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Claims Resolution Specialist

2 months ago

Prescott, Arizona, United States Medusind Full time
About the Role

We are seeking a highly skilled Behavioral Health Claims Specialist to join our team at Medusind. As a key member of our revenue cycle team, you will be responsible for researching and resolving denied claims in a timely and professional manner.

Key Responsibilities
  • Denial Research and Resolution: Conduct thorough research to identify the root cause of denied claims and work with insurance carriers to resolve issues in a timely manner.
  • Claim Analysis: Analyze denied claim explanations, insurance carrier contacts, and general correspondence to identify trends and areas for improvement.
  • Correspondence and Communication: Compose clear and concise correspondence to insurance carriers and internal stakeholders, ensuring accurate and timely communication.
  • Tracking and Record-Keeping: Maintain accurate and up-to-date tracking systems for correspondence and outcomes, as well as well-organized files for all appeals.
  • Quality Assurance: Develop and implement quality assurance measures to ensure compliance with regulatory requirements and internal policies.
Requirements
  • Experience: Minimum 2 years of experience in appealing denied insurance claims, preferably in behavioral health.
  • Skills: Excellent communication and analytical skills, with the ability to work independently and as part of a team.
  • Education: Bachelor's degree in a related field, such as healthcare administration or business.
About Medusind

Medusind is a leading provider of revenue cycle solutions to the healthcare industry. With a team of experienced professionals and a commitment to excellence, we help healthcare organizations maximize revenue, reduce costs, and navigate the complexities of the healthcare landscape.