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claims adjuster in San Antonio

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  1. Claims Advocate

    Job Purpose: The Claim Advocate’s role in the IBTX business model is to advocate on behalf of the IBTX client in compliance with IBTX standards, policies, procedures, and processes as outlined by the Agency Risk Manager. This will be accomplished by fostering a professional relationship with the carrier adjusters, underwriters and mangers. The Claim’s Advocate is also responsible to assist in maintaining the client relationship by being knowledgeable and proactive with the client and the carrier in ...

  2. Risk Adjustment Code- HCC

    Job Description: Reviews medical record information to identify, collect, assess, monitor, and document claims and encounter coding information as it pertains to Hierarchical Condition Categories (HCC). Evaluates clinical documentation to determine all appropriate ICD-9-CM coding based on CMS HCC categories. Comprehension of current billing and coding regulations, policies, and procedures. Demonstrates knowledge of medical terminology, anatomy, and physiology to recognize relevant data in patient ...