Insurance Follow Up Specialist - Seattle, WA

Mindful Support Services; Seattle (WA); Vor Ort; USD 33.000 - 39.000; Vollzeit

Benefits dieser Stelle

Health insurance (75% coverage)

PTO 15 days annually

6 paid holidays

401k matching

Life Insurance

Professional development

Zusammenfassung

Mindful Therapy Group is seeking an experienced claim specialist to independently resolve complex insurance balances, denials, and claim-processing issues across commercial, Medicare, and Medicaid payers. This is an in-office role at our Northgate headquarters in Seattle, Mon-Fri, 8:30am-5:00pm.

The ideal candidate has at least two years of hands-on insurance A/R follow-up and denial management, with experience in payer outreach, portal research, and appeals.

Qualifikationen

• At least two years of direct medical insurance A/R follow-up experience.
• Experience resolving commercial, Medicare, and Medicaid claims.
• Proficient with payer portals and claim documentation.

Aufgaben

• Independently pursue outstanding insurance A/R with a focus on aged, denied, and rejected claims.
• Analyze denial reason codes, payer communications, eligibility, and authorization requirements to plan next steps.
• Submit and track corrected claims, reconsiderations, and appeals with supporting documentation.
• Communicate claim status to providers and internal teams clearly and professionally.
• Post insurance payments and adjustments accurately; ensure remittance alignment.
• Maintain thorough documentation in the EHR (AdvancedMD) and tracking tools.

Kenntnisse

Insurance A/R follow-up

Denial management

Payer outreach

Claims research

Appeals & reconsiderations

Escalation of payer issues

Tools

AdvancedMD

Excel

Outlook

Jobbeschreibung

Job Type:

This position is fully in-office at our Northgate headquarters.

Monday-Friday, 8:30am-5:00pm

Salary:

$24-$28/ hourly depending on experience

About the Company

Mindful Therapy Group is a company dedicated to empowering therapists, psychologists and nurse practitioners to dive into private practice, without doing all of the leg work that comes with it. We provide high-quality billing, marketing, and administrative services to independent mental health care providers. Since opening in 2011, we have partnered with over 2,300 providers throughout our 25+ locations, and we are continuing to grow!

About the role:

We are seeking an experienced claim specialist to independently resolve complex outstanding insurance balances, denials, and claim-processing issues across commercial, Medicare, and Medicaid payers.

This is not an entry-level billing or payment-posting role. The ideal candidate has at least two years of hands‑on insurance A/R follow‑up and claim‑resolution experience, including direct payer outreach, portal‑based research, denial management, corrected claims, reconsiderations, appeals, and escalation of recurring payer or workflow issues. They are comfortable taking ownership of a claim from initial denial or nonpayment through final resolution.

We are especially interested in candidates with substantial experience working Washington Medicaid claims, eligibility, authorization‑related denials, managed‑care plans, and state‑specific billing or reimbursement requirements.

Responsibilities include:

• Independently work outstanding insurance A/R, with a focus on denied, rejected, and aged claims, including balances aged 120+ days.


• Analyze denial reason codes, payer correspondence, eligibility andbenefitsinformation, authorization requirements, coding or claim‑edit issues, and filing‑limit concerns todeterminetheappropriate nextaction.


• Submit and track corrected claims, reprocessed claims, reconsiderations, appeals, medical‑record submissions, and other payer‑required documentation.


• Navigate commercial payer portals and communicate directly with payer representatives to obtain claim status, denial details, payment information, and resolution commitments.


• Communicate claim status, documentation needs, and action items to providers and internal partners in a clear, professional, solutions‑focused manner.


• Post insurance payments and adjustments accurately when assigned, including ensuring payment activity aligns with remittance advice and claim‑resolution outcomes.


• Maintain thorough, actionable documentation in theEHR (AdvancedMD)and related tracking tools so other team members can easily understand the claim history and next steps.

Qualifications:

• At least2 years of direct medical insurance A/R follow‑up and claim‑resolution experiencein a healthcare billing environment.


• Hands-on experienceworkingcommercial insurance, Medicare, Medicaid, and managed Medicaid claims.


• Strong written and verbal communication skills, with the ability to communicate professionally and effectively with payer representatives, providers, managers, and internal teams.


• Experience working in an EHR or practice‑management system, payer portals, clearinghouse tools, Microsoft Excel, and Outlook.


• Strong attention to detail, organization, follow‑through, and documentation habits.

Preferred Qualifications:

• Experience resolving Washington Medicaid denials involving eligibility, managed‑care enrollment, authorizations, provider enrollment, billing requirements, reimbursement, or claim‑processing rules.


• Behavioral health billing and insurance A/R experience.


• Experience withAdvancedMDor a similar behavioral health EHR/practice‑management platform.


• Experience with payer portals for regional and national commercial payers, including Blue Cross Blue Shield plans, Aetna, Cigna, Optum/UnitedHealthcare, Medicare contractors, and Medicaid managed‑care organizations.


• Experience working with Apple computers and macOS.

We provide our full‑time employees with:

• 75% coverage of health, dental, and vision insurance


• 15 PTO days accrued annually in first year


• 6 paid holidays per year


• 401k matching


• Life Insurance


• Professional development training and opportunities for advancement

We are an equal opportunity employer with a progressive workplace based on teamwork, integrity, and customer service. We are committed to cultivating the long‑term professional potential of our team. Applicants from all fields are encouraged to apply. Background check required. Come join a strong team making an impact in the service world of mental health!

It is a conflict of interest for an employee of Mindful Support Services to be a current client of Mindful Therapy Group. We request that individuals who are receiving clinical services at Mindful Therapy Group wait until their care is discontinued before beginning employment.