Claim Examiner I

Cook Children's Health Care System • Fort Worth, TX

101d

About The Position

This position is responsible for processing medical insurance claims accurately and in a timely manner to ensure State regulations are met. Consistently meet established productivity and quality standards.

Requirements

• High School diploma or equivalent.
• 2-3 years experience in a medical claims processing environment.
• Extensive knowledge of medical claim processing procedures and guidelines.
• Ability to work independently while providing support to a team environment.
• Knowledge of medical benefits and medical terminology.
• Strong organizational skills, problem solving, and decision making skills.
• Knowledge of claim adjudication and benefit plan application for Texas Medicaid.
• Knowledge of Microsoft Office Skills including Word and Excel.

Responsibilities

• Process medical insurance claims accurately and in a timely manner.
• Ensure compliance with State regulations.
• Meet established productivity and quality standards.
• Process adjustments as needed.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Industry: Hospitals
• Education Level: High school or GED