Senior Claims Examiner
University Health
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. #J-18808-Ljbffr University Health
Vacancy posted 2 days ago
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University Health
San Antonio, TX6 days ago
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