Claims Clerk jobs in Fort Worth, TX

Claims Clerk reviews insurance claim forms and supporting documents for completeness and accuracy and obtains missing information as necessary. Inputs claim information into system for processing. Being a Claims Clerk verifies coverage eligibility. Calculates settlement amounts according to guidelines. Additionally, Claims Clerk processes routine claim payments. Requires a high school diploma or equivalent. Typically reports to a supervisor. The Claims Clerk works under the close direction of senior personnel in the functional area. Possesses a moderate understanding of general aspects of the job. May require 0-1 year of general work experience. (Copyright 2024 Salary.com)

J
Claims Examiner
  • JPS Health Network
  • Fort Worth, TX FULL_TIME
  • Who We Are
    JPS Health Network is a $950 million, tax-supported healthcare system in North Texas. Licensed for 582 beds, the network features over 25 locations across Tarrant County, with John Peter Smith Hospital a Level I Trauma Center, Tarrant County's only psychiatric emergency center, and the largest hospital-based family medical residency program in the nation. The health network employs more than 7,200 people.

    Acclaim Multispecialty Group is the medical practice group featuring over 300 providers serving JPS Health Network. Specialties range from primary care to general surgery and trauma. The Acclaim Multispecialty Group formed around a common set of incentives and expectations supporting the operational, financial, and clinical performance
    outcomes of the network. Our goal is to provide high quality, compassionate clinical care for every patient, every time.

    Why JPS?
    We're more than a hospital. We're 7,200 of the most dedicated people you could ever meet. Our goal is to make sure the people of our community get the care they need and deserve. As community stewards, we abide by three Rules of the Road:

    1. Own it. Everyone who wears the JPS badge contributes to our journey to excellence.
    2. Seek joy. Every day, every shift, we celebrate our patients, smile, and emphasize positivity.
    3. Don't be a jerk. Everyone is treated with courtesy and respect. Smiling, laughter, compassion - key components of our everyday experience at JPS.

    When working here, you're surrounded by passion, diversity, and dedication. We look forward to meeting you!

    For more information, visit www.jpshealthnet.org.
    To view all job vacancies, visit www.jpshealthnet.org, www.jpshealthnet.org/careers, or www.teamacclaim.org.


    Job Title:


    Claims Examiner


    Requisition Number:


    31328


    Employment Type:


    Full Time


    Division:


    FINANCIAL SERVICES


    Compensation Type:


    Hourly


    Job Category:


    Support Services


    Hours Worked:


    8:00am to 5:00pm


    Location:


    JPOC 1400


    Shift Worked:


    Day


    Job Description:

    Description: The Claims Examiner is responsible for assisting with development of all State Requirement Reports and assisting with medical and dental claims adjudication including resolving and researching all system issues with IT/Database department.

    Typical Duties:

    • Acts as a liaison between Claims Department and IT Department.

    • Identifies claims system errors and report them to IT, coordinate with IT Department on all open issues.

    • Ensures Reprise Facility claims through Internet base system.

    • Researches claims issues in an automated system; maintains record keeping of all claims open issues.

    • Ensures all claims reporting requirements are met; complete daily production reports and weekly pending reports.

    • Prepares customer service log reports; support and back up claims and customer service department as needed.

    • Processes professional, facility and dental claims and provide phone back up as needed to meet departmental guidelines.

    • Maintains appropriate work habits, assist in training employees.

    • Performs other related job duties as assigned.


    Qualifications:


      Required Education and Experience:
    • High School Diploma or GED.
    • 3 plus years of Benefits and Claims experience.
    • 3 plus years of Managed Care experience.

    • Preferred Education and Experience:
    • Associates Degree or two years of college.


