Senior Claims Examiner
University Health
Posted Thursday, April 16, 2026
Posting ID: rjf-91846443
San Antonio, TX
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POSITION SUMMARY/RESPONSIBILITIES
Performs review, analysis, and adjudication of all claim types including coordination of benefits and DME claims. Performs analysis of provider appeals and documents outcome determination via correspondence. Acts as a provider liaison for claim issue resolution by utilization of appropriate corporate functionalities.
EDUCATION/EXPERIENCE
High school diploma or GED equivalent required. Five years HMO, PPO, ASO claim processing experience is required. Thorough knowledge of medical terminology, ICD-9/CPT4 Coding, and general managed care principles is required.
Compensation:$19.05 - $26.75
The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
On-SiteCoordinatingAdjudicationManaged CareMedical TerminologyClaims ProcessingICD Coding (ICD-9/ICD-10)
