Claims Jobs in Chandler, AZ

Job Description

Job Description

Medical Claims Negotiator

Minimum of 5 years of experience in working medical appeals and negotiations processes

Onsite in Phoenix, AZ 85281

Pay : $54,000 - $65,000 per year

Schedule : 6 : 00a-4 : 00p (opportunity for flexibility)

Responsibilities :

Review denied or underpaid medical claims and determine appeal viability.

Investigate claim denials by analyzing medical records, policies, and coding guidelines.

Prepare and submit detailed appeal letters and supporting documentation.

Communicate with insurance companies, third-party payers, and providers to negotiate claim settlements.

Track and monitor appeal statuses to ensure timely resolution and escalate cases as needed.

Maintain accurate records of appeals, correspondence, and outcomes.

Collaborate with billing teams, medical staff, and legal departments to ensure compliance with payer policies and healthcare regulations.

Identify trends in denials and recommend process improvements to reduce future claim issues.

Stay up to date on healthcare policies, reimbursement guidelines, and industry best practices.

Requirements :

Minimum of 5 years of experience in working medical appeals, claims and negotiations processes

Medicare, Managed Care and Workers Comp experience

Experience in emergency medical is a plus!

Experience in medical billing and collections, with a strong understanding of coding, billing, and reimbursement processes.

Strong organizational and time management skills, with attention to detail and the ability to manage multiple tasks simultaneously.

Ability to work independently and as part of a team, with a positive attitude and a problem-solving mindset.

Proficient in using computer systems, including electronic health record (EHR) systems, and Microsoft Office Suite.

Benefit offerings include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits and 401K plan. Our program provides employees the flexibility to choose the type of coverage that meets their individual needs. Available paid leave may include Paid Sick Leave, where required by law; any other paid leave required by Federal, State, or local law; and Holiday pay upon meeting eligibility criteria.

Pay Details : $54,000.00 to $65,000.00 per year

Search managed by : Katherine Geanetta

Equal Opportunity Employer / Veterans / Disabled

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The Company will consider qualified applicants with arrest and conviction records in accordance with federal, state, and local laws and / or security clearance requirements, including, as applicable :

• The California Fair Chance Act
• Los Angeles City Fair Chance Ordinance
• Los Angeles County Fair Chance Ordinance for Employers
• San Francisco Fair Chance Ordinance