Claims Examiner at Jobot

Claims Examiner Role for Growing Healthcare Company! This Jobot Consulting Job is hosted by: Gavin Gruwell Are you a fit? Easy Apply now by clicking the "Quick Apply" buttonand sending us your resume. Salary: $19 - $21 per hour A bit about us: San Antonio healthcare organization specializing in providing healthcare analytics services for families of hospitals. Due to growth, we are looking to add a skilled Medical Claims Examiner to our team. If you this sounds like yourself, please read on. Why join us? Generous Benefits Package including medical, dental, vision, life! Job Details About the Role This position is responsible for accurately processing health plan delegated claims, addressing provider inquiries via phone, and handling various administrative tasks within the claims department. Key Responsibilities Claims Processing Review claim submissions for accuracy and completeness Verify claim information against established guidelines Adjudicate claims according to health plan policies and regulatory guidelines Ensure accurate and timely processing of delegated claims Provider Support Handle incoming calls from healthcare providers and other stakeholders Provide prompt, accurate responses to claims processing inquiries Document calls including topics discussed and resolution Assist with claim-related issues and resolve problems over the phone Administrative Functions Perform data entry accurately and efficiently Log disputes and track resolution progress Process incoming mail related to claims and ensure timely distribution Handle other clerical duties as assigned Requirements High school diploma or GED 1 year call center experience preferred 6 months claims adjudication experience preferred 1 year claims department experience a plus Basic knowledge of healthcare terminology, coding, and claim processing procedures Strong attention to detail and accuracy in data entry Good written and verbal communication skills Typing speed of 50+ WPM Basic proficiency in Microsoft Office (Outlook, Word, Excel, Teams) Familiarity with claims processing systems a plus Ability to multitask and adapt to changing guidelines Schedule & Other Monday-Friday, 8:00 AM-5:00 PM Occasional travel to medical offices may be required Interested in hearing more? Easy Apply now by clicking the "Quick Apply" button. Jobot is an Equal Opportunity Employer. We provide an inclusive work environment that celebrates diversity and all qualified candidates receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, age (40 and over), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. Jobot also prohibits harassment of applicants or employees based on any of these protected categories. It is Jobot's policy to comply with all applicable federal, state and local laws respecting consideration of unemployment status in making hiring decisions. Sometimes Jobot is required to perform background checks with your authorization. Jobot will consider qualified candidates with criminal histories in a manner consistent with any applicable federal, state, or local law regarding criminal backgrounds, including but not limited to the Los Angeles Fair Chance Initiative for Hiring and the San Francisco Fair Chance Ordinance. Information collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at By applying for this job, you agree to receive calls, AI-generated calls, text messages, or emails from Jobot, and/or its agents and contracted partners. Frequency varies for text messages. Message and data rates may apply. Carriers are not liable for delayed or undelivered messages. You can reply STOP to cancel and HELP for help. You can access our privacy policy here: