Claims Specialist Tucson, AZ (Corporate-Bonita)
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Job Location:
Tucson, AZ - USA
Monthly Salary:
Not Disclosed
Posted on:
16 hours ago
Vacancies:
1 Vacancy
Job Summary
GENERAL SUMMARY: Under direction of the Claims Manager the Claims Specialist is responsible for performing all levels of claims processing and RESPONSIBILITIES:Claims submission to Commercial plans AHCCCS and Regional Behavioral Health Authority (RBHA) both contracted and non-contracted for final accurate and timely of denied claims with follow up to paid resolution/ and reporting trends Validates NPI/Tax IDValidates payor ID Works with EVOLV systems and Internal Departments. COB/TLP claims processing. Appeals and -pay plan review/billing. Payment posting. Produces reports for internal and external customers and assists in the preparation of presentations for upper management and with Insurance representatives for updates and changes Via phone/WebEx/ to questions/situations regarding claims issues and provides information and resolution to the providers meetings related to the claims EVOLV current knowledge of Billing Rules and of CPT ICD-10 HCPC codes/ 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 :Minimum 18 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 Drivers License and 39-month Motor Vehicle Report and proof of vehicle registration liability insurance to meet insurance requirements if current negative TB test result if required (Employer provides).Questions about this position Contact us
Required Experience:
IC
Key Skills
- Corporate Paralegal
- Baan
- IT Sales and Marketing
- Civil Quality Control
- Activex
- Jboss
About Company
Looking to build a lasting career? Join a team that is inclusive and embraces all individuals . Intermountain Centers is one of the largest statewide behavioral health and integrated care organizations in Arizona. What does building a lasting career look like? Top-level compensation p ... View more
