Claims/AR Specialist

1 month ago


Prescott, United States Medusind Full time $22
At Medusind we take immense pride in offering superior, cost-effective solutions covering the whole spectrum of tasks and processes to the healthcare industry. A significant factor is that our workforce comes with rich domain expertise and robust compliance norms.

Our four-prong approach of an excellent management team coupled with a detailed eye for processes experienced manpower, and cutting-edge technology helps us deliver superior, cost-effective services to our clients across the globe.
Position Details: Fulltime, remote, $21.50 Hourly.

Primary Job Responsibilities:
  • Research and document denials in a thorough, professional, and expedient manner.
  • Analyze denied claim explanations of benefits, insurance carrier contacts, and general correspondence from insurance companies.
  • Request medical records from internal staff when needed.
  • Compose all correspondence in accordance with regulatory requirements, to reflect accurate appeal information in a clear, concise, grammatically correct format.
  • Maintain tracking system of correspondence and outcomes for appeals.
  • Maintain well-organized, accurate, and complete files for all appeals.
  • Monitor each appeal to ensure all internal and regulatory timelines are met.
  • Act as point of contact for submission and/or resolution of denial determinations and interfaces with insurance companies in regard to reconsiderations, disputes, and/or appeals.
  • Responsible for data collection and analysis regarding specific denial determinations and appeals.
  • Develop necessary policies and procedures and oversee quality assurance measures related to appeals.
  • Review denied claims looking for large trend issues.

Skill Requirements:
  • Must have experience appealing denied insurance claims for out-of-network providers (preferably in behavioral health).
  • Computer literacy and proficiency in programs such as Microsoft Excel and Word.
  • Understanding of state and regulatory grievance and confidentiality regulations.
  • Ability to handle confidential material with discretion and integrity.
  • Excellent verbal and written communication skills.
  • Ability to establish and maintain positive and effective work relationships with coworkers and clients.
  • Ability to work independently as well as in a team environment.


About Medusind:

Since 2002, organizations across the entire healthcare spectrum have leveraged our deep expertise and high-quality solutions to maximize revenue, reduce operating costs and navigate the changing healthcare landscape.Medusind’s unique combination of deep industry expertise, robust operational capability, and client-focused service significantly improves the efficiency and profitability of healthcare organizations. Client satisfaction is the primary focus of the Medusind leadership and staff.Our highly experienced personnel, cutting edge technology, and forward thinking approach allows us to deliver effective solutions while staying ahead of healthcare industry changes.


  • Claims Specialist

    1 month ago


    Prescott, Arizona, United States Medusind Full time

    Job SummaryWe are seeking a highly skilled Claims Specialist to join our team at Medusind. As a Claims Specialist, you will be responsible for researching and documenting denied claims, analyzing explanations of benefits, and composing correspondence in accordance with regulatory requirements.Key ResponsibilitiesResearch and document denied claims in a...


  • Prescott, Arizona, United States Billing Solutions Full time

    Job OverviewBilling Solutions is seeking a skilled Behavioral Health Claims Specialist to join our team. As a key member of our appeals team, you will be responsible for researching and documenting denied claims, analyzing explanation of benefits, and composing correspondence in accordance with regulatory requirements.Key Responsibilities:Research and...


  • Prescott, Arizona, United States Yavapai County Full time

    About the Position:As a key member of the Yavapai County team, the Accounting Specialist I will perform a wide range of accounting and clerical tasks to support the financial management and operations of the assigned department. This role requires a strong understanding of accounting principles, theories, and practices, as well as excellent communication and...


  • Prescott Valley, Arizona, United States CommonSpirit Health Full time

    Job Title: Cash Posting SpecialistOverview:CommonSpirit Health is a leading healthcare organization that provides comprehensive care to patients across the United States. As a Cash Posting Specialist, you will play a critical role in ensuring the accuracy and efficiency of our financial transactions.Responsibilities:Process and post payments to accounts...


  • Prescott Valley, Arizona, United States CommonSpirit Health Full time

    Overview:At CommonSpirit Health, we're committed to building healthy communities and advocating for those who are poor and vulnerable. As a Cash Posting Specialist, you'll play a critical role in achieving this mission by ensuring accurate and timely posting of payments to accounts receivable.Responsibilities:Post payments to accounts receivable using...


  • Prescott, Arizona, United States Yavapai County Full time

    About the Position:This role is responsible for performing complex accounting and clerical functions under general supervision. The ideal candidate will have expertise in a concentrated technical or specialized work area specific to the assigned department.Key Responsibilities:Process accounts payable by authorizing payment and entering payment information...


  • Prescott, United States Prescott Village Nursing & Rehabilitation Full time

    Benefits Offered:HealthcareDentalVisionPTO401KJob SummaryThe Payroll specialist will be responsible for carrying out facility payroll, human resources and benefit operations in accordance with company policies and procedures and applicable state and federal laws. Responsible for duties not limited to employee relations, benefits, compensation, leave of...


  • Prescott, United States Yavapai County Full time

    About the Position: Summary: Role Under general supervision, performs a wide variety of accounting and clerical work of routine to moderate difficulty supporting the financial management and operation specific to the assigned department. Major Duties, Responsibilities Performs accounting and bookkeeping operations unique to the division or...

  • Physician Advisor

    4 weeks ago


    Prescott, Arizona, United States Unavailable Full time

    Job Summary:Unavailable is seeking a Physician Advisor to promote evidence-based standards of medical care while maintaining appropriate utilization of hospital resources. This role plays a critical part in facilitating communication between the Department of Care Coordination, Medical Staff, Nursing Staff, and Administration regarding systems-based...


  • Prescott, United States Yavapai County Full time

    About the Position: Summary: Role Under general supervision, performs various complex accounting and clerical functions which requires expertise in a concentrated technical or specialized work area specific to the assigned department. Major Duties, Responsibilities Performs accounting and bookkeeping operations unique to the division or...

  • Physician Advisor

    4 weeks ago


    Prescott, Arizona, United States Dignity Health Full time

    Position Summary:As a Physician Advisor at Dignity Health, you will play a critical role in promoting evidence-based standards of medical care while maintaining appropriate utilization of hospital resources.This position emphasizes facilitating communication between the Department of Care Coordination, Medical Staff, Nursing Staff, and Administration...


  • Prescott, United States Love's Travel Stops Full time

    Req ID: 440589 Address: 116 Ron Herrod Rd. Prescott, AR, 71857 Welcome to Love’s! Where People are the Heart of Our Success Operations Manager Working at Love′s as an Operations Manager is a very different job. We work hard for our customers and our teams. As a manager at Love′s, we empower you to be owner-operators and allow you to manage all...