Medicaid & CHIP Claims Adjudicator
University Health System- San Antonio
University Health System- San Antonio is seeking a claim adjudicator to process medical and hospital claims for Medicaid, CHIP, and commercial payers in compliance with departmental and regulatory standards. The role requires a high school diploma or GED and at least two years of claim processing or billing experience, with preferred knowledge of Medicaid/CHIP and coding systems (ICD-9, CPT-4). Strong attention to audit standards is essential. #J-18808-Ljbffr University Health System- San Antonio
- ...for a position in San Antonio, Texas focused on supervising a claims processing unit. Candidates must have at least five years of claims... ..., Excel, and PowerPoint is required along with knowledge of Medicaid, Medicare, and Commercial claims. This position provides an opportunity...Claims
- ...POSITION SUMMARY/RESPONSIBILITIES Performs adjudication of medical (HCFA) or hospital (UB92) claims for Medicaid, Commercial, and CHIP (Children’s Health Insurance Program) according to departmental and regulatory requirements. Maintains audit standards as defined by...Claims
- ...Insurance Claims Follow-Up Specialist Perform follow-up activities on outstanding insurance medical claims for Medicare, Medicaid, Commercial and Specialty insurance/program payors. Analyze, screen, and correct claim issues. Process appeals, write-offs, and determine...ClaimsWork at office
- ...in healthcare billing, medical coding, claims management, insurance reimbursements, and... ...Experience in Claims Processing, Claims Adjudication, Denial Management, and AR Follow-up.... ...System, Insurance Providers, Medicare, Medicaid, and Commercial Payers. ~ Understanding...Claims
- ...physician medical group. This role will focus heavily on insurance claim denial follow-up, unpaid claims, payment recovery, billing... ...government insurance programs, including Medicare Part B and C, Medicaid and associated Medicare Advantage plans, and TRICARE.Knowledge...Claims
- ...maintain-the-status-quo one. You’ll lead insurance verification, claims, and credentialing across all of our markets, own the metrics... ...Strong command of dental and medical insurance: PPO, HMO, and Medicaid verification and claims; coding; denials and appeals. ~ Process...ClaimsRemote work
- ...# Obtaining cell phone records # Handling property damage claims # Making Open Records Requests for reports, dash cam and body... ...determine treatment status # Obtaining a health insurance or Medicaid/Medicare statement of payments made on behalf of the client and...ClaimsWork at office
- UT Health San Antonio is seeking an Insurance Follow-Up Specialist to manage unresolved claims and appeals, ensuring timely reimbursement across Medicare, Medicaid, Commercial, and Specialty payors. You will collaborate with Coding and Operations to resolve denials and...ClaimsWork at office
$50k
...hospital setting. Ensures accurate and timely submission of claims, works to resolve outstanding balances, and... ...contacting third-party payers or guarantors Review adjudicated claims from Medicare, Medicaid, and commercial carriers for appropriate billing. Prepare...ClaimsBank staffFlexible hours$19 per hour
...Reimbursement Specialist to join our healthcare team. The ideal candidate will be responsible for managing and processing medical claims, ensuring accurate reimbursement from insurance providers, and maintaining compliance with healthcare regulations. This role requires...ClaimsFull timeWork at office- ...previous experience working for an insurance company and/or a strong background in sales . We want individuals who understand insurance claims, communicate effectively, follow up consistently, manage deadlines, and help move cases toward resolution. What You’ll Do As a...ClaimsImmediate start
- ...adjusting experience is required for career-entry applicants. Are you interested in building a career as an Independent Insurance Claims Adjuster? With continued storm activity and catastrophic weather events across the country, experienced and properly trained adjusters...ClaimsFlexible hours
$60k - $90k
...customer accounts and update information in the database. Assist customers with policy changes and inquiries. Process insurance claims and follow up with customers on claim status. Coordinate with underwriters to ensure timely policy issuance. Qualifications...ClaimsFor contractorsFlexible hours- ...Supervises, assists, and directs the activities of the assigned claims processing unit and the assigned staff. Responds to issues... ...required. One to two (1-2) years supervisory experience preferred. Medicaid, Medicare and Commercial claims experience is required. Three (...Claims
- ...responsible for supervising an assigned team, monitoring productivity and quality standards, reviewing AR reports, resolving escalated claims issues, and ensuring compliance with Medicare guidelines and healthcare regulations. The ideal candidate will have a strong...ClaimsWork at officeMonday to Friday
