Senior Claims Examiner at University Health System- San Antonio – San Antonio, Texas
University Health System- San Antonio
San Antonio, Texas, 78249, United States
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About This Position
Senior Claims Examiner
POSITION SUMMARY/RESPONSIBILITIES
Performs review, analysis, and adjudication of all claim types including coordination of benefits and DME claims. Performs analysis of provider appeals and documents outcome determination via correspondence. Acts as a provider liaison for claim issue resolution by utilization of appropriate corporate functionalities.
EDUCATION/EXPERIENCE
High school diploma or GED equivalent required. Five years HMO, PPO, ASO claim processing experience is required. Thorough knowledge of medical terminology, ICD-9/CPT4 Coding, and general managed care principles is required.
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Job Location
San Antonio, Texas, 78249, United States
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