Medicaid & CHIP Claims Adjudicator
University Health
University Health - San Antonio is looking for a qualified individual to perform adjudication of medical (HCFA) or hospital (UB92) claims for Medicaid and related programs. The candidate will ensure compliance with departmental and regulatory requirements. Required qualifications include a high school diploma or GED, with two or more years of relevant claim processing experience. Familiarity with Medicaid, CHIP, and ICD-9, CPT coding is preferred. #J-18808-Ljbffr
Vacancy posted 3 days ago
Similar jobs that could be interesting for youBased on the Medicaid & CHIP Claims Adjudicator in San Antonio, TX vacancy
- ...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
- A healthcare services organization in San Antonio is seeking a Claims Processing Supervisor. The role involves supervising a claims processing... ...of claims experience, with preferred supervisory experience in Medicaid, Medicare, or commercial claims. Proficiency in Microsoft...ClaimsWork at office
$14.76 - $31.97 per hour
...Job Title Provides support for claims activities including reviewing and resolving member and provider complaints, and communicating... ...and requirements established by the Centers for Medicare and Medicaid Services (CMS). Essential Job Duties Facilitates comprehensive...ClaimsHourly payFull timeContract workWork experience placementWork at office- ...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...Claims
University Health
San Antonio, TX4 days ago - ...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...Claims
UT Health San Antonio
San Antonio, TX2 days ago - ...Analyst The Denial Management Analyst manages disputed or denied claims by analyzing medical records and payer policies to recover... ...audits. In-depth understanding of payer contracts, Medicare/Medicaid guidelines, and audit requirements. Strong familiarity with...ClaimsContract workWork at office
$108k - $162k
...The Hartford is seeking a General Adjuster with extensive experience in handling complex property insurance claims. This remote position involves regular fieldwork across Texas, Louisiana, or Arkansas. Candidates should have over 5 years of experience as a full-file claim...ClaimsRemote workThe Hartford
San Antonio, TX2 days 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, TX4 days ago - ...Credit Balance Specialist (Hospital Claims) The Credit Balance Specialist (Hospital Claims) will manage credit balance workloads... .... Basic knowledge of Commercial, Managed Care, Medicare and Medicaid insurance PC skills in a Windows environment. Knowledge and...ClaimsTemporary workWork at officeRemote workRelocationFlexible hoursShift work
Guidehouse
San Antonio, TX3 days ago - ...Independent Insurance Claims Adjuster Opportunity Is it time for a career change? Independent insurance claims adjusters needed now! Are you ready to embark on a dynamic and in-demand career as an independent insurance claims adjuster? This is your chance to join a...Claims
MileHigh Adjusters Houston
San Antonio, TX4 days ago - ...ability to interact with the payer to verify coverage, submit claims, and follow up on appeals, underpayments, short pays or payment... ...contracts required. Experience with Commercial, Medicare, and Medicaid reimbursement. Medicare, Medicaid, VA, Tricare billing and collections...ClaimsFull timeContract workRemote workMonday to Friday
- ...requirements by payors (i.e. Medicare, Medicaid, Private Insurance, and Maximum Monthly... ...position: Felony Convictions, Felony Deferred Adjudication, Class A & B Misdemeanor Deferred... ...software applications. Insurance verification claims systems and processes. Modern office...ClaimsWork at officeMonday to Friday
Center for Health Care Services
San Antonio, TX14 hours ago - ...Vice President, Auto Insurance & Risk Management Solutions About the Company Prestigious provider of risk & claims management services Industry Insurance Type Privately Held Founded 1962 Employees 5001-10,000 Categories Commercial Insurance...Claims
- ...billing specialists play a critical role in making the patient experience smooth, clear, and stress-free. You're not just handling claims you're helping patients understand their coverage, reduce surprises, and get the care they need with confidence. If you're detail-oriented...ClaimsWeekly payFull timePrivate practice
7 to 7 Dental & Orthodontics
