Mental Health Claims Specialist (Plano, Hybrid)

Cedar Park TMS; Plano (TX); Presencial; USD 42.000 - 56.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Hybrid work after 90 days

Descripción de la vacante

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.

Formación

• 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.

Responsabilidades

• 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.

Conocimientos

Communication

Attention to detail

Organizational skills

Analytical thinking

Educación

High school diploma or equivalent

Herramientas

ICD-10/CPT/HCPCS coding systems

Descripción del empleo

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.