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.