Independence Blue Cross · 15 hours ago
Claims Payment Adjuster
Philadelphia, Pennsylvania
Full-time
Onsite
Entry Level
1+ years expIndependence Blue Cross is seeking a Claims Payment Adjuster responsible for reviewing, adjudicating, and accurately processing claims. This role ensures timely and accurate claims payment while providing excellent service to providers, members, and internal stakeholders.
Health CareHealth InsuranceInsuranceMedical
Responsibilities
Review and adjudicate claims in accordance with policy benefits, payment methodologies, and contractual agreements
Identify and resolve claims discrepancies related to eligibility, coverage, coding, billing errors, and authorization requirements
Document claim decisions clearly and accurately within the claims processing system
Respond to provider and member inquiries regarding claim status, payment rationale, and benefit interpretation
Meet productivity, quality, and turnaround time standards established by the organization
Identify trends or recurring issues and escalate appropriately for process improvement
Qualification
Required
High school diploma or equivalent
Minimum 1–3 years of medical claims processing or claims payment experience
Working knowledge of medical terminology, benefit structures, and reimbursement methodologies
Proficiency in CPT, HCPCS, ICD-10, and basic medical billing concepts
Strong attention to detail with the ability to apply analytical and critical-thinking skills
Effective written and verbal communication skills
Ability to work independently and manage multiple priorities in a high-volume environment
Must have an Android or iOS device which is compatible with the free Microsoft Authenticator app
Company
Independence Blue Cross
The leading health insurer in southeastern Pennsylvania. It is a sub-organization of Independence Blue Cross.
5001-10000 employees
Funding
Current Stage
Late StageLeadership Team
Alexandra Jorgensen
Senior Vice President Human Resources
Joe Geist
SVP & Market President, National
Recent News
Home Health Care News
2026-01-14
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