Top 13 Claims processor Jobs in Arizona

Claims Processor
Banner Health —Arizona
- $18.02 - $27.03 an hour
- Part-time
- Remote
- Research
- Mid-level
- Organizational skills
14h
Mailroom Document Processor/Scanner Operator - Part Time
Smart Data Solutions LLC —Tempe, AZ
- $15.15 - $17.00 an hour
- Part-time
- Computer literacy
- Office
- Organizational skills
- Paid holidays
- Disability insurance
Quick Apply
Operations Processor - Debit Fraud Case Processing
U.S. Bank National Association —Tempe, AZ
- $20.00 - $22.50 an hour
- Full-time
- Research
- Mid-level
- Office
- Paid holidays
- Disability insurance
6d
Billing Processor
CODAC HEALTH RECOVERY & WELLNESS INC —Tucson, AZ
- Full-time
- Bilingual
- Microsoft Access
- Computer literacy
Security Officer - Access Processor
Allied Universal —Phoenix, AZ
- $20 an hour
- Full-time
- 18 years or older
- Customer service
- Pass drug screening
- Paid training
- AD&D insurance
Quick Apply
1d
Dental Insurance Claim Processor
Comfort Dental East Mesa —Mesa, AZ
- Full-time
- Dental office
- Mid-level
- Organizational skills
- Dental insurance
- Paid time off
Quick Apply
Claims Processor
Amwins —Scottsdale, AZ
- Hybrid work
- Microsoft Excel
- Microsoft Outlook
- Mid-level
- Paid holidays
- Paid time off
Quick Apply
10d

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Claims Representative
Seaview Insurance Company —Phoenix, AZ
In this role, you will investigate and manage auto insurance claims, helping customers recover quickly after accidents. Medical, dental, and vision insurance.
$55,000 - $75,000 a year
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Claims Analyst - REMOTE
Ryder System —Phoenix, AZ
Interacts with Law Department on significant cases, and updates field operations personnel on claim status. Investigates and adjusts claims, as well as directs…
$90,000 - $100,000 a year
5d

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Claims Processor

Banner Health -
Arizona

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Job Details

Part-time
$18.02 - $27.03 an hour
14 hours ago

Qualifications

Medical billing and coding data entry
Health insurance policy knowledge
CMS
CMS regulatory compliance
Centers for Medicare & Medicaid Services (CMS) billing regulations
Medicaid regulations
Medical claims submission

Full Job Description

Department Name:

Banner Staffing Services-AZ

Work Shift:

Day

Job Category:

Finance

A rewarding career that fits your life. As an employer of the future, we are proud to offer our team members many career and lifestyle choices including remote work options. If you’re looking to leverage your abilities – you belong at Banner Health.

As a Claims Processor, your responsibilities will include processing new age claims (according to guidelines) and keeping them under 30 days along with aging reports and processing. Knowledge and understanding of contracts with providers, CPT/HCPCS, excel, CMS 1500 form and UB-92 form will be helpful in this role. You will submit service requests for claim updates or needs to complete the claim. You will participate in team activities and assist with processing 175-200 claims per day for CMS with 95% or better QA. Logging claims for claims escalations and helping helping others reach the team goals. Hours of operation are 6AM-5:30PM Monday - Friday, your schedule can be chosen hours once you complete training/ramp.

POSITION SUMMARY
This position, under general direction, will provide support to the claims department leadership team, trainer/auditors and systems team to ensure the department’s compliance goals are met.

CORE FUNCTIONS
1. Data-enters and adjudicates internal and external claims on a timely basis in accordance with departmental policies, procedures and standards.

2. Researches resubmitted or corrected claims and pend appropriately. Adheres to governmental guidelines for processing claims.

3. Refers fee schedule, vendor contract, plan problems or concerns to manager or senior level processors for intervention. Enters Siebel requests for provider updates, medical review, enrollment review, and coding review. Trouble shoots, identifies, and resolves special handling requirements related to pricing, contracting, and system issues. Processes CMS 1500 and/or UB04 claims.

4. This position works under supervision, prioritizing data from multiple sources to provide quality care and support. Incumbents work in a fast-paced, sometimes stressful environment with a strong focus on customer service. Interacts with staff at all levels throughout the organization.

MINIMUM QUALIFICATIONS

Knowledge, skills and abilities typically obtained through two years of medical billing or claims processing experience or proven ability to be successful in this position.

Knowledge of CPT-4, ICD-9, and HCPCS codes, and CMS 1500 and/or UB04 forms. Good interpersonal skills, strong decision making skills.

Knowledge of Health Plan policies and/or AHCCCS regulations and IDX system. Ability to meet minimum production standards, research and process complex claims.

PREFERRED QUALIFICATIONS

Two years of IDX claims system experience preferred.

Additional related education and/or experience preferred.

Estimated Pay Range:

$18.02 - $27.03 / hour Banner Health is committed to pay equity and transparency. The posted compensation range is a reasonable estimate that extends from the lowest to the highest pay Banner Health in good faith believes it might pay for this particular job, based on the circumstances at the time of posting. This range is based on possible base salaries and does not include the value of our total rewards package. Actual pay determined at offer will be based on years of relevant work experience, education, certifications, skills, and geographic location, along with a review of current employees in similar roles to ensure pay equity is achieved and maintained.

EEO Statement:

EEO/Disabled/Veterans

Our organization supports a drug-free work environment.

Privacy Policy:

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Refine Your Search

claims processor jobs in arizona

Claims Processor

Mailroom Document Processor/Scanner Operator - Part Time

Operations Processor - Debit Fraud Case Processing

Billing Processor

Security Officer - Access Processor

Dental Insurance Claim Processor

Claims Processor

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