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Claims Examiner

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Job Title:
Claims Examiner
Company:
Christus Health
Sector:
Banking and Insurance
State:
Irving
Job Description:
Summary: The Claims Examiner is responsible for processing batches of claims (HCFA and UB) data entered by Pre-Key staff in a timely and consistent manner. Adjudicate claims at a rate equal to 150 per normal work day Maintain statistical accuracy of 98%, and financial accuracy of 98% Correct DoD error report as needed Respond timely to all Customer Service, Provider Relations type questions Other duties as assigned by management Collaborate with and maintain open communication with all departments within CHRISTUS Health to ensure effective and efficient workflow and facilitate completion of tasks/goals Follow the CHRISTUS Guidelines related to the Health Insurance Portability and Accountability Act (HIPAA), designed to prevent or detect unauthorized disclosure of Protected Health Information (PHI) Requirements: High school diploma or equivalent, some college preferred Knowledge of HCFA, Medicare and TDI regulations Excellent 10-key and computer skills Requires excellent data entry speed and accuracy, working with large volumes of input Knowledge of CPT, ICD-9 and medical terminology Good written and verbal skills Minimum three years claims processing in a Managed Care/HMO environment Work Type: Full Time Req. No 3638 Job Title Claims Examiner Market CHRISTUS System Office Category General Operations Facility CHRISTUS Corp Health Plan 919 and 909 Buildings Address 919 Hidden Ridge Irving, TX 75038 US Type FULL TIME
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Claims Examiner - Find thousand of job offers Claims Examiner in United States ,Find all offers posted by this company Christus Health.
This job is published in categoryBanking and Insurance, refers to the provinceIrving