<li>Review quality audits for correction or routing within 48 hours of receipt following departmental and corporate guidelines to ensure accuracy of claims processing and customer satisfaction.</li>
<li>Research, investigates, and determines the correct order of benefits for payment to be made by the applicable plans and makes necessary corrections to COB records. Communicates to appropriate department(s) when Medicare has determined primacy incorrectly and ensures a letter is generated to notify Medicare. Failure to report discrepancy could result in a daily fine up to ***</li>
<li>Analyzes, investigates, resolves problem cases (to include COB records, adjusting previously processed claims and requesting refund of overpaid claims). Reviews of all previously processed claims to ensure consistency in payments to maximize recovery of overpayments following corporate and departmental guidelines to ensure financial stability.</li>
<li>Executes procedures to recover funds from providers, subscribers, or beneficiaries where overpayments have occurred to ensure accuracy of claims processing and financial stability.</li>
<li>Steps in and assists in any other capacity as deemed necessary (i.e., training, implementations, and documentation). May complete special projects as assigned by Management due to internal audit findings, multiple provider status changes, and system errors following corporate and departmental guidelines to ensure financial stability and customer satisfaction.</li>
</ul>Required Skills
<ul><li>2 years in medical claims processing required &bull; Coordination of Benefits (COB) processing experience preferred</li>
<li>Strong analytical ability, that includes strong logical, systemic, and investigates thinking.</li>
<li>Strong oral and written communication skills and human relations skills are necessary.</li>
<li>Working knowledge of relevant PC software.</li>
<li>Ability to prioritize multiple streams of work effectively.</li>
</ul>Education
<ul><li>High School Diploma or equivalent required Work Experience</li>
</ul>
 
About NTT DATA: 
 
NTT DATA is a $30 billion trusted global innovator of business and technology services. We serve 75% of the Fortune Global 100 and are committed to helping clients innovate, optimize and transform for long term success. As a Global Top Employer, we have diverse experts in more than 50 countries and a robust partner ecosystem of established and start-up companies. Our services include business and technology consulting, data and artificial intelligence, industry solutions, as well as the development, implementation and management of applications, infrastructure and connectivity. We are one of the leading providers of digital and AI infrastructure in the world. NTT DATA is a part of NTT Group, which invests over $3.6 billion each year in R&amp;D to help organizations and society move confidently and sustainably into the digital future. Visit us at us.nttdata.com 
 
NTT DATA endeavors to make https://us.nttdata.com accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact us at https://us.nttdata.com/en/contact-us. This contact information is for accommodation requests only and cannot be used to inquire about the status of applications. NTT DATA is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. For our EEO Policy Statement, please click here. If you'd like more information on your EEO rights under the law, please click here. For Pay Transparency information, please click here. 
 
Where required by law, NTT DATA provides a reasonable range of compensation for specific roles. The starting hourly range for this remote role is $19.25/hour. This range reflects the minimum and maximum target compensation for the position across all US locations. Actual compensation will depend on several factors, including the candidate's actual work location, relevant experience, technical skills, and other qualifications. This position may also be eligible for incentive compensation based on individual and/or company performance. 
This position is eligible for company benefits that will depend on the nature of the role offered. Company benefits may include medical, dental, and vision insurance, flexible spending or health savings account, life, and AD&amp;D insurance, short-and long-term disability coverage, paid time off, employee assistance, participation in a 401k program with company match, and additional voluntary or legally required benefits. 
#indist 
#li-northamerica</div>

Healthcare Claims Specialist

Search 4507+ Claims coordinator jobs near you this March. New roles added regularly across leading industries. Apply today.

4507 claims coordinator jobs Near Me

Claims Coordinator

Claims Coordinator

Claims Analyst

Medical Billing Coordinator

Claims Reconciliation Officer

Claims Specialist, Risk Management

Healthcare Claims Specialist