Insurance Claims Researcher
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 preferredHigh school or equivalent with emphasis on business related coursesTen key, computer / data entry, spreadsheets, and word processingCommunication, analytical and problem solving skillsAbility to multi-task and meet deadlinesDetail oriented and organizational skillsExcellent verbal and written communication skillsAbility to work independently and collaboratively within a team environmentCommitment to the mission of Red Rock BHSPhysical Requirements
Must have the ability to stand or sit for long periods of timeMust have the ability to lift, push, or pull a minimum of 25 poundsAbility to travel approximately 10% of the timeAbility to use telephone, PC, fax machine, copy machine, and printerHow We Take Care Of You!
We pay a generous portion of your Health InsuranceLow-cost Dental and Vision InsuranceRetirement Plan with employer contributions equal to 5% of annual salaryStudent Loan Repayment optionsNo cost Employee Assistance Plan3 Weeks Paid Time-Off (increases annually between years 2-10)9 Paid Holidays1 Floating Holiday to use at your discretion.4 Rest and Relaxation days3 days of Education Leave4 hours of Volunteer LeaveEligible for Pay Increases and Bonuses annuallyEmployer Paid Long-Term Disability and Life InsuranceEqual 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.