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Req. No

3638

Job Title

Claims Examiner

Market

CHRISTUS System Office

Category

General Operations

Facility

CHRISTUS Corp Health Plan 919 and 909 Buildings

Address

919 Hidden Ridge
Irving, TX  75038
US

Type

FULL TIME

Apply Now Claims Examiner Job in Irving

Summary:

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 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


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