Medicaid Claims Examiner - Adjudication & Coding
University Health
University Health in San Antonio is seeking a Claims Adjudicator to review and adjudicate medical and hospital claims for Medicaid, Commercial, and CHIP, ensuring compliance with departmental and regulatory standards. The role requires attention to detail, knowledge of HCFA/UB92 claim formats, and maintaining auditing standards as defined by the Department. A high school diploma and at least two years of claim processing or billing experience are required. #J-18808-Ljbffr University Health
Vacancy posted 2 days ago
Similar jobs that could be interesting for youBased on the Medicaid Claims Examiner - Adjudication & Coding in San Antonio, TX vacancy
- A leading healthcare firm in San Antonio seeks a Claim Examiner to handle the processing and adjudication of healthcare claims. The role requires at least 2 years... ...diploma and relevant knowledge, particularly in coding and decision-making. Comprehensive benefits are offered...Suggested
- POSITION SUMMARY / RESPONSIBILITIES Performs adjudication of medical (HCFA) or hospital (UB92) claims for Medicaid, Commercial, and CHIP (Children’s Health Insurance... ...processing preferred. Knowledge of ICD-9, CPT 4 coding and medical terminology is required. #J-18808-Ljbffr...Suggested
- ...Central Time for 4 weeks What is your impact? As a Claim Examiner, you will handle processing and adjudication for healthcare claims. This will include claims... ...school diploma or GED Knowledge of CPT and ICD-9 coding required. Knowledge of COBRA, HIPAA, pre‑existing...SuggestedFull timeTemporary workPart timeWork experience placementWork at officeMonday to Friday
GuideWell
San Antonio, TX3 days ago - ...Claim Examiner Position WebTPA, a GuideWell Company, is a healthcare third-party administrator... ..., you will handle processing and adjudication for healthcare claims. This will include... ...or GED ~ Knowledge of CPT and ICD-9 coding required. ~ Knowledge of COBRA, HIPAA...SuggestedFull timeTemporary workPart timeWork experience placementWork at officeMonday to FridayFlexible hours
- The Claims Examiner & Support Specialist Level I is responsible for accurately processing health... ...aligns with established guidelines. Adjudicating claims according to the policies and regulatory... ...knowledge of healthcare terminology, coding, and claim processing procedures....SuggestedWork at officeFlexible hours
- ...Claims Examiner & Support Specialist I We are seeking a detail-oriented Claims Examiner &... ...role is responsible for reviewing and adjudicating delegated claims, resolving inquiries,... ...understanding of healthcare terminology, coding, and claims processing practices. Strong...Work at office
$21 per hour
Adecco US, Inc. is hiring a Claims Examiner in San Antonio, TX. This role involves processing health plan claims and supporting provider inquiries. The ideal candidate will possess recent medical claims experience, with responsibilities including reviewing claims for accuracy...Full time- A healthcare company in San Antonio is seeking a Claim Examiner to manage and process healthcare claims. Candidates must have at least 2 years... ...diploma or GED. The role requires knowledge of CPT and ICD-9 coding, and the ability to handle claims research, complaints, and...Work at office
$21 per hour
Claims Examiner - San Antonio, TX ($21/hr, Mon-Fri 8am-5pm) Adecco is hiring a Claims Examiner responsible for processing health... ...experience REQUIRED Experience with medical claims adjudication Knowledge of Medicaid and Medicare guidelines Strong understanding of...Hourly payTemporary workWork at officeLocal area- ...Processing Health Plan Delegated Claims: Reviewing claim submissions for accuracy... ...aligns with established guidelines. Adjudicating claims according to the policies and regulatory... ...knowledge of healthcare terminology, coding, and claim processing procedures. ·...Work at officeMonday to FridayFlexible hours
- ...complex problems pertaining to claim payments, eligibility, other... ...beyond the scope of claim examiners and senior claim examiners that... ...and reporting to ensure auto adjudication. Perform in accordance with company... ...programs offered by the CFHP, Medicaid, HMO, PPO, ASO....
University Health
San Antonio, TX3 days ago - Claims Representative, Recovery PRIMARY PURPOSE OF THE ROLE: Analyzes and processes complex claims, works with high exposure claims involving... ...; ensures claim files are properly documented and claims coding is correct. Approves and makes timely claim payments relative to...Work at office
- ...seeking an experienced professional to review, verify, and process claim-related invoices in a fast-paced environment. The role requires... .... The position involves validating invoices against approvals, coding expenses, and supporting documentation, plus contributing to...
