Insurance Claims Specialist

2 days ago


Prescott Valley, Arizona, United States CommonSpirit Health Full time
CommonSpirit Health is a leading healthcare provider with a mission to build healthy communities and advocate for those in need. We are seeking a skilled Insurance Claims Specialist to join our team.

**Job Summary:**

As an Insurance Claims Specialist, you will be responsible for resolving denials and correspondence in a timely manner. You will work closely with team members, third-party payers, and other medical center personnel to achieve department and hospital goals.

**Key Responsibilities:**

* Utilize the collection tool and policies and procedures to resolve accounts receivable and denials
* Post adjustments for account reconciliation and resolution
* Rebill accounts and post payments as required
* Understand contracts and payer-specific guidelines to ensure timely follow-up
* Maintain and facilitate communication within the business and clinical divisions
* Respond professionally to telephone, email, and task inquiries
* Participate in collector meetings, performance improvement activities, and committees as assigned

**Requirements:**

* High school graduate or GED
* One year of clerical experience in an office setting; hospital or clinic collection experience preferred
* Knowledge of coding rules and guidelines and the ability to interpret EOBs
* Excellent interpersonal skills and the ability to communicate effectively
* Excellent organizational skills and the ability to handle multiple priorities simultaneously
* Ability to maintain attention to detail
* Basic computer literacy and proficiency in Microsoft Windows
* Basic proficiency with MS Office (Outlook, Word, Excel)

**Pay Range:**

$21.40/hour

We are an equal opportunity/affirmative action employer.

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