Medical Claims Processor

Hornet Staffing, Inc, a GEE Group company; Irving (TX); On-site; USD 60,000 - 80,000; Full time

Job summary

Hornet Staffing is seeking a Senior Claims Examiner/Processor (Healthcare) in Irving, TX for a full-time, in-office role. The position focuses on high-volume healthcare payor claims processing, with emphasis on CMS 1500/UB-04 forms, HIPAA compliance, and precise data entry.

Ideal candidates have 3+ years of healthcare claims processing experience and familiarity with Epic or Meditech. Typical hours are 8am–5pm, Monday–Friday, in Irving.

Qualifications

• Experience handling healthcare payor claims processing (insurance side).
• Knowledge of CMS 1500 and UB-04 claim forms.
• Strong data entry with high accuracy.
• Familiarity with Epic or Meditech is a plus.
• Understanding of HIPAA guidelines.

Responsibilities

• Process and adjudicate healthcare claims accurately.
• Respond to provider and customer inquiries.
• Maintain quality and accuracy standards.
• Collaborate with internal teams to ensure timely claim processing.

Skills

Healthcare payor claims processing

CMS 1500/UB-04 forms

Data entry precision

Epic or Meditech

HIPAA knowledge

Tools

Epic

Meditech

Job description

Senior Claims Examiner/Processor (Healthcare)

3 plus years exp minimum or more Payor/Insurance side

Fulltime: 8am to 5pm Monday to Friday

International non-profit healthcare system headquartered in Irving, Texas founded in 1999, provides comprehensive healthcare services through a network of more than 60 hospitals, hundreds of clinics and outpatient facilities, and virtual care services across Texas, Louisiana, Arkansas, New Mexico, as well as parts of Mexico, Chile, and Colombia

Looking for a High-Volume Claims Examiner with experience in healthcare claims processing experience to join growing team.

Requirements:

• Experience Healthcare Payor Claims Processing experience (insurance side)
• Knowledge of CMS 1500/UB 04 Claims Forms
• Strong data entry and attention to detail
• Computer skills, Epic or Meditech a plus!
• Understanding of HIPAA guidelines

Key Responsibilities:

• Process and adjudicate healthcare claims accurately
• Respond to provider and customer inquiries
• Maintain quality and accuracy standards
• Work with internal teams to ensure timely claim processing