Insurance Claims Specialist

2 weeks ago


Glendale, Arizona, United States National Jewish Health Full time
Job Summary

We are seeking a highly skilled and detail-oriented Insurance Biller to join our team at National Jewish Health. As an Insurance Biller, you will play a critical role in ensuring the accurate and timely billing of patient receivables, while maintaining compliance with federal, state, and payor regulatory requirements.

Key Responsibilities
  • Execute daily procedures for patient accounting system downloads and claim editing software, working in rotation with other insurance billers.
  • Reconcile data from patient accounting systems to claim editing reports and resolve any discrepancies.
  • Identify and report system network problems to the Application Analyst or Supervisor.
  • Perform third-party payor billing using claims editing software, reviewing claims for accuracy and completeness.
  • Evaluate and research claims billing denials and reject reports, including pulling patient insurance information and verifying patient eligibility.
  • Maintain a current and thorough working knowledge of federal, state, and payor billing regulatory and compliance requirements.
  • Communicate regularly with the Patient Financial Services Supervisor or Manager regarding high-risk accounts.
Requirements
  • High school graduate or equivalent required; some college-level coursework preferred.
  • A minimum of two years of recent and related healthcare collection or billing experience required.
  • A minimum of one year of insurance billing, accounting, and customer service experience preferred.
What We Offer

At National Jewish Health, we offer a comprehensive benefits package, including medical plans, dental plans, vision insurance, retirement plan, FSA and HSA, short and long-term disability, life insurance, and AD&D. We also offer voluntary benefits, sick and vacation paid time off, wellness program, and legal plan.



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