Job Summary

A non-profit health care system needs applicants for an opening for a Remote Claims Adjuster.

Candidates will be responsible for the following:

• Reviewing and reprocessing AHCCCS, Medicare, and Commercial Provider requests via Customer Care Calls
• Serving as liaison with between departments such as Network Development, Medical Management, Finance and IS to research and rework projects submitted
• Coordinating and submiting projects to the Claims Systems team that can be reprocessed by auto adjudicating the claims through an electronic process in IDX

Required Skills:

• Bachelors degree
• Two years of experience processing claims with IDX platform
• Good interpersonal skills and strong decision making and organizational skills
• 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 to include 1500 professional forms and UB facility forms