Intermountain Centers is committed to the safety and well-being of our employees, our members, and the communities we serve and, as such, we require all employees to be fully vaccinated from the COVID-19 virus. Proof of full vaccination status is required prior to the start of employment. General Summary: Under direction of the Claims Manager, the Claims Specialist is responsible for performing all levels of claims processing and review. JOB RESPONSIBILITIES:Claims submission to Commercial plans, AHCCCS and Regional Behavioral Health Authority (RBHA), both contracted and non-contracted, for final resolution.Ensures accurate and timely filing.Reprocessing of denied claims with follow up to paid resolution/adjustment.Recognizing and reporting trends Validates NPI/Tax IDValidates payor ID Works with EVOLV systems and Internal Departments. COB/TLP claims processing. Appeals and Grievances.Self-pay plan review/billing. Payment posting. Produces reports for internal and external customers and assists in the preparation of presentations for upper management and providers.Communicates with Insurance representatives for updates and changes Via phone/WebEx/trainings.Responds to questions/situations regarding claims issues and provides information and resolution to the provider’s satisfaction.Attends meetings related to the claims system.Completes EVOLV trainings.Maintains current knowledge of Billing Rules and Guidelines.Knowledge of CPT, ICD-10, HCPC codes/coding.Maintains an approved schedule and acceptable level of attendance. Performs other duties as assigned or necessary it relates to the general nature of the position. QUALIFICATIONS: Education – High School diploma or GED required. Experience – 5 years of claims processing experience preferred. Behavioral health billing experience preferred. Certification - Certified Professional Coder or AAPC/AMA Certification preferred. REGULATORY:Minimum 21 years of ageDPS Level I fingerprint clearance (must possess upon hire and maintain throughout employment)CPR, First Aid, AED certification, if required (must possess upon hire and maintain throughout employment).Current, valid Arizona Driver’s License and 39-month Motor Vehicle Report and proof of vehicleregistration liability insurance to meet insurance requirements, if required.Initial current negative TB test result, if required(Employer provides).Questions about this position? Contact us at HR@ichd.net.