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Insurance Claims Processing Specialist
2 months ago
POSITION SUMMARY
The role involves investigating insurance claim rejections, assessing the legitimacy of claims, and when necessary, adjusting and resubmitting claims through various channels.
KEY RESPONSIBILITIES
- Investigates claim denials, analyzes and rebills as required to ensure optimal payment accuracy and minimize accounts receivable days.
- Engages with the Business Office or clinical personnel regarding coverage issues and claim denials when appropriate.
- Maintains aged accounts receivable to be less than 120 days.
- Upholds a strong commitment to integrity and precision in claims processing.
- Performs additional duties as assigned.
REQUIREMENTS
- Minimum of one year experience in insurance billing and claims analysis preferred.
- High school diploma or equivalent with a focus on business-related studies.
- Proficient in ten-key, computer/data entry, spreadsheets, and word processing.
- Strong communication, analytical, and problem-solving abilities.
- Capability to manage multiple tasks and adhere to deadlines.
- Detail-oriented with excellent organizational skills.
- Outstanding verbal and written communication skills.
- Able to work independently as well as collaboratively within a team setting.
- Dedicated to the mission of Red Rock BHS.
BENEFITS
- Generous health insurance contribution.
- Affordable dental and vision coverage.
- Retirement plan with employer contributions of 5% of annual salary.
- Options for student loan repayment.
- No-cost Employee Assistance Program.
- Three weeks of paid time off, increasing annually between years 2-10.
- Nine paid holidays.
- One floating holiday for personal use.
- Four Rest and Relaxation days.
- Three days of educational leave.
- Four hours of volunteer leave.
- Eligibility for annual pay increases and bonuses.
- Employer-paid long-term disability and life insurance.
- Hybrid work options available at select locations.
Equal Opportunity Employer
Red Rock Behavioral Health Services is committed to diversity and does not discriminate based on race, color, national origin, religion, gender, gender identity, age, marital/familial status, sexual orientation, or disability.
