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

• 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 assigned

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

Benefits (Full-Time Staff Only)

• 95% Employer Paid Health Insurance Plan
• Dental Insurance
• Vision Insurance
• Some Positions Qualify for NHSC Student Loan Repayment
• 403B Retirement Plan with 5% Employer Contribution
• Annual Professional Growth Funds
• 3 Weeks Paid Time-off 
• Employer Paid Life Insurance and Long Term Disability

All Red Rock BHS employees are required to be fully vaccinated, as per Centers of Medicare and Medicaid Services Standards, unless otherwise exempt.

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.