Parkland Community Health Plan (PCHP) is seeking a Senior Claims Examiner to review and analyze complex health care claims, identify discrepancies, and process claims for payment. This role is crucial for maintaining a high standard of claims adjudication, ensuring accuracy and compliance with Texas Medicaid regulations. P CHP supports member and provider health by empowering them to live healthier lives, fostering stronger communities through innovation and person-centered care.
Requi...
Requirements: HS diploma req. 2-3 years healthcare claims in QNXT (preferred). Managed care experience a plus. Knowledge of Texas Medicaid is preferred