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Claims Examiner I

Company: Christus Health
Location: Irving
Posted on: August 16, 2019

Job Description:

Description

The Claims Examiner is responsible for processing UB and CMS 1500 claims, performing data entry and claim pend issue resolution within the quality and production requirements.

MAJOR RESPONSIBLITIES





  • Meet and/ or exceed claims processing production requirements
  • Maintain statistical accuracy of 97%, and financial accuracy of 98%
  • Correct DoD error report as needed
  • Provide excellent customer service to internal and external customers
  • 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
    • Preferred: Claims processing experience - Medicaid, Medicare Advantage, Health Exchange and Tricare

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

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