Job Attributes

Work Schedule/Shift

Day

Job ID

5000395722206

Req. No

70029401

Job Title

Claims Examiner I

Region

CHRISTUS System Office

Category

Healthcare

Division

Not Defined

Company

CHRISTUS Health

Travel

1-10%

Facility

Corp USFHP-55100

Address

919 Hidden Ridge
Irving, TX  75038
US

Type

Full Time

Apply Now Claims Examiner I Job in Irving

POSITION SUMMARY:

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 RESPONSIBILITIES:

* 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)

POSITION QUALIFICATIONS:

A. Education/Skills

  • 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

B. Experience

  • Required: Claims processing experience - Medicaid
  • Preferred: Claims processing experience - Medicare Advantage

C. Licenses, Registrations, or Certifications

  • None
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