Description Summary: The Claims Examiner Senior is responsible for reviewing, analyzing ... Serves as a resource to assist with training new associates, retraining current associates on new ...
Description Summary: The Claims Examiner Senior is responsible for reviewing, analyzing ... Serves as a resource to assist with training new associates, retraining current associates on new ...
The Claims Examiner Senior is responsible for reviewing, analyzing, researching, and resolving ... Serves as a resource to assist with training new associates, retraining current associates on new ...
The Claims Examiner Senior is responsible for reviewing, analyzing, researching, and resolving ... Serves as a resource to assist with training new associates, retraining current associates on new ...
$34K - $34K/yr
... plan and pharmacy contract review, analyze MFG revenue (Rx Rebates, etc.), MAC appeals, claims ... Ensure deadlines for all audit deliverables are met timely and accurately * Assist in management of ...
$34K - $34K/yr
... plan and pharmacy contract review, analyze MFG revenue (Rx Rebates, etc.), MAC appeals, claims ... Ensure deadlines for all audit deliverables are met timely and accurately * Assist in management of ...
Building Inspector/Assistant Plans Examiner
Nashua, NH · On-site
$39.72/hr
... Building Inspector/Assistant Plans Examiner! Take your career to the next level with us as ... Must have knowledge of and experience with municipal utility and building codes, inspections, plan ...
Building Inspector/Assistant Plans Examiner
Nashua, NH · On-site
$39.72/hr
... Building Inspector/Assistant Plans Examiner! Take your career to the next level with us as ... Must have knowledge of and experience with municipal utility and building codes, inspections, plan ...
Purpose Under general direction of the Assistant City Manager, plans, organizes, directs, and ... Plans Examiner, Energy Code Inspector/plan examiner, and Certified Building Official. FEMA ...
Purpose Under general direction of the Assistant City Manager, plans, organizes, directs, and ... Plans Examiner, Energy Code Inspector/plan examiner, and Certified Building Official. FEMA ...
Code Compliance Officer/Combination Inspector
Aurora, IL · On-site
$42.13/hr
Review all types of building permit applications for conformance with applicable codes and ordinances; Assist builders, contractors, and others in permit application completion; Assist Plan Examiners ...
Code Compliance Officer/Combination Inspector
Aurora, IL · On-site
$42.13/hr
Review all types of building permit applications for conformance with applicable codes and ordinances; Assist builders, contractors, and others in permit application completion; Assist Plan Examiners ...
Code Compliance Officer/Combination Inspector
Aurora, IL · On-site
$42.13/hr
Review all types of building permit applications for conformance with applicable codes and ordinances; Assist builders, contractors, and others in permit application completion; Assist Plan Examiners ...
Code Compliance Officer/Combination Inspector
Aurora, IL · On-site
$42.13/hr
Review all types of building permit applications for conformance with applicable codes and ordinances; Assist builders, contractors, and others in permit application completion; Assist Plan Examiners ...
... and assist the Fire Marshal with plan reviews for code compliance. This position is subject to ... Current Plan Examiner I certification issued by the Texas Commission on Fire Protection ...
... and assist the Fire Marshal with plan reviews for code compliance. This position is subject to ... Current Plan Examiner I certification issued by the Texas Commission on Fire Protection ...
$42.13/hr
Review all types of building permit applications for conformance with applicable codes and ordinances; Assist builders, contractors, and others in permit application completion; Assist Plan Examiners ...
$42.13/hr
Review all types of building permit applications for conformance with applicable codes and ordinances; Assist builders, contractors, and others in permit application completion; Assist Plan Examiners ...
Plans Examiner
Chino, CA · On-site
$25 - $65/hr
Perform plan checking activities to include examining plans and specifications for compliance with ... and specifications. * Assist in the operation of the permit counter; provide information to ...
Plans Examiner
Chino, CA · On-site
$25 - $65/hr
Perform plan checking activities to include examining plans and specifications for compliance with ... and specifications. * Assist in the operation of the permit counter; provide information to ...
Plans Examiner
Monterey Park, CA · On-site
$25 - $65/hr
Perform plan checking activities to include examining plans and specifications for compliance with ... and specifications. * Assist in the operation of the permit counter; provide information to ...
Plans Examiner
Monterey Park, CA · On-site
$25 - $65/hr
Perform plan checking activities to include examining plans and specifications for compliance with ... and specifications. * Assist in the operation of the permit counter; provide information to ...
Plans Examiner
Monterey Park, CA · On-site
$25 - $65/hr
Perform plan checking activities to include examining plans and specifications for compliance with ... and specifications. * Assist in the operation of the permit counter; provide information to ...
