Senior Claims Analyst
6 days ago
POSITION SUMMARY/RESPONSIBILITIES
Acts as Claims Department resource to coordinate, analyze and improve departmental performance. Identifies areas for improvement, documents business processes, researches best practices, compiles information and assists process owners to implement change and monitor performance. Responsible for providing project coordination through research, data collection and analysis to identify areas for increased operational efficiency, productivity and accuracy. Interacts with other CFHP departments. Helps ensure that systems, processes and reports enable the Claims Department to meet internal and external benchmarks.
EDUCATION/EXPERIENCE
High school diploma required. Five (5) years claims experience is required. One to two (1-2) years supervisory experience preferred. Medicaid and Commercial claims experience is required. Three (3) or more years' experience project coordination in a managed care environment is preferred. Proficiency in Word, Excel, and Powerpoint, is required.
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Claims Analyst
4 weeks ago
San Antonio, United States University Health Full timePOSITION SUMMARY/RESPONSIBILITIES Analyze complex problems pertaining to claim payments, eligibility, other insurance, transplants and system issues that are beyond the scope of claim examiners and senior claim examiners that affect claims payment. Act as consultant to claims staff on complex claim issue resolutions. Work cooperatively with configuration...
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Claims Analyst
6 days ago
San Antonio, United States University Health Full timePOSITION SUMMARY/RESPONSIBILITIES Analyze complex problems pertaining to claim payments, eligibility, other insurance, transplants and system issues that are beyond the scope of claim examiners and senior claim examiners that affect claims payment. Act as consultant to claims staff on complex claim issue resolutions. Work cooperatively with configuration...
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Claims Analyst
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Senior Claims Analyst
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San Antonio, United States University Health Full timePOSITION SUMMARY/RESPONSIBILITIES Acts as Claims Department resource to coordinate, analyze and improve departmental performance. Identifies areas for improvement, documents business processes, researches best practices, compiles information and assists process owners to implement change and monitor performance. Responsible for providing project...
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