San Antonio, TX - Dec 3
... the number ONE benefit of University Health System employment. Wherever you work at University Health System, you're part of an extraordinary team. Examiner, Senior Claims - CFHP 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 ...
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