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
    US
    TypeFULL TIME

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