Claims Examiner - Claims Processing

CHRISTUS Health; Irving (TX); On-site; USD 45,000 - 65,000; Full time

Job summary

CHRISTUS Health in Irving, TX is seeking a Claims Examiner to process UB and CMS 1500 claims, perform data entry and resolve pend issues to meet quality and production standards.

The role requires high accuracy and fast adjudication, with HIPAA compliance and collaboration across departments to ensure smooth workflow and timely responses.

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)

Education

High School Diploma

Job description

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

Work Schedule:

5 Days - 8 Hours

Work Type:

Full Time