Job Number 208234 Facility University Physicians Health Plans Shift Day Department University Physicians Health Plans - HP Statewide Claims Position Type FT: Full-Time Street Address 2701 E. Elvira Rd. City & State US-AZ-Tucson Posting Category Administrative / Clerical
Banner University of Arizona Health Plans is currently seeking a Claims Examiner to join the Claims Department! Come join our award-winning healthcare team!
Each Claims Processor processes 200 claims per day on average. At a production standard of 200 claims per day, a total of 7,800 claims per day or 156,000 claims per month can be processed. Current volumes require filling these positions to maintain compliance with regulatory standards as well as provider satisfaction. Claims payments also drive reimbursement from contracted entities (Medicare/Medicaid).
The examiner role looks at post completion results to determine accuracy of claims adjudication.
Monday-Friday, day shift
2701 E Elvira
Tucson, AZ 85756
Apply today and enjoy excellent total reward/benefits package!!
About University Physicians Health Plans The University of Arizona Health Plans (UAHP) manage a variety of health plans. Our mission is to advance health and wellness through education, research and patient care.
About Banner Health Banner Health is one of the largest, nonprofit health care systems in the country and the leading nonprofit provider of hospital services in all the communities we serve. Throughout our network of hospitals, primary care health centers, research centers, labs, physician practices and more, our skilled and compassionate professionals use the latest technology to make health care easier, so life can be better. The many locations, career opportunities, and benefits offered at Banner Health help to make the Banner Journey unique and fulfilling for every employee.
This position adjudicates medical and dental insurance claims in a timely and accurate manner for the full range of company insurance products. The work includes responsibilities such as claim processing, audit of processed claims, claim adjustments, recovery of funds, process events and customer service relating to claims.
Ensures adjudication of assigned medical claims in an accurate and timely manner to include the completion of adjustments, recovery of funds, member service incident reports, and the coordination of benefits.
Verifies adjudicate claim payments independently and in accordance with plan guidelines. Claim payments must be directed and approved by the Claims Manager prior to adjudication.
Provides timely and accurate information to plan members and provide
You want to change the health care industry – one life at a time. You belong here. You’re excited to be part of the dramatic changes happening in the health care field. In fact, you thrive on change. But you also understand that excellent, compassionate patient care is the true measure of the success of these changes. You belong at Banner Health. Our award-winning, comprehensive health system incl...udes 23 hospitals in seven western states, primary care health centers, research centers, labs, a network of physician practices and much more. Throughout our system, skilled, compassionate professionals use the latest technology to change the way care is provided. If you’re looking to be a key contributor to a forward-looking organization, you’ll experience a wide variety of professional advantages: •Our vision for changing the future of health care gives you the opportunity to leverage your abilities to achieve something historic. •Our expansive system offers you an unmatched variety of clinical settings – from large urban trauma center to small rural hospital, ambulatory to home health. Our system also includes hospitals specializing in cancer, heart health and pediatrics. •Our many locations also translate into a broad selection of exciting and rewarding lifestyle options – from the big city to the wide-open spaces. •Our commitment to healthcare innovation means you always have the latest technologies at your fingertips to help you provide the finest care possible. •The size, success and growth of our system provide you with the stability and options to pursue your desired career path. •Our competitive compensation and comprehensive benefits offer you options to complement your unique needs.