$40k - $50k
...Claims Examiner I (Medical Only Adjuster Experience) Fully Remote San Antonio, TX 78216 Salary Range $40,000.00 - $50,000.00 Salary/year Level Experienced Position Type Full Time Job Shift Day Category Insurance POSITION SUMMARY: Under close supervision, manages...Full timeWork at officeRemote workLong distanceShift work$40k - $50k
Position Summary Under close supervision, manages all aspects of medical-only claims handling from inception to conclusion within established authority and guidelines. Job Details Level: Experienced Location: San Antonio, TX Position Type: Full Time Salary Range: $40,0...Full timeWork at officeShift work- GOVERNMENT PERSONNEL MUTUAL LIFE INSURANCE COMPANY is seeking a Full-Time Claims Examiner-Contestable in San Antonio, TX. The role involves review and processing of life insurance claims issued within the last two years, ensuring compliance with company policies. Candidates...Full time
- Athens Administrators is seeking a full-time Inside Property and Casualty Claims Examiner II in the San Antonio area. The role covers review and processing of moderate to severe commercial auto claims, with potential handling of Property, Inland Marine, and General Liability...Full timeWork at officeRemote work1 day per week
- Job Title Claims Examiner‑Contestable Location GPM Life Insurance, San Antonio, TX Working Conditions In‑Office (NOT remote) Job Type Full‑Time About GPM Life Insurance GPM Life is a Northeast San Antonio based life insurance company with an emphasis on providing excellent...Full timeWork at officeMonday to Friday
- The GOVERNMENT PERSONNEL MUTUAL LIFE INSURANCE COMPANY in San Antonio is seeking a Claims Examiner-Contestable. In this full-time position, you will review, process, and pay death claims for life insurance policies issued in the last two years. The ideal candidate must...Full timeWork at office
- Claims Examiner Community First Health Plans University Health
- ...Summary Athens Administrators has an immediate need for a full‑time Claims Examiner II to support our Property & Casualty department. Employees... ..., and contract law. Knowledge of auto insurance laws, codes, procedures, and liability concepts. Knowledge of property and...Full timeContract workFor contractorsWork at officeImmediate startRemote workMonday to Friday1 day per week
- GPM Life Insurance in San Antonio, TX is seeking a Claims Examiner‑Contestable to review, process, and pay life insurance or annuity death claims issued within the last two years. This is an in-office, full-time position with a focus on accuracy and compliance with company...Full timeWork at office
$60k - $75k
...Summary Under minimal supervision, manages all aspects of indemnity claims handling from inception to conclusion within established... ...with clients, claimants on the phone, management, other Claims Examiners, and other Tristar staff. Duties and Responsibilities Effectively...Full timeWork at officeShift work- TRISTAR is seeking an experienced Claims Examiner to manage indemnity claims in a hybrid, temp-to-hire role. You will handle a large caseload of workers’ compensation files, perform investigations, determine eligibility, and manage medical treatment and billing under state...Temporary work
- Tristar Insurance is seeking an experienced claims examiner in San Antonio, TX, to manage all aspects of indemnity claims handling. You will effectively manage a caseload of 150 complex workers’ compensation files, ensuring compliance with state laws and company guidelines...
- Peyton Resource Group in San Antonio, Texas, is seeking a Claims Examiner & Support Specialist Level I to process health plan claims and... ...specialist will handle incoming inquiries, ensure accurate adjudication of claims, and perform various administrative tasks for efficient...
- Tristar Insurance is looking for an experienced claims handler in San Antonio, TX, to manage all aspects of medical-only claims from inception to conclusion. The role requires strong analytical skills and the ability to communicate effectively with various stakeholders...Work at office
- ...Adjuster to support non‑attorney involved soft tissue bodily injury claims. This role is responsible for confirming coverage, determining... ...losses, evaluating damages, negotiating settlements, and adjudicating claims in compliance with applicable state laws and...Work at officeLocal areaRelocation packageMonday to FridayAfternoon shift3 days per week
- ...act on changes in customer operations or financial conditions. Maintain and promote profitable business relationships, coordinating claims, risk control, and premium audit service plans. Stay updated on corporate, regulatory, and competitive changes in the lines of...Work at officeFlexible hours
The James Allen Companies Inc
San Antonio, TX1 day ago $69.2k - $148.2k
The Hartford is seeking a Center Renewal Underwriter in San Antonio. This role involves balancing renewal retention goals and providing excellent account management service for commercial clients in the umbrella and excess market. The ideal candidate will have over 3 years...Remote workFlexible hoursThe Hartford
San Antonio, TX5 days ago
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Medicaid Claims Examiner - Adjudication & Coding. Be the first to apply!
Related searches
- claims specialist remote San Antonio, TX
- claims assistant workers compensation San Antonio, TX
- claim examiner San Antonio, TX
- claims assistant San Antonio, TX
- medical claims analyst San Antonio, TX
- senior claims specialist San Antonio, TX
- medical insurance claims specialist San Antonio, TX
- remote medical claims processor San Antonio, TX
- claims resolution specialist San Antonio, TX
- claim representative (remote) San Antonio, TX