SUMMARY
Researches insurance claim denials, determines the validity of the claim and when appropriate is responsible for adjusting and resubmitting the claims via multiple methods.
ESSENTIAL FUNCTIONS AND RESPONSIBILITIES
- Researches denial of claims, evaluates and rebills as necessary in an effort to ensure the maximum accurate payment and reduce the number of A/R days
- Communicates with Business Office or clinical staff regarding coverage and denials, if appropriate
- Sustains aged A/R of less than 120 days
- Maintains a high level of integrity and commitment to accurate claims processing
- Performs other duties as required
QUALIFICATIONS
- One year of experience with insurance billing and claims research preferred
- High school or equivalent with emphasis on business related courses
- Ten key, computer/data entry, spreadsheets, and word processing
- Communication, analytical and problem solving skills
- Ability to multi-task and meet deadlines
- Detail oriented and organizational skills
- Excellent verbal and written communication skills
- Ability to work independently and collaboratively within a team environment
- Commitment to the mission of Red Rock BHS
PHYSICAL REQUIREMENTS
- Must have the ability to stand or sit for long periods of time
- Must have the ability to lift, push, or pull a minimum of 25 pounds
- Ability to travel approximately 10% of the time
- Ability to use telephone, PC, fax machine, copy machine, and printer
HOW WE TAKE CARE OF YOU!
- We pay a generous portion of your Health Insurance
- Low-cost Dental and Vision Insurance
- Retirement Plan with employer contributions equal to 5% of annual salary
- Student Loan Repayment options
- No cost Employee Assistance Plan
- 3 Weeks Paid Time-Off (increases annually between years 2-10)
- 9 Paid Holidays
- 1 Floating Holiday to use at your discretion.
- 4 Rest and Relaxation days
- 3 days of Education Leave
- 4 hours of Volunteer Leave
- Eligible for Pay Increases and Bonuses annually
- Employer Paid Long-Term Disability and Life Insurance
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
Red Rock Behavioral Health Services does not discriminate based on race, color, national origin, religion, gender, gender identity, age, marital/familial status, sexual orientation, or disability.
