Senior Claims Examiner
Christus Health

Irving, Texas

Posted in Medical and Nursing


This job has expired.

Job Info


Summary:

The Senior 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


This job has expired.

More Medical and Nursing jobs


Health Services Advisory Group, Inc.
Des Moines, Iowa
Posted 31 minutes ago

Health Services Advisory Group, Inc.
Springfield, Illinois
Posted 31 minutes ago

Health Services Advisory Group, Inc.
Indianapolis, Indiana
Posted 31 minutes ago

Get Hired Faster

Subscribe to job alerts and upload your resume!

*By registering with our site, you agree to our
Terms and Privacy Policy.