Claims Resolution Specialist

2 weeks ago


Tempe Arizona, United States Mindful Support Services Full time

Compensation: From $20-25 per hour DOE

Are you seeking a position that not only challenges you but also equips you with valuable skills for your career? If you thrive in a dynamic and supportive environment, you are in the right place.

About Mindful Support Services:
We are dedicated to empowering therapists, psychologists, and nurse practitioners to engage in private practice while alleviating the burdens of administrative tasks.

Since our inception, we have provided top-notch billing, marketing, and administrative services to independent mental health care providers across the Pacific Northwest. Our growth has been significant, having partnered with numerous providers across multiple locations.

Position Overview:
The Claims Resolution Specialist plays a crucial role in managing rejected claims, processing insurance payments, and addressing outstanding insurance balances. Ideal candidates will possess a solid understanding of medical billing principles, exhibit exceptional attention to detail, and demonstrate effective collaboration skills.

Key Responsibilities:

  • Engage with insurance companies and utilize payer portals to address claim denials.
  • Focus on resolving denials and outstanding claims over 120 days.
  • Communicate effectively with providers regarding the status of pending insurance balances.
  • Investigate and submit claims that cannot be electronically transmitted to insurers.
  • Resolve issues related to claims that are electronically rejected by payers.
  • Process and record insurance payments accurately.
  • Collaborate with team members to achieve departmental objectives and complete daily tasks.

Qualifications:

  • Proficient communication skills to interact professionally with management, staff, and insurance representatives.
  • Minimum of one year of experience in:
    • Resolving outstanding medical insurance accounts receivable by researching unpaid claims through insurance calls and portal navigation.
    • Submitting claims for reprocessing, corrections, and appeals.
    • Navigating various commercial insurance providers such as Blue Cross/Blue Shield, Aetna, Cigna, and Optum.
    • Utilizing an EHR system and the Microsoft Office suite, including Excel and Outlook.
    • Posting medical insurance payments within an EHR system.
    • Interpreting clearinghouse data and addressing rejected claims.
    • Experience in behavioral health medical billing is preferred.
    • Familiarity with Apple computers and macOS is preferred.
    • Experience with AdvancedMD is preferred.

Benefits:
We offer our full-time employees:

  • Competitive hourly wage from $20-25 DOE.
  • 75% coverage of health, dental, and vision insurance.
  • 12 PTO days accrued annually in the first year.
  • 4 paid holidays each year.
  • 401k matching.
  • Life insurance.
  • Opportunities for professional development and career advancement.

We are an equal opportunity employer committed to fostering a progressive workplace grounded in teamwork, integrity, and exceptional customer service. We prioritize the long-term professional growth of our team members. A background check is required for employment.



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