Claims Adjuster - Dignity Health : Job Details

The Claims Adjuster is responsible for reviewing, analyzing, and processing healthcare claims to ensure timely and accurate payment. This role involves assessing claims for compliance with established policies, procedures, and regulatory requirements, and identifying potential discrepancies or issues. The Claims Adjuster will work closely with providers, patients, and internal departments to resolve claim issues and maintain a high level of service. Qualifications. Minimum Qualifications:High School Diploma/ GED - High school diploma or equivalent. Minimum of 2 years of experience in healthcare claims processing, billing, or a related field. Knowledge of medical terminology, CPT, ICD-10, and HCPCS coding. Familiarity with claims management software and electronic health records (EHR) systems. Preferred Qualifications:Experience with Medicare and Medicaid claims. Certification in medical billing or coding (e.g., CPC, CCS). Associates or Bachelors degree in healthcare administration, b...Claims, Adjuster, Healthcare, High School, Insurance