Claims Analyst
Employment type
Full-time
Work setting
On-site
Location
San Antonio, TX
Schedule
Day shift
Posted
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Job overview
The Claims Analyst role is associated with University Health in San Antonio, TX. Compensation is not specified. The position is in the Claims department for Community First Health Plans. The analyst resolves complex claims issues beyond the scope of claim examiners, advises claims staff, and works with Configuration to test contracts and support accurate automated adjudication and reporting.
What you'll do
- Analyze complex claim payment, eligibility, other insurance, transplant, and system issues
- consult with claims staff on resolution
- collaborate with Configuration on contract testing
- and support auto-adjudication and reporting in accordance with company standards and policies.
What we're looking for
- Skills & competencies
- claims analystsan antonio txclaimshealth plansclaims paymenteligibilityhmoppomedicaidamisyshigh school diploma or gedfive years claims experience
- Work arrangement
- Weekend coverage required
About the employer
University Health is hiring for this role. Industry: Direct Health and Medical Insurance Carriers. Sector: 52.
Additional details
- Industry sector
- 52
- Industry
- Direct Health and Medical Insurance Carriers
- Occupation code
- 13-1031.00
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Listing ID: 55736ad7-a5b1-41f1-96e5-5cbc69e82446