Claims Auditor
University Health · San Antonio, Texas, United States
FULL TIMEpermanent
Job Description
POSITION SUMMARY/RESPONSIBILITIES
The following information aims to provide potential candidates with a better understanding of the requirements for this role.
Responsible for development and maintenance of claims auditing program for all lines of business to improve claims processing standards and to monitor the quality of service delivered to our customers. Identifies processor and phone representative training needs that can be used to improve performance. Requires knowledge of claims processing for HCFA and UB92 for both commercial and Medicaid programs and knowledge of CFHP claims payment processing system, Amisys. EDUCATION/EXPERIENCE
High school diploma or equivalency is required. Minimum of five years experience in insurance, medical or managed care environment including two years of claim processing experience required. xzbcwsv Previous auditing and/or Amisys experience preferred.
The following information aims to provide potential candidates with a better understanding of the requirements for this role.
Responsible for development and maintenance of claims auditing program for all lines of business to improve claims processing standards and to monitor the quality of service delivered to our customers. Identifies processor and phone representative training needs that can be used to improve performance. Requires knowledge of claims processing for HCFA and UB92 for both commercial and Medicaid programs and knowledge of CFHP claims payment processing system, Amisys. EDUCATION/EXPERIENCE
High school diploma or equivalency is required. Minimum of five years experience in insurance, medical or managed care environment including two years of claim processing experience required. xzbcwsv Previous auditing and/or Amisys experience preferred.
Details
| Company | University Health |
| Location | San Antonio, Texas, United States |
| Type | FULL TIME |
| Niche | general |
| Experience | permanent |