Medical Claims Specialist

Resilient Health; Phoenix (AZ); On-site; USD 80,000 - 100,000; Full time

Job summary

Join Resilient Health as a Medical Claims Specialist, where you will be responsible for managing healthcare claims processes, verifying insurance eligibility, and ensuring accurate submissions. This role offers a competitive hourly wage and is positioned in a supportive environment focusing on employee growth and work-life balance.

Benefits

Generous PTO (3.5 weeks off your first year)

14 paid holidays

403(b) with company match

Medical/Dental/Vision insurance

Life insurance

Qualifications

• Minimum of one year of experience in a healthcare claims setting.
• Valid driver's license and Fingerprint Clearance Card required.
• Experience with EHR and billing functions is necessary.

Responsibilities

• Verifies insurance eligibility and processes healthcare claims.
• Analyzes and resubmits denied claims to insurance.
• Maintains confidentiality of claims information.

Skills

Attention to Detail

Analytical Skills

Education

High School Diploma or equivalent

Associate's degree in Medical Billing & Coding

Tools

EHR Systems

Computerized Billing Functions

Job description

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Are you doing what you love? We are!

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

Are you doing what you love? We are!

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

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

If this resonates with you, then read on!

About Our Claims Specialist

Our Claims Specialist aids in the day-to-day operations of the claims department by gathering information and processing medical and psychiatric healthcare claims.

What a Claims Specialist Does At Resilient Health

• Verifies insurance eligibility
• Scrubs claims for accuracy
• Analyzes, researches, and resubmits denied claims
• Posts payments to participant accounts
• Corresponds regularly with all payers regarding claims
• Ensures all claims information remains confidential
  
  

Requirements For This Position

• High School Diploma or equivalent required
• Minimum of one year of experience in a healthcare claims setting, preferably in a behavioral health organization
• Associate's degree in Medical Billing & Coding, CPC certification, or suitable experience required
• Experience with EHR and computerized billing functions required
• Valid driver's license
• 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
  
  

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

What This Position Pays: $18.00 - $21.00 per hour, depending on education and/or experience

Our Perks

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

If all of this sounds like something you were born to do, then we would love to hear from you!

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

Resilient Health 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.

Seniority level

• Seniority level

  Entry level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Finance and Sales

• Industries

  Health, Wellness & Fitness

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