Medical Claims Specialist

Resilient Health; Phoenix (AZ); On-site; USD 30,307 - 32,718; Full time

Benefits offered by this job

Generous PTO

14 paid holidays

403(b) with company match

Medical/Dental/Vision insurance

Voluntary short and long term disabil

Life insurance

Employee assistance program

Voluntary insurance for critical Illn,

Pet insurance

Job summary

Resilient Health in Phoenix, AZ is seeking a Claims Specialist to support the day-to-day operations of the claims department by gathering information and processing medical and psychiatric healthcare claims.

You will verify insurance eligibility, scrub claims for accuracy, analyze and resubmit denied claims, post payments to participant accounts, and correspond with all payers while keeping information confidential.

Qualifications

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

Responsibilities

• 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

Education

Associate's degree in Medical Billing & Coding

CPC certification

Tools

EHR systems

Billing software

Job description

Are youdoing what you love? We are!

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 Specialist:

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

What a Claims Specialist Does at Resilient Health:

• Verifies insurance eligibility
• Scrubs claims for accuracy
• Analyzes, researches, and resubmits deniedclaims
• Posts payments to participant accounts
• Corresponds regularly with all payersregarding claims
• Ensures all claims information remainsconfidential

Requirementsfor This Position:

• High School Diploma or equivalent required
• Minimum of one year of experience in ahealthcare claims setting, preferably in a behavioral health organization
• Associate's degree in Medical Billing& Coding, CPC certification, or suitable experiencerequired
• Experience with EHR and computerizedbilling functions required
  
• Valid driver's license
• Valid Fingerprint Clearance Card orability to obtain within 90 days of hire
• Three-year Motor Vehicle Record that meetsour auto insurance carrier's coverage requirements

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

WhatThis Position Pays: $22.00 - $23.75per hour, depending on education and/or experience

OurPerks:

• Exceptionally generous PTO (3.5 weeks offyour 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 allof this sounds like something you were born to do, then we would love to hearfrom you!

In aneffort 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.