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
Vacancy posted 3 days ago
Similar jobs that could be interesting for youBased on the Medicaid & CHIP Claims Adjudicator in San Antonio, TX vacancy
- ...Health Plans in San Antonio, TX is seeking an experienced Claims Examiner to join the Claims department. The role focuses on adjudicating medical (HCFA) and hospital (UB92) claims for Medicaid, Commercial, and CHIP, ensuring compliance with departmental and regulatory...Claims
- ...applying payer guidelines to correct accounts and to file medical claim appeals where needed. The ideal candidate will have strong... ...interpersonal and communication skills and a solid understanding of Texas Medicaid, Medicare, and Commercial insurance programs. #J-18808-Ljbffr...Claims
- Insurance Claims Follow-Up SpecialistPerform 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 if...ClaimsWork at office
UT Health San Antonio
San Antonio, TX3 days ago $19.05 - $26.75 per hour
...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...ClaimsFull timeUniversity Health
San Antonio, TX21 hours ago- 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
- ...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
- ...the San Antonio, TX office and three days from home. Essential Job Functions Account Review Appeals & Denials Medicare/Medicaid Insurance Follow-up Customer Service Billing UB-04 & CMS 1500 Complete all business-related requests and...ClaimsTemporary workWork at officeFlexible hours
- ...hospital setting. Ensures accurate and timely submission of claims, works to resolve outstanding balances, and... ...by contacting third-party payers or guarantors Review adjudicated claims from Medicare, Medicaid, and commercial carriers for appropriate billing. Prepare...Claims
- ...# 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
Maltos Law Firm PLLC
San Antonio, TXmore than 2 months ago $110 per hour
...participation in federal healthcare programs (e.g., Medicare, Medicaid, SCHIP). * No adverse actions by any nursing board, hospital or... ...Direct deposit every two weeks with no need to worry about unpaid claims * No-show protection: Rula pays you 100% of your time even when...ClaimsFor contractorsPrivate practiceRula Health
San Antonio, TX1 day ago- ...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. • You will have to solve collection and registration...Claims
World Pediatric Dental
San Antonio, TX3 days ago - ...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
Herrman & Herrman, PLLC: Personal Injury & Car Accident Law ...
San Antonio, TX1 day ago $20.3 - $33 per hour
...Analyze complex problems pertaining to claim payments, eligibility, other insurance,... ...operations and reporting to assure auto adjudication. Perform in accordance with company standards... .... Knowledgeable of all benefit programs offered by the CFHP, Medicaid, HMO, PPO, ASO.ClaimsFull timeUniversity Health
San Antonio, TX21 hours ago$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 officeTsaog Orthopaedics and Spine
San Antonio, TX21 hours ago$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- RightSite Health is seeking an Insurance and Billing Specialist to manage the full billing cycle, from insurance verification to claim submission and reconciliation. This role demands accuracy, independence and collaboration with Operations to optimize revenue and compliance...Claims
- Amada Senior Care in San Antonio, TX is seeking a Licensed Social Worker or LVN to join our LTC insurance claims management and client services team. The role blends healthcare outreach with claims support, requiring strong relationship-building with seniors, families,...Claims
$19.8 - $31.25 per hour
...denial timelines. Contact the payer to review denied or appealed claims to secure payment. Independently interact with federal, state,... ...and/or auditing is required. Must have knowledge of Texas Medicaid, Medicare, Commercial insurance programs. Must possess strong interpersonal...ClaimsFull timeUniversity Health
San Antonio, TX21 hours ago$30.1 - $47.16 per hour
...RESPONSIBILITIES Manages and directs the activities of analysts, auditors, claims processors and other claims support staff as assigned.... ...experience, including two years at the management level. Medicaid, Medicare and/or Commercial claims experience is strongly required...ClaimsFull timeUniversity Health
San Antonio, TX21 hours ago$25.1 - $40.25 per hour
...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 (...ClaimsFull timeUniversity Health
San Antonio, TX21 hours ago$40k - $60k
...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...ClaimsFor contractorsScott Haslam - State Farm Agent
San Antonio, TX3 days ago- ...Receivable (AR) Specialist to manage all aspects of medical AR collections for a physician medical group. The role focuses on insurance claim denial follow-up, unpaid claims, and payment recovery. You will follow up on EOBs, monitor delinquent accounts, resolve patient...Claims
$45k - $60k
...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...ClaimsFor contractorsWork at officeCharles Laubach - State Farm Agent
San Antonio, TX2 days ago$50k - $70k
...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...ClaimsFor contractorsMike McDonald
San Antonio, TX3 days ago$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 officeKami Vidor - State Farm Agent
San Antonio, TX3 days ago- 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
- ...excellent team! Job Summary: This individual's main role is to ensure prompt processing of patient accounts, reconciliation of insurance claims and billing, and posting of receipts. This individual works closely with the organization's Office Manager to insure expeditious...ClaimsFull timeWork at office
- ...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
Peyton Resource Group
San Antonio, TX1 day ago $19.55 - $29.75 per hour
...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...ClaimsFull timeUniversity Health
San Antonio, TX21 hours ago- Revel Staffing is seeking a Medical Billing Assistant in San Antonio, TX to help prepare and review insurance claims, assist with billing and coding tasks, and support administrative workflows that keep clinical operations running smoothly. The ideal candidate has strong...Claims
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Medicaid & CHIP Claims Adjudicator. Be the first to apply!
Related searches
- claims intake San Antonio, TX
- claims attorney San Antonio, TX
- vice president claims San Antonio, TX
- claims associate San Antonio, TX
- property claims San Antonio, TX
- unemployment claims San Antonio, TX
- veterans claims San Antonio, TX
- claims processing San Antonio, TX
- medical claims auditor San Antonio, TX
- pharmacy claims San Antonio, TX