Adjuster Jobs in Santa ana ca

A company is looking for a Claims Adjuster to process medical claims accurately and efficiently.Key ResponsibilitiesProcess corrections to AHCCCS, Medicare, and commercial claims using the IDX systemServe as a liaison between departments to research and resolve claims-related issuesOrganize workload and maintain control of significant recoupments exceeding $50K per providerRequired QualificationsTwo years of experience in medical billing or claims processingKnowledge of Health Plan policies and regulations related to AHCCCS, Medicare, and commercial claimsFamiliarity with CPT-4, ICD-9, and HCPCS coding systemsExperience with CMS 1500 and UB04 claim formsTwo years of experience using the IDX platform is preferred