Claims Examiner
Job in
San Antonio, Bexar County, Texas, 78208, USA
Listed on 2026-01-12
Listing for:
Community First Health Plans
Full Time
position Listed on 2026-01-12
Job specializations:
-
Healthcare
Healthcare Administration, Medical Billing and Coding
Job Description & How to Apply Below
POSITION SUMMARY/RESPONSIBILITIES
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.
EDUCATION/EXPERIENCE
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.
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