Behavioral Health Claims Specialist

4 weeks ago


Prescott, Arizona, United States Billing Solutions Full time
Job Overview

Billing 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 document denied claims in a thorough and professional manner.
  • Analyze denied claim explanation of benefits and insurance carrier contacts.
  • Compose correspondence in accordance with regulatory requirements.
  • Maintain tracking system of correspondence and outcomes for appeals.
  • Maintain well-organized and accurate files for all appeals.

Requirements:

  • Experience appealing denied insurance claims for out-of-network providers.
  • Computer literacy and proficiency in Microsoft Excel and Word.
  • Understanding of state and regulatory grievance and confidentiality regulations.
  • Excellent verbal and written communication skills.


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