Quick apply
Plans Examiner
Monterey Park, CA · On-site
$25 - $65/hr
Perform plan checking activities to include examining plans and specifications for compliance with ... and specifications. * Assist in the operation of the permit counter; provide information to ...
Mine Examiner (Viking)
$35.19/hr
... Assist with accident prevention, hazard recognition, and continuous safety improvement efforts ... Ability to become proficient in mine-specific plans, including: o Roof control Plan o Ventilation ...
Mine Examiner (Viking)
$35.19/hr
... Assist with accident prevention, hazard recognition, and continuous safety improvement efforts ... Ability to become proficient in mine-specific plans, including: o Roof control Plan o Ventilation ...
Building Inspector/Assistant Plans Examiner
Nashua, NH · On-site
$39.72/hr
... Building Inspector/Assistant Plans Examiner! Take your career to the next level with us as ... Must have knowledge of and experience with municipal utility and building codes, inspections, plan ...
Building Inspector/Assistant Plans Examiner
Nashua, NH · On-site
$39.72/hr
... Building Inspector/Assistant Plans Examiner! Take your career to the next level with us as ... Must have knowledge of and experience with municipal utility and building codes, inspections, plan ...
Plans Examiner
San Anselmo, CA · On-site
Coordinate plan reviews with other public agencies requiring approval. * Provide detailed feedback ... Advise and assist stakeholders with the interpretation and application of building regulations ...
Plans Examiner
San Anselmo, CA · On-site
Coordinate plan reviews with other public agencies requiring approval. * Provide detailed feedback ... Advise and assist stakeholders with the interpretation and application of building regulations ...
Plans Examiner
Monterey Park, CA · On-site
$25 - $65/hr
Perform plan checking activities to include examining plans and specifications for compliance with ... and specifications. * Assist in the operation of the permit counter; provide information to ...
Plans Examiner
Monterey Park, CA · On-site
$25 - $65/hr
Perform plan checking activities to include examining plans and specifications for compliance with ... and specifications. * Assist in the operation of the permit counter; provide information to ...
Plans Examiner
Chino, CA · On-site
$25 - $65/hr
Perform plan checking activities to include examining plans and specifications for compliance with ... and specifications. * Assist in the operation of the permit counter; provide information to ...
Quick apply
Plans Examiner
Chino, CA · On-site
$25 - $65/hr
Perform plan checking activities to include examining plans and specifications for compliance with ... and specifications. * Assist in the operation of the permit counter; provide information to ...
Mine Examiner (Viking)
Macedonia, IL · On-site
$35.19/hr
... personnel. · Assist with accident prevention, hazard recognition, and continuous safety ... Plan o Air Quality Monitory Program o Emergency Evacuation Plan o Safeguards o Mine maps and ...
Quick apply
Mine Examiner (Viking)
Macedonia, IL · On-site
$35.19/hr
... personnel. · Assist with accident prevention, hazard recognition, and continuous safety ... Plan o Air Quality Monitory Program o Emergency Evacuation Plan o Safeguards o Mine maps and ...
Plans Examiner
Chino, CA · On-site
$25 - $65/hr
Perform plan checking activities to include examining plans and specifications for compliance with ... and specifications. * Assist in the operation of the permit counter; provide information to ...
Plans Examiner
Chino, CA · On-site
$25 - $65/hr
Perform plan checking activities to include examining plans and specifications for compliance with ... and specifications. * Assist in the operation of the permit counter; provide information to ...
Plans Examiner
Roseville, CA · On-site +1
$25 - $65/hr
Perform plan checking activities to include examining plans and specifications for compliance with ... and specifications. * Assist in the operation of the permit counter; provide information to ...
Plans Examiner
Roseville, CA · On-site +1
$25 - $65/hr
Perform plan checking activities to include examining plans and specifications for compliance with ... and specifications. * Assist in the operation of the permit counter; provide information to ...
Assistant Plan Examiner information
What is an assistant plan examiner?
What are the key skills and qualifications needed to thrive as an assistant plan examiner?
What are some common challenges faced by assistant plan examiners and how are they addressed?
What is the difference between Assistant Plan Examiner vs Building Inspector?
| Aspect | Assistant Plan Examiner | Building Inspector |
|---|---|---|
| Required Credentials | Typically requires a degree in architecture, engineering, or related field; certifications in plan review | Usually requires a high school diploma or equivalent; certifications in building codes and inspection |
| Work Environment | Office setting reviewing construction plans and permits | On-site inspections of buildings and construction sites |
| Employer & Industry Usage | Municipal planning departments, architectural firms | City or county building departments, construction companies |
Assistant Plan Examiners primarily review construction plans and ensure compliance with codes in an office setting, while Building Inspectors conduct on-site inspections to verify construction adherence. Both roles are essential in the building permit process but differ in daily tasks and work environment.
