Claims Examiner Senior - Claims Processing in Irving, TX

Job Description | Job Attributes

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External Applicant Current Associate

Summary:

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

Responsibilities:

• Meet and/ or exceed claims processing production requirements
• 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

Work Type:

Full Time

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