Claims Examiner

Company: CHRISTUS Health
Location: Irving
Posted on: February 23, 2021

Job Description:

DescriptionSummary: 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 dayMaintain statistical accuracy of 98%, and financial accuracy of 98%Correct DoD error report as neededRespond timely to all Customer Service, Provider Relations type questionsOther duties as assigned by managementCollaborate with and maintain open communication with all departments within CHRISTUS Health to ensure effective and efficient workflow and facilitate completion of tasks/goalsFollow 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 preferredKnowledge of HCFA, Medicare and TDI regulationsExcellent 10-key and computer skillsRequires excellent data entry speed and accuracy, working with large volumes of inputKnowledge of CPT, ICD-9 and medical terminologyGood written and verbal skills Minimum three years claims processing in a Managed Care/HMO environment Work Type: Full Time

Keywords: CHRISTUS Health, Irving , Claims Examiner, Other , Irving, Texas