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Req. No


Job Title

Claims Examiner


CHRISTUS System Office


General Operations


CHRISTUS Corp Irving Offices 919 and 909 Buildings


919 Hidden Ridge
Irving, TX  75038
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Claims Examiner Job in Irving


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) 


  • 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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Claims Examiner