Claims Support Specialist

Resilient Health; Phoenix (AZ); On-site; USD 15,000 - 26,000; Full time

Benefits offered by this job

PTO 3.5 weeks first year

14 paid holidays

403(b) with company match

Disability insurance

Life insurance

Employee assistance program

Voluntary insurance

Job summary

Resilient Health in Phoenix, AZ is seeking a Claims Support Specialist to provide essential administrative support for the claims department and accounts receivable system. You will handle eligibility processing and maintain participant insurance records, coordinating with clinical staff to ensure accurate benefits.

The role requires a high school diploma, healthcare administrative experience, and familiarity with EHR.

Qualifications

• Minimum of two years experience providing administrative support in a healthcare setting, preferably in a behavioural health organization.
• Familiar with EHR and computerized billing/eligibility functions.
• Valid Fingerprint Clearance Card or ability to obtain within 90 days of hire.
• Three-year Motor Vehicle Record that meets our auto insurance carrier's coverage requirements.

Responsibilities

• Process 270/271 eligibility files within Clearinghouse and EHR.
• Update participant insurance in the EHR to reflect changes received in eligibility files.
• Report eligibility changes to Benefits Specialist and Clinical Staff to reassess benefits with participants as needed.
• Submit medical records to payers as required for claim processing.
• Submit authorization requests to payers, as needed.
• Organize and distribute incoming mail for the claims department.
• Provide administrative support for the claims department.
• Consistently meet established performance expectations, including quality, productivity, and adherence to company policies, procedures, and standards.

Job description

Why? At our core, we are aresiliency-building company. Our purpose is to unleash the power of ouremployees and participants to create a resilient world, one person at a time.

As an innovative, learningand collaborative organization, every position contributes to this purpose andour employees are the heart of who we are. We support healthy work/life balancefor our employees and invest in their potential through opportunities forcontinual learning and growth.

If this resonates with you,then read on!

Aboutour Claims SupportSpecialist:

The Claims Support Specialist will provide administrative support for the day-to-day operations of the claims department and accounts receivable system.

What a Claims SupportSpecialist Does at Resilient Health:

• Process 270/271 eligibility files within Clearinghouse and EHR
• Update participant insurance in the EHR to reflect changes received in eligibility files
• Report eligibility changes to Benefits Specialist and Clinical Staff to reassess benefits with participants as needed
• Submit medical records to payers as required for claim processing
• Submit authorization requests to payers, as needed
• Organize and distribute incoming mail for the claims department
• Provide administrative support for the claims department
• Consistently meet established performance expectations, including quality, productivity, and adherence to company policies, procedures, and standards

Requirementsfor This Position:

• High School Diploma or equivalent required
• Minimum of two years experience providing administrative support in a healthcare setting, preferably in a behavioural health organization
• Familiar with EHR and computerized billing/eligibility functions
• Valid Fingerprint Clearance Card or ability to obtain within 90 days of hire
• Three-year Motor Vehicle Record that meets our auto insurance carrier's coverage requirements

WhereYou Will Be Working: 2255 W. Northern Ave., Phoenix AZ 85021

WhatThis Position Pays:Up to$19.00 per hour, depending on experience

• Exceptionally generous PTO (3.5 weeks offyour first year and rising in subsequent years)
• 14 paid holidays
• 403(b) with company match
• Voluntary short and long term disability insurance
• Life insurance
• Employee assistance program
• Voluntary insurance for critical illness,accident and hospitalization

In an effort to support our participants by setting healthy examples, all ResilientHealth campuses are smoke-free for employees.

ResilientHealth is an Equal Employment Opportunity employer and is dedicated to the principles of equal employment opportunity. Resilient Health will make reasonable accommodations for qualified individuals with known disabilities and for employees whose work requirements interfere with a religious belief.