Job Number 211611 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
The Claims Department processes claims from all providers, contracted and non-contracted, as well as provides data to other departments, the state and federal entities and regulators, and Banner, as needed. Claim Adjuster, reviews resubmissions of AHCCCS, Medicare and ALTCS claims after detailed research. Reviews Claims data that drives many other processes due to the services provided for system enhancements/corrections. Additionally, technology platform support and adjudication system testing and enhancements and processes are supported and managed from within the claims department with assistance from other departments.
Knowledge, skills and abilities as normally obtained through two years of experience in medical claim processing
Requires good interpersonal skills and strong decision making and organizational skills
Excellent customer service skills, strong analytical, and written and verbal communication skills
Ability to work and prioritize multiple tasks and to use Microsoft Word and Excel
Monday-Friday; flexibility with start time
Full time, Day shift
2701 E Elvira
Tucson, AZ 85756
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.
Under general direction this position will provide support to the claims department leadership team, trainer/auditors and systems team to ensure the departments compliance goals are met.
Data-enters and adjudicates internal and external cl
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