$45k - $70k
...yearManage customer accounts and update information in the database.Assist customers with policy changes and inquiries.Process insurance claims and follow up with customers on claim status.Coordinate with underwriters to ensure timely policy issuance.Strong organizational...ClaimsWork at office$18 - $20 per hour
...receivable operations in San Antonio, TX . This role is responsible for claim follow-up, denial resolution, appeals, aging account management... ...and maximize reimbursement. Follow up with commercial, PPO, Medicaid, and other payers to verify claim status, identify denials, and...ClaimsFull timeWork at officeLocal areaWork from homeMonday to FridayFlexible hours2 days per week- Allcat Claims Service is seeking a Claims Adjuster in San Antonio, TX. The role involves evaluating and processing insurance claims, communicating decisions, and supporting customers with professional service. Requires an insurance adjuster license, a high school diploma...ClaimsWork at office
- ...such as co-pays and deductibles, and generating reports for all of these activities. Duties may also require follow-ups on denied claims, daily insurance claims, and posting payments made by patients to their account. Responsibilities You will have to solve collection...Claims
$100k - $250k
...Roofing Sales Consultant, you’ll be out in the field connecting with homeowners, performing inspections, and navigating them through the claims process with the support of a powerhouse team behind you. Roofing Sales Consultant Key Responsibilities: · Generate new...ClaimsLocal areaImmediate start- Allcat Claims Service, LLC is seeking a dedicated Insurance Adjuster to work in our San Antonio, TX office. The role involves investigating and evaluating insurance claims, processing payments, and communicating settlements to customers. You will collaborate with internal...ClaimsWork at office
- ...RESPONSIBILITIES Responsible for development and maintenance of claims auditing program for all lines of business to improve claims... ...of claims processing for HCFA and UB92 for both commercial and Medicaid programs and knowledge of CFHP claims payment processing system...Claims
$48k - $68k
...customer accounts and update information in the database. Assist customers with policy changes and inquiries. Process insurance claims and follow up with customers on claim status. Coordinate with underwriters to ensure timely policy issuance. Qualifications...ClaimsWorldwide- Hancock Claims Consultants is seeking independent contractors to join our RoofField Inspector network in the United States. You will inspect steep and high roofs, assess exterior and interior damage, and support underwriting property inspections. Use lidar tech and MS...ClaimsFor contractors
- ...Manage customer accounts and update information in the database. Assist customers with policy changes and inquiries. Process insurance claims and follow up with customers on claim status. Coordinate with underwriters to ensure timely policy issuance. QUALIFICATIONS: Strong...ClaimsWork at officeLocal areaFlexible hours
- ...experience in insurance defense and subrogation litigation, coupled with a strong background in commercial and construction defect claims. This individual serves as a trusted advisor to clients and claims professionals, provides strategic case assessments, and contributes...ClaimsFor contractorsFor subcontractorWork at officeRemote work3 days per week
- ...Company Description Crawford & Company is a global provider of claims management and outsourcing solutions, serving clients across insurance, risk management, and related industries. The company focuses on delivering high-quality services through standardized processes...ClaimsFull timeRemote work
- Lawelawe Training Services Inc in San Antonio, TX is seeking a detail-oriented Medical Claims Examiner to support federal healthcare cost recovery. You will process referrals, enter data into ACMP and other systems, and maintain accurate case files while protecting sensitive...ClaimsFull timeWork at office
- Property Claim SupervisorWe have an immediate opening for an experienced Property Claim Supervisor. Candidate must have excellent leadership and supervisorial skills with the ability to guide and develop a team of adjusters. The candidate must possess excellent writing...ClaimsWork at officeImmediate start
$110 per hour
...participation in federal healthcare programs (e.g., Medicare, Medicaid, SCHIP). ~ No adverse actions by any nursing board, hospital... ...Direct deposit every two weeks with no need to worry about unpaid claims No-show protection: Rula pays you 100% of your time even...ClaimsBi-weekly payFor contractorsPrivate practiceRemote work
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