Apply Now: Claims Analyst
Company: University Health
Location: San Antonio
Posted on: November 4, 2025
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Job Description:
POSITION SUMMARY/RESPONSIBILITIES Analyze complex problems
pertaining to claim payments, eligibility, other insurance,
transplants and system issues that are beyond the scope of claim
examiners and senior claim examiners that affect claims payment.
Act as consultant to claims staff in complex claim issue
resolution. Work cooperatively with Configuration in testing of
contracts used in business operations and reporting to ensure auto
adjudication. Perform in accordance with company standards and
policies. Promote harmonious relationships within own department,
with other departments and within CFHP. Operate under limited
supervision. EDUCATION/EXPERIENCE High school diploma or GED
equivalent is required. Five years' HMO/PPO claims experience
required. Amisys claims processing system experience preferred.
Knowledgeable of all benefit programs offered by the CFHP,
Medicaid, HMO, PPO, ASO.
Keywords: University Health, San Antonio , Apply Now: Claims Analyst, Accounting, Auditing , San Antonio, Texas
