Claims Analyst
Company: University Health
Location: San Antonio
Posted on: June 4, 2025
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Job Description:
POSITION 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 in complex claim
issue resolution. Work cooperatively with Configuration in testing
of contracts used in business operations and reporting to assure
auto adjudication. Perform in accordance with company standards and
policies. Promote harmonious relationships within own department,
with other departments and within CFHP. Operate under limited
supervision.
EDUCATION/EXPERIENCE
High school diploma or GED equivalent is required. Five years
HMO/PPO claims experience required. Amisys claims processing system
experience preferred. Knowledgeable of all benefit programs offered
by the CFHP, Medicaid, HMO, PPO, ASO.
Keywords: University Health, Round Rock , Claims Analyst, Professions , San Antonio, Texas
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