Claims Examiner - Claims Processing
Christus Health
Description
Summary:
The Claims Examiner is responsible for processing UB and CMS 1500 claims, performing data entry and claim pend issue resolution within the quality and production requirements.
Responsibilities:
- Adjudicate claims at a rate equal to 150 per normal workday
- Maintain statistical accuracy of 98%, and financial accuracy of 98%
- Correct DoD error report as needed, respond timely to all Customer Service, Provider Relations type questions
- Other duties as assigned by management
- Collaborate with and maintain open communication with all departments within CHRISTUS Health to ensure effective and efficient workflow and facilitate completion of tasks/goals
- Follow the CHRISTUS Guidelines related to the Health Insurance Portability and Accountability Act (HIPAA), designed to prevent or detect unauthorized disclosure of Protected Health Information (PHI)
Requirements:
- High School Diploma
Work Schedule:
5 Days - 8 Hours
Work Type:
Full Time
Vacancy posted 12 hours ago
Similar jobs that could be interesting for youBased on the Claims Examiner - Claims Processing in Irving, TX vacancy
- ...Come grow with GEICO's Casualty Claims Team! It's an exciting time! We're in... ...search of highly motivated Casualty Claims Examiners with prior casualty and bodily injury experience... ...and guiding them through the claims process Assure coverage for each loss and all...SuggestedWork at officeLocal areaRelocation packageMonday to FridayAfternoon shift3 days per weekEarly shift
GEICO
Irving, TX9 days ago - ...of experience building unique benefit solutions and managing customized health plans. What is your impact? As a Claim Examiner, you will handle processing and adjudication for healthcare claims. This will include claims research where applicable and a range of claim complexity...SuggestedTemporary workPart timeWork experience placement
WebTPA
Irving, TX3 days ago - Role Summary The Claims Examiner III is responsible for independently managing the full lifecycle of Workers' Compensation indemnity claims... ...injured employees in understanding the Workers' Compensation process Maintain organized, accurate claim files and documentation...SuggestedFull timeWork at office
- Are you experienced in Healthcare Claims Processing and Claims Adjudication ? We're looking for a detail-oriented professional to join a growing healthcare team in Irving, TX. What We're Looking For: 3 years of Healthcare Claims Processing experience Hands-on experience...Suggested
- ...participating in and presenting cases to both internal and external stakeholders. Primary Purpose: To analyze and process commercial auto transportation claims by reviewing coverage, completing investigations, determining liability and evaluating the scope of damages....SuggestedWork at officeLocal area
Apidel Technologies
Irving, TX10 days ago - ...supervision manages all aspects of indemnity claims handling from inception to conclusion... ..., and with management, other Claims Examiners, and other TRISTAR staff in the office;... ...employees understand the Workers’ Compensation process Investigate, evaluate, determine...Full timeContract workWork at office
$24 per hour
...Job Description Job Description Title: Claims Examiner Senior Location: Irving, TX 75039 - Onsite Shift: 8 AM - 5 PM - Monday... ...education; High School Diploma Minimum of 3 years' experience processing medical claims in the healthcare industry. The Claims...Permanent employmentContract workMonday to FridayShift workTalentBurst, Inc.
Irving, TX22 days ago- The Senior Claims Examiner is responsible for reviewing, analyzing, researching, and resolving complex medical claims in accordance with claims processing guidelines and desktops, as well as, ensuring compliance with federal regulations. This role works in conjunction with...Contract work
$36.53 - $38.46 per hour
...Job Description Job Description Workers’ Compensation Claims Examiner III (Contract) Please no 3rd party recruiters, or C2C. Location... ..., and internal partners Clearly explain the claims process to employers and injured workers, setting expectations throughout...Hourly payFull timeContract workWork at officeLocal areaRemote workMonday to FridayCala Sourcing Solutions LLC
Irving, TX14 days ago$23 per hour
...meaningful assistance to patients through co-pay cards, vouchers, and claims support. We invest in your success with career development... ...Certified Medical Billing license RequiredExperience in claim processing RequiredAbility to interpret EOBs RequiredInsurance...Hourly payFull timeContract workWork at officeRemote workWork from homeIQVIA
Dallas, TX6 hours ago- ...1 Commercial Vehicles is seeking a Warranty Administrator to manage warranty claims across service centers and Fleet Warranty Administrators. You will verify coverage, ensure timely processing, and maintain detailed claim records while communicating with manufacturers and...
$13 per hour
Claims Processor Kelly Services is recruiting for Claims Processors for a large national Fortune 500 insurance company in Irving, TX.... ...looking for candidates that are confident in their ability to process claims and in some instances assist or interact with the customers...Hourly payTemporary work$36.53 - $38.46 per hour
...Overview: We are seeking an experienced Workers’ Compensation Claims Examiner III to support a high-volume claims environment in Irving, TX... ...employees in understanding the Workers’ Compensation claims process Maintain accurate documentation and ensure timely claims processing...Hourly payContract workWork at officeRemote workTEEMA Group
Dallas, TX14 hours ago- CITON Claims Solutions,stands out as a leading provider of claim management and administration services tailored specifically for insurance... ..., equipped with cutting-edge technology, ensuresseamless processes, accurate assessments, and prompt resolutions, providing unparalleled...Temporary workFlexible hours
$13.08 - $22.89 per hour
...Claims Assistant The Claims Assistant will support the claims staff in the set-up and... ...: Sets up new claims Process mail, handle files (until paperless), and... ...state forms and reports Assist claims examiners with telephone calls including provider,...Hourly payMinimum wageFull timeWork at officeLocal areaFlexible hours$53k - $85.47k
...Job Description Job Description The Indemnity Claims Specialist manages within company best practices lower-level, non-complex and... ...level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and...Minimum wageFull timeWork at officeLocal areaFlexible hoursCorVel Enterprise Claims, Inc.