    Location Address:
    1400 S. Main Street
    Fort Worth, Texas, 76104
    United States

  • 15 Days Ago

T
Claims Representative
  • Texas Farm Bureau Mutual Insurance Company
  • Denton, TX FULL_TIME
  • Job Responsibilities: This position is responsible for investigating and resolving claims in a fair, prompt, and efficient manner, according to the Company and Claims department policies and procedure...
  • 1 Day Ago

M
Claims Specialist
  • MID-STATES DISTRIBUTING LLC
  • FORT WORTH, TX OTHER
  • Job Details Job Location: Mid-States Distributing LLC -Fort Worth - FORT WORTH, TX Position Type: Full Time Salary Range: Undisclosed Job Category: Accounting DescriptionPosition Title: Claims Special...
  • 3 Days Ago

C
Claims Adjuster
  • CRC
  • Flower Mound, TX FULL_TIME
  • The position is described below. If you want to apply, click the Apply button at the top or bottom of this page. You'll be required to create an account or sign in to an existing one. Need Help? If yo...
  • 8 Days Ago

S
Claims Administrator
  • Standard Utility Construction
  • Fort Worth, TX FULL_TIME
  • The Claims Administrator will provide proactive leadership and management of the Claim Administration area within the Learning Group. This position is responsible for reviewing field incident reports,...
  • 9 Days Ago

D
Claims Manager
  • DHL
  • Fort Worth, TX FULL_TIME
  • This position is responsible for researching all claims provided to us by our customer. Claims will be anything from overs, shorts, damages, compliance charges, etc. They can also be months old, so a ...
  • 25 Days Ago

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0 Claims Clerk jobs found in Fort Worth, TX area

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Account Manager (Remote)
  • Pyxai, Inc.
  • Fort Worth, TX
  • Job Description The Account Manager is responsible for building and maintaining strong client relationships by providing...
  • 4/19/2024 12:00:00 AM

H
Customer Experience Advocate
  • Healthcare Highways, Inc.
  • Frisco, TX
  • Job Description Job Description Job Description: The Customer Experience Advocate will handle calls from members and pro...
  • 4/19/2024 12:00:00 AM

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Associate Counsel, P&C Insurance Fronting Contract Drafting/Negotiating (Remote, East Coast preferred))
  • Response Companies
  • Fort Worth, TX
  • Associate Counsel, P&C Insurance Fronting Contact Drafting/Negotiating experience (5-7 years) Fully REMOTE role with min...
  • 4/18/2024 12:00:00 AM

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Associate Counsel, P&C Insurance Fronting Contract Drafting/Negotiating (Remote, East Coast preferred))
  • Response Companies
  • Garland, TX
  • Associate Counsel, P&C Insurance Fronting Contact Drafting/Negotiating experience (5-7 years) Fully REMOTE role with min...
  • 4/18/2024 12:00:00 AM

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Associate Counsel, P&C Insurance Fronting Contract Drafting/Negotiating (Remote, East Coast preferred))
  • Response Companies
  • Dallas, TX
  • Associate Counsel, P&C Insurance Fronting Contact Drafting/Negotiating experience (5-7 years) Fully REMOTE role with min...
  • 4/18/2024 12:00:00 AM

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Account Executive
  • WestCongress Insurance Services LLC
  • Dallas, TX
  • Champlain Insurance Group is a fast-growing, specialty, surplus and excess lines insurance enterprise. Which, through ou...
  • 4/17/2024 12:00:00 AM

B
Data Analyst
  • Business Centric Technology
  • Dallas, TX
  • BCT has partnered with a large, national legal firm to identify a Data Analyst with experience manipulating date in the ...
  • 4/17/2024 12:00:00 AM

L
Claims Administrator
  • L&S Mechanical
  • Richardson, TX
  • Job Description Job Description About L&S Mechanical L&S Mechanical began as a Dallas-based contractor in 1985 and has g...
  • 4/16/2024 12:00:00 AM

Fort Worth is located in North Texas, and has a generally humid subtropical climate. It is part of the Cross Timbers region; this region is a boundary between the more heavily forested eastern parts and the rolling hills and prairies of the central part. Specifically, the city is part of the Grand Prairie ecoregion within the Cross Timbers. According to the United States Census Bureau, the city has a total area of 349.2 square miles (904 km2), of which 342.2 square miles (886 km2) is land and 7.0 square miles (18 km2) is covered by water. It is a principal city in the Dallas–Fort Worth metropl...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Clerk jobs
$35,671 to $45,133
Fort Worth, Texas area prices
were up 2.2% from a year ago