Claims Examiner
Jobot
San Antonio, TX
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JOB DETAILS
SALARY
$19–$21 Per Hour
SKILLS
Adjudication, Administrative Skills, Call Centers, Claims Processing, Communication Skills, Data Entry, Detail Oriented, Health Plan, Healthcare, Healthcare Providers, Hospital, Legal, Mail Processing, Microsoft Excel, Microsoft Office, Microsoft Outlook, Microsoft Word, Presentation/Verbal Skills, Regulations, Time Management, Typing, Writing Skills
LOCATION
San Antonio, TX
POSTED
2 days ago
This Jobot Consulting Job is hosted by: Gavin Gruwell
Are you a fit? Easy Apply now by clicking the "Quick Apply" buttonand sending us your resume.
Salary: $19 - $21 per hour
A bit about us:
San Antonio healthcare organization specializing in providing healthcare analytics services for families of hospitals. Due to growth, we are looking to add a skilled Medical Claims Examiner to our team.
If you this sounds like yourself, please read on.
Why join us?
- Generous Benefits Package including medical, dental, vision, life!
Job Details
About the Role
This position is responsible for accurately processing health plan delegated claims, addressing provider inquiries via phone, and handling various administrative tasks within the claims department.
Key Responsibilities
Claims Processing
Review claim submissions for accuracy and completeness
Verify claim information against established guidelines
Adjudicate claims according to health plan policies and regulatory guidelines
Ensure accurate and timely processing of delegated claims
Provider Support
Handle incoming calls from healthcare providers and other stakeholders
Provide prompt, accurate responses to claims processing inquiries
Document calls including topics discussed and resolution
Assist with claim-related issues and resolve problems over the phone
Administrative Functions
Perform data entry accurately and efficiently
Log disputes and track resolution progress
Process incoming mail related to claims and ensure timely distribution
Handle other clerical duties as assigned
Requirements
High school diploma or GED
1 year call center experience preferred
6 months claims adjudication experience preferred
1 year claims department experience a plus
Basic knowledge of healthcare terminology, coding, and claim processing procedures
Strong attention to detail and accuracy in data entry
Good written and verbal communication skills
Typing speed of 50+ WPM
Basic proficiency in Microsoft Office (Outlook, Word, Excel, Teams)
Familiarity with claims processing systems a plus
Ability to multitask and adapt to changing guidelines
Schedule & Other
Monday–Friday, 8:00 AM–5:00 PM
Occasional travel to medical offices may be required
Interested in hearing more? Easy Apply now by clicking the "Quick Apply" button.
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About the Company
J
Jobot
Jobot is on a mission to connect good people with good jobs. By combining AI-powered technology with the expertise of Jobot Pros, our experienced recruiters, we help you find career opportunities that align with your goals and values.
Founded in 2018 and employee-owned since 2024, Jobot is committed to fostering a culture of kindness, respect, innovation, and connection. As an industry leader, we’ve been recognized as a top workplace by Forbes, Fortune, USA Today, and Staffing Industry Analysts (SIA).
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COMPANY SIZE
100 to 499 employeesINDUSTRY
Staffing/Employment Agencies
FOUNDED
2018
WEBSITE
http://www.jobot.com