Irving, TX2 days ago- ...is seeking a Service Warranty Administrator to review and complete warranty claims, including preparing, recording, reconciling, and submitting them to the appropriate party. You will process claims by the next business day after RO close, handle corrections, maintain...
AutoNation
Dallas, TX1 day ago - ...Nevada, Ohio, Georgia, and Tennessee. We are seeking a Casualty Claims Adjuster with a focus on unrepresented injury claims that... ...obvious errors or oversights. Communicate claims procedures and process to involved parties verbally and in writing. Review all submitted...Flexible hours
- ...and business forecasting Working with a structured referral process, maintains, promotes and increases profitable sales from current... ...sales and service efforts Coordinates, promotes and markets claims, risk control and premium audit service plans to current and...Temporary workWork at officeFlexible hours
BITCO Insurance Companies
Irving, TX2 days ago $48.84k - $68.16k
...policy and applies specialty knowledge in monitoring and assessing processes and data. Integrates established disciplinary knowledge within... ...other counterparties around positions and outstanding balances/claims Supports an expansive and/or diverse array of products (risk...Full timeCitigroup
Irving, TX4 days ago- ....You are:An experienced Epic Resolute Professional Billing and Claims Certified ConsultantThe Work:Depending on the client engagement... ...you will be asked to participate in our reasonable accommodation process. Accommodations made to facilitate the recruiting process are...Full timeWork experience placementLive inWork at officeLocal area3 days per week
Accenture
Dallas, TX2 days ago - ...Investigate OS&D (Overage, Shortage, and Damage) claims, shipment refusals, and carrier disputes. Audit Proof of Delivery (POD), bills... ...bottlenecks. Recommend packaging, handling, or routing process enhancements to mitigate recurring cargo damage or loss. Qualifications...
Intelliswift
Coppell, TX3 days ago $21.25 per hour
...availability, eligibility, coverages, policy changes, transfers, claim submissions, and billing clarification.Work with the agent to... .... We will follow up with you on the next steps in the interview process.This position is with a State Farm independent contractor agent,...For contractorsWork at officeFlexible hoursClaudia Salas - State Farm Agent
Irving, TX2 days ago$21.25 per hour
...availability, eligibility, coverages, policy changes, transfers, claim submissions, and billing clarification. Work with the agent... .... We will follow up with you on the next steps in the interview process. This position is with a State Farm independent contractor agent...Hourly payFor contractorsWork at officeRelocation packageFlexible hoursClaudia Salas - State Farm Agent
Irving, TX4 days ago- ...Claims ManagerAt Orion180, we shine because of how we do it. Our mission is to deliver an exceptional insurance experience through innovative... ...and implement policies and procedures to improve claims processing and customer satisfaction.Identify and implement technologies...Work at office
Orion180
Irving, TX2 days ago $59.9k - $98.2k
...Zurich is seeking an experienced Litigation Claims Specialist to join its Commercial General Liability team. At Zurich North America... ...working relationships. Demonstrates understanding of the reserving process for indemnity and expense in analyzing the potential exposure...Full timeTemporary workApprenticeshipWork at officeLocal areaRemote workVisa sponsorshipZurich North America
Dallas, TX14 hours ago- Catapult Solutions Group is seeking a Healthcare Claims Intake Specialist in Addison, TX. This full-time, on-site role involves processing anesthesia claims, verifying insurance coverage, and ensuring compliance with billing requirements. The ideal candidate has 2+ years...Full time
- ...Claims Business AnalystDuration-6 – 12 months ++Hybrid 3 Days a week: Charlotte, NC; Chicago, IL; Colorado Springs, CO; Conshohocken... ...agile methodologies, with working knowledge of both SDLC & PMLC processes.Sys implementation – for each jurisdiction there's different compliance...3 days per week
RIT Solutions
Dallas, TX2 days ago - ...product. Works closely with management and executive to enhance process, policies and procedures, and operations manual. Ability to handle... ...the drafting of final modification agreements, partial claim documents, assumptions, and recast agreements Manage exceptions...Full timeTemporary workCasual workMonday to FridayShift work
- K EY OBJECTIVE: Responsibilities include investigating claims to determine extent of injury, reserving and effective case management... ...customer service requirements and have the ability to follow ESIS processes. Make sound judgment decisions and have the ability to...Temporary work
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Claims Examiner - Claims Processing. Be the first to apply!
Related searches
- claims processor Irving, TX
- remote medical claims processor Irving, TX
- claims analyst Irving, TX
- claims resolution specialist Irving, TX
- medical claims analyst Irving, TX
- medical insurance claims specialist Irving, TX
- claim specialist Irving, TX
- claims assistant Irving, TX
- claim examiner Irving, TX
- claims consultant Irving, TX