Medical Claims Technician I

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.