Claims Examiner
Job Description

    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 the Department.

Job Requirements

High school diploma or GED equivalent is required. Two or more years of experience claim processing and/or billing experience required. Specific knowledge and experience in Medicaid, CHIP and commercial claim processing preferred. Knowledge of ICD-9, CPT 4 coding and medical terminology is required.

Company Overview

Owned by the people of Bexar County, University Health System is a nationally recognized academic medical center. In partnership with UT Medicine San Antonio, the practice plan of The University of Texas Health Science Center, it is consistently recognized as a leader in advanced treatment options, new technologies and clinical research. Just recently, U.S. News & World Report ranked University Hospital as the Best Metro Hospital and Best for nephrology and urology. Also, University Hospital is the only pediatric trauma center for San Antonio and South Texas. The trauma team at University Hospital is recognized for its expertise in treating serious injuries and burns in children by the American College of Surgeons (ACS). The ACS verified University Hospital as a pediatric trauma center in October 2012, after a lengthy application process and site visit.

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  • Claims Examiner @ University Health System

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