Senior Claims Analyst
ABOUT US
Driscoll Children’s Hospital has a rich history of bringing the best and brightest healthcare professionals home to South Texas. Physicians and staff use a creative blend of treatment, education and play to reach the best possible outcome in the treatment of every child. Smiles, hugs and a soothing touch are as much a part of Driscoll’s approach to treating children as is its advanced medical treatments and technologies. When patients and families come to Driscoll for help, they are met with the same compassion, spirit and generosity with which Clara Driscoll blessed our community when she founded Driscoll Children’s Hospital more than 60 years ago.
The hospital and its specialty centers, urgent care centers and after-hours facility, serve a vast area. On a daily basis, physicians and patients are transported by ground and air to ensure the children of South Texas can receive the best treatment possible. Driscoll treats more than 100,000 children every year from 31 South Texas counties.
The hospital is a 189-bed tertiary care center offering 32 medical and 13 surgical specialties.
GENERAL PURPOSE OF JOB
The Senior Claims Analyst will be responsible to perform highly complex and technical analysis for research, resolution and recovery of health plan claims. The position is also responsible to provide departmental and project coordination for issue resolution and process improvement, and helps to ensure that systems, processes and reports enable the Claims Administration department to meet internal and external benchmarks. The position additionally serves as a subject matter expert regarding claims related policies and procedures.
ESSENTIAL DUTIES AND RESPONSIBILITIES – Individuals in this position may perform any or all of the below listed duties. These should be interpreted as examples of the work, and are not necessarily all-inclusive.
EDUCATION AND/OR EXPERIENCE - Any combination of education and experience that would likely provide the required knowledge, skills, and abilities is qualifying.
Visit our website at http://www.driscollchildrens.org
Driscoll Health Plan
Corpus Christi, TX