Healthcare Claims Support Specialist - Generous PTO

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

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.