What cities are hiring for Assistant Plan Examiner jobs?
Cities with the most Assistant Plan Examiner job openings:
What states have the most Assistant Plan Examiner jobs?
States with the most job openings for Assistant Plan Examiner jobs include:
What are popular job titles related to Assistant Plan Examiner jobs?
For Assistant Plan Examiner jobs, the most frequently searched job titles are:

Claims Examiner Senior - Health Plan Admin
Irving, TX • On-site
Full-time
Re-posted 6 days ago
CHRISTUS Health rating
6.7
Based on 538 frontline employees who took The Breakroom Quiz
Job description
Summary:
The Claims Examiner Senior is responsible for reviewing, analyzing, researching, and resolving complex medical claims in accordance with claims processing guidelines and desktops, as well as, ensuring compliance with federal regulations. This role works in conjunction with Business Configuration, Network Management, Provider Data, Complaints, Appeals and Grievances as well as other operational departments to ensure validation and quality assurance of claims processing.
Responsibilities:
- Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
- Analyze medical claim information and take appropriate action for payment resolution in accordance with policies and procedures, desktops, processing guidelines, and federal regulations.
- Process medical claims submitted on CMS-1500 and CMS-1450/UB-04 claim forms from facilities, physicians, Home Health, Durable Medical Equipment providers, laboratories, etc.
- Work claim projects resulting from overpayments or underpayments related to manual processing errors, benefit updates, and/or contract, fee schedule changes.
- Process provider refunds, reconsiderations, and direct member reimbursements.
- Process medical claim adjustments, recovery of claim overpayments, and execution of claim batch adjudication.
- Solve moderately complex claims and escalate issues to the Claims Team Lead, Supervisor or Manager.
- Assist with database improvements and testing for system upgrades, conversions, or implementation of new processes.
- Serves as a resource to assist with training new associates, retraining current associates on new/updated desktops/policies and reports staff progress, deficiencies, and training needs to management.
- Sets high standards of performance and promotes teamwork to achieve established team goals, while maintaining a positive, professional attitude.
- Contacting/responding to internal and external customers for resolution on claim issues.
- Assist claims leadership to identify claim trends, gaps in workflow and create/update desktops and policies and procedures.
- Collaborate with and maintain open communication with all departments within CHRISTUS Health to ensure effective and efficient workflow and facilitate completion of tasks/goals.
- Must be able to organize and prioritize work to meet deadlines.
- Have good judgment, initiative, and problem-solving abilities.
- Attention to detail is critical to ensure timely and accurate processing of claims.
- Consistently meet established productivity and quality standards.
- Follow CHRISTUS Guidelines related to the Health Insurance Portability and Accountability Act (HIPAA), designed to prevent, or detect unauthorized disclosure of Protected Health Information (PHI).
- Performs other duties as assigned by management to support claims functions, which are focused on achieving both departmental and organizational objectives.
- Must be knowledgeable about medical terminology, CPT, HCPCS, ICD-10, Revenue Codes, CMS-1500 and CMS-1450/UB-04 claim forms and reimbursement methodologies.
- Must have excellent written, verbal, organizational and interpersonal communication skills.
- Must be proficient in Microsoft Office, Power Point, Excel, Word, Outlook, spreadsheet, and database skills.
Job Requirements:
Education/Skills
- Associate's degree or equivalent job-related experience required.
Experience
- Minimum of 3 years’ experience processing medical claims in the healthcare industry.
- Prior experience working with managed care, Medicare, Medicare Advantage, Health Exchange, and TRICARE are highly desirable.
Licenses, Registrations, or Certifications
- None required.
Work Schedule:
5 Days - 8 Hours
Work Type:
Full Time
What CHRISTUS Health employees say
Pay
Benefits
Hours and flexibility
Workplace
Get the full story on Breakroom
About CHRISTUS Health
Sourced by ZipRecruiter
CHRISTUS Health is a prominent name in the healthcare industry, with its headquarters situated in Irving, TX, USA. Established in 1999, the company has since been devoted to providing comprehensive care and extending the healing ministry of Jesus Christ. This not-for-profit health system primarily operates more than 600 healthcare services and programs, including long-term care facilities, health insurance products, community clinics, and outreach services, serving both urban and rural populations.
Industry
Outpatient health care
Company size
1,001 - 5,000 Employees
Headquarters location
Irving, TX, US
Year founded
1999