Claims Examiner - General Services - Full Time in Mamou, LA

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.

Responsibilities:

• Adjudicate claims at a rate equal to 150 per normal workday.
• 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 required. 

Work Schedule:

8AM - 5PM Monday-Friday

Work Type:

Full Time