About The Position

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.

Requirements

  • High School Diploma

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)

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What This Job Offers

Career Level

Entry Level

Industry

Ambulatory Health Care Services

Education Level

High school or GED

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