The Claims Examiner will work closely with the Claims Manager to assist with working special projects, assisting Examiners w/claims questions. Will also help with Claims Adjudication, and work diligently as the liaison between Claims and Network Management, and Utilization Management for help with claims resolutions. This position will also provide training for both new hires and periodic update training for existing Examiners.
High school Graduate or GED equivalent
Two years of claims knowledge, claims data entry or customer service experience in healthcare.
Medical coding, CPT, ICD, HCPS. Strong data entry skills
Writing /Composing Correspondence /Reports
Analytical, Mathematics, Medical Terms, Research, P.C.
Internal Number: 148116
About Harris Health System
The Harris Health System is a fully integrated healthcare system that cares for all residents of Harris County, Texas. We are the first accredited healthcare institution in Harris County to be designated by the National Committee for Quality Assurance as a Patient-Centered Medical Home, and are one of the largest systems in the country to achieve the quality standard. Our system includes 23 community health centers, five school-based clinics, a dental center and dialysis center, mobile health units, a rehabilitation and specialty hospital and two full-service hospitals.Ben Taub Hospital is a world renowned Level I Trauma Center with 586 licensed acute-care beds and provides a wide range of specialty care outpatient services. Lyndon B. Johnson Hospital is a 328 licensed bed acute-care hospital with a newly expanded Level III trauma center and a distinguished regional center for neonatal intensive care for high-risk deliveries.Harris Health is a teaching system for Baylor College of Medicine and The University of Texas Health Science Center at Houston (UTHealth). We train the next generation of healthcare providers on the latest medical procedures and technological breakthroughs.With... our fully integrated electronic medical records system, we offer patients the convenience and assurance that their medical history is accurate, safe and available when and where it is needed. Our Medical Home designation ensures that we offer a full range of preventive, specialty and acute care services for the entire family.