Senior Insurance A/R Specialist – Denials & Medicaid

Mindful Therapy Group; Seattle (WA); Vor Ort; USD 33.000 - 39.000; Vollzeit

Benefits dieser Stelle

Health insurance (75%)

PTO 15 days

6 paid holidays

401k matching

Life Insurance

Professional development

Zusammenfassung

Mindful Therapy Group in Seattle 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 not an entry-level billing role; the ideal candidate has at least two years of hands-on insurance A/R follow-up and claim-resolution experience, including outreach and denial management.

Qualifikationen

• At least 2 years of hands-on insurance A/R follow-up and claim-resolution experience in a healthcare billing environment.
• Hands-on experience with commercial insurance, Medicare, Medicaid, and managed Medicaid claims.
• Strong written and verbal communication skills with payer representatives, providers, managers and internal teams.
• Experience using an EHR or practice-management system, payer portals, clearinghouse tools, Excel and Outlook.
• Strong attention to detail, organization, follow-through, and documentation habits.

Aufgaben

• Independently manage outstanding insurance A/R focusing on denied, rejected, and aged claims (120+ days).
• Analyze denial reason codes, payer correspondence, eligibility/benefits, authorization requirements, and filing-limit concerns to determine next steps.
• Submit and track corrected claims, reprocessed claims, reconsiderations, appeals, and medical-record submissions as required by payers.
• Communicate with payer representatives to obtain claim status, denial details, payment information, and resolution commitments.
• Post insurance payments and adjustments accurately and maintain thorough documentation in the EHR and tracking tools.

Kenntnisse

Insurance A/R follow-up

Denial management

Payer outreach

Communication skills

Excel & Outlook

Tools

AdvancedMD EHR

Jobbeschreibung

Mindful Therapy Group in Seattle 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 not an entry-level billing role; the ideal candidate has at least two years of hands-on insurance A/R follow-up and claim-resolution experience, including outreach and denial management.