Claims Adjuster

December 10

Apply Now

Receive Emails with Similar Jobs

Banner Health

WebsiteLinkedInAll Job Openings

hospital care • home care • hospice care • nursing registries • surgery centers

10,000+ employees

Founded 1999

⚕️ Healthcare Insurance

Description

• As a Claims Adjuster for Banner Plans & Networks, you will process both Professional and Institutional claims. • You will process Resubmission Claims, Provider Appeals, Requests to Recoup, and Claim Review Service Requests. • This position processes corrections to claims accurately and in a timely manner. • Assists with claim inquiries while maintaining production and quality standards. • Performs detailed research and reprocessing of claims using a back out function in IDX. • Coordinates and submits projects to the Claims Systems team for auto adjudication of claims.

Requirements

• Two years of claims processing experience required. • Knowledge of Health Plan policies, AHCCCS, Commercial and Medicare rules and regulations. • Knowledge of CPT-4, ICD-9, and HCPCS codes, and knowledge of CMS 1500 and/or UB04 forms. • Good interpersonal skills and strong decision making and organizational skills required. • Excellent customer service skills, strong analytical, and written and verbal communication skills required. • Ability to work and prioritize multiple tasks and to use Microsoft Word and Excel required. • Working knowledge of all claim form types, including 1500 professional forms and UB facility forms.

Benefits

• Comprehensive benefit package for all benefit-eligible positions. • Supports a drug-free work environment.