Claim Benefit SpecialistPrimary Location: San Antonio, TX
Additional Locations: TX-San Antonio Apply
- Claim Benefit Specialist (CBS). CBS build a trusting relationship with the member by analyzing and processing claims accurately and timely in accordance with prescribed operational claim processing guidelines.
- CBS take accountability to fully understand the members’ benefit coverage, complete eligibility verification, identify discrepancies and apply all cost containment measures.
- CBS coordinates responses for routine phone inquiries and written correspondence related to claim processing.
- CBS have knowledge of policy, procedure and resources to comply with regulatory guidelines
- To be successful, CBS require experience in a production environment and medical claim processing experience.
- Strong analytical and technical skill with ability to maintain accuracy and production standards.
- Understanding of medical terminology with strong attention to detail and accuracy.
- Ability to multitask, prioritize, problem-solve and effectively adapt to a fast-paced, changing environment.
- In addition to excellent written, oral communication and computer skills.
- Top candidates will possess critical thinking, technical skills, professionalism and understanding of medical terminology with prior medical claim processing experience preferred.
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