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Claims Examiner Senior

Company: Christus Health
Location: Irving
Posted on: March 19, 2023

Job Description:

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 environmentWork Type:Full Time
      Work Schedule/Shift8AM - 5PMReq. No98425Job TitleClaims Examiner SeniorMarketCHRISTUS System OfficeCategoryGeneral OperationsFacilityCHRISTUS Corp Irving Offices 919 and 909 BuildingsAddress919 Hidden Ridge
      Irving, TX 75038
      TypeFULL TIME

Keywords: Christus Health, Irving , Claims Examiner Senior, Other , Irving, Texas

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