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Claims Examiner II

Job in El Paso, El Paso County, Texas, 88568, USA
Listing for: El Paso Health
Full Time position
Listed on 2025-11-07
Job specializations:
  • Healthcare
    Healthcare Administration, Medical Billing and Coding
Salary/Wage Range or Industry Benchmark: 40000 - 55000 USD Yearly USD 40000.00 55000.00 YEAR
Job Description & How to Apply Below
Position: Claims Examiner II, El Paso Health
  • Facility University Medical Center of El Paso
  • Department EPH Claims
  • Schedule - Shift - Hours Full Time - Days
Job Summary

Responsible for adjudicating Professional (CMS-1500) claims. Calculates benefits for manually processed claims, attachment claims, and complaint/appeals. Assists with testing on claims system updates. Meets production and quality standards.

Skills
  • Knowledge of medical terminology preferred.
  • Knowledge of 10 key calculator.
  • Able to work in fast-paced office with heavy telephone calls, talking, and frequent interruptions.
  • Ability to interact professionally with other departments and providers in resolving claims issues.
  • Work Experience
    • Two years of experience processing professional claims (CMS-1500) required.
    • One year of medical billing or working in a physician’s office or other medical services setting is preferred.
    • Solid understanding of CPT-4, HCPCS, and ICD-10 diagnostic coding, medical terminology, and Corrective Coding Initiative required.
    • Experience with Medicaid and/or Medicare preferred.
    License/Registration/Certification
  • Completion of a formal CPT Coding Certification and Insurance Processor program preferred.
  • Coding/Billing Certification preferred (e.g. AHIMA/AAPC).
  • Education and Training
  • High school diploma or equivalent required.
  • Associate degree preferred.
  • Completion of Medical Billing and/or Coding Program.
  • 1145 Westmoreland Drive
    El Paso, TX

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