Claims Coordinator

Cedar Park TMS; Plano (TX); On-site; USD 42,000 - 56,000; Full time

Benefits offered by this job

Hybrid work after 90 days

Job summary

Beacon Behavioral is seeking a Claims Coordinator in Plano, TX to review, validate, and correct medical claims before submission to insurance payers. Knowledge of ICD-10, CPT, HCPCS and mental health experience are preferred. Office in Plano with potential for a hybrid arrangement after 90 days.

Responsibilities include ensuring coding accuracy, collaborating with billing teams, and staying updated on payer guidelines to minimize denials and delays.

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.

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.

Skills

Communication

Attention to detail

Organizational skills

Analytical thinking

Education

High school diploma or equivalent

Tools

ICD-10/CPT/HCPCS coding systems

Job description

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process.

REG FULL TIME Plano, TX, US

3 days ago Requisition ID: 3208

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:

• 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:

Required:

• 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.

Preferred:

• 1–2 years of experience in mental health/psychiatry
• Knowledge of payer policies including Medicare, Medicaid, and commercial insurance plans.

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.

In office, Legacy Towers, Plano, TX with opportunity for hybrid after 90 days.

Office hours 7:30am-4pm CST or 8am-4:30pm

Beacon Behavioral is an Equal Opportunity Employer.