San Antonio, TX5 days ago - South-Texas-Radiology-Group,-P.a. is looking for a Correspondence and Insurance Claims Clerk in San Antonio, Texas. This role involves processing insurance claims and handling correspondence efficiently and accurately. Candidates should have a high school diploma and at...ClaimsWork at office
- ...Analyze complex problems pertaining to claim payments, eligibility, other insurance,... ...operations and reporting to ensure auto adjudication. Perform in accordance with company standards... .... Knowledgeable of all benefit programs offered by the CFHP, Medicaid, HMO, PPO, ASO.Claims
University Health
San Antonio, TX2 days ago $19 - $23 per hour
...Note: Candidates must currently reside within a reasonable commuting distance of San Antonio. Key Responsibilities: Claim Management: Monitor claim statuses and proactively resolve rejections or denials. Insurance Liaison: Conduct regular follow-ups...ClaimsContract workWork at officeMedix
San Antonio, TX5 days ago$54k - $80k
...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 contractorsWork at officeBen Zeitz - State Farm Agent
San Antonio, TX1 day ago- ...providing a key link between customer needs and agency operations. The successful candidate will handle policy inquiries and insurance claims while working in a supportive team environment. Benefits include a competitive salary, flexible scheduling, and professional...ClaimsFlexible hours
- ...tasks in order to recognize the maximum reimbursement from each claim. This position will be responsible for navigating the... ...and construct responses to insurance carriers based on claim adjudication. Follow up with payers and other appropriate parties to collect...ClaimsWork at office
Mpower Health
San Antonio, TX5 days ago $25 per hour
...Claims Operations Analyst Location: San Antonio, TX Duration: 12 Months Pay Rate: $25/hr Job Overview: We are seeking a Claims Operations Analyst to support business process services within insurance claims operations. This role focuses on operational reporting,...ClaimsWork at officeLeading Utilities Organization
San Antonio, TX2 days ago- ...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...ClaimsWork at office
- ...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
University Health
San Antonio, TX3 days ago $16 - $22 per hour
...and being able to multitask with complex calls. Research information regarding deductibles, claim status, providers, etc. Answer questions about Medicare and Medicaid. Provide excellent customer service and demonstrate a passion for helping others. Handle sensitive...ClaimsHourly payRemote workHall Associates, Inc.
San Antonio, TX1 day ago- Strategic Staffing Solutions is looking for a Claims Operations Analyst located in San Antonio, TX. The ideal candidate will support business process services within insurance claims operations, focusing on operational reporting, data management, and process documentation...ClaimsWork at office
- ...school diploma and at least 1 year of experience in credit balance accounts. Familiarity with medical billing and health insurance claims is required. The position offers flexible benefits, including medical, dental, vision insurance, and opportunities for hybrid work...ClaimsFlexible hours
- ...exceptional support to clients in the commercial insurance space. The role involves managing client appointments, assisting with sales and claims processes, and maintaining relationships with clients. Candidates should have significant experience in commercial insurance and an...ClaimsRemote jobFull timeWork from homeFlexible hours
- ...Responsibilities: Manage case files with care and extreme detail Assist clients with rental car accommodations Communicate with claims representatives Coordinate case activities with attorney staff Qualifications: Experience in legal case management...ClaimsFull timeWork at officeMonday to Friday
Gamez Law Firm
San Antonio, TX4 days ago - ...and programs across the Company Direct the Company’s risk management programs, including property and casualty insurance programs, claims management, vendor insurance oversight, and corporate insurance certificate handling Ensures appropriate risk assessments are conducted...Claims
- Leading Utilities Organization is hiring a Claims Operations Analyst to support insurance operations within a structured environment. Candidates will focus on back-office functions such as claims processing, underwriting support, and policy servicing. The ideal applicant...ClaimsRemote jobContract workWork at office
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Medicaid & CHIP Claims Adjudicator. Be the first to apply!
