Job Description

***At this time, Ingenium Talent is not able to work with third-party partners or provide sponsorship for this opportunity. Qualified candidates must be authorized to work in the US without sponsorship***

Ingenium Talent, a leading national recruiting and search firm, is currently working with a Phoenix-area healthcare employer in their search for a Healthcare Claims Analyst. This is an onsite contract role at our client's location . Ingenium Talent provides competitive pay and benefits to all of our contract employees.

Our client is looking for a goal-oriented individual who will be responsible for consistently following up on unpaid claims and filing appeals when appropriate to obtain maximum reimbursement.

Essential Job Responsibilities:

• Analyze claims for assigned payor sources and follow up on all outstanding claims.
• Provide research information for claims designated on the critical accounts list, comments required monthly, prior to Critical Account calls.
• Provide research comments on Monthly Allowance tracking
• Rebill claims for any outstanding AR that is collectible.
• Provide detailed comments in the collections management software, including payment date if applicable.
• Field questions throughout the month regarding revenue and aging issues.
• Maintain open communication.
• Process cash transfer and check requests to processor.
• Perform timely follow up on insurance claim denials.
• Read and interpret insurance explanation of benefits/remits.
• Respond to inquiries from insurance companies, patients, and providers.
• Regularly attend monthly staff meetings and continuing educational sessions as requested.

Experience:

• 2+ years of long-term healthcare collections, private insurance and/or federally funded programs.
• Experience researching aging's and claims preferred.
• Experience reading and understanding remits (explanation of benefits) for denial reasons and resolution.
• Computer experience is essential, including, but not limited to Excel spreadsheets, Outlook, Microsoft Teams.
• Excellent customer service skills.
• Strong written and verbal communication skills.
• Ability to manage relationships with insurance payers.
• Experience filing claim appeals with insurance companies to ensure maximum entitled reimbursement.
• Responsible use of confidential information and HIPAA policies.
• Perform to company standards of compliance with policies and procedures.

Qualifications:

• Must comply with HIPPA regulations.
• Must have strong/professional communication skills (email and phone).
• Attention to detail.
• Must be able to prioritize demands of the job duties.
• Must understand conditions of payment.
• Must have strong Microsoft Excel skills.
• Self-starter and ability to work independently and as part of a team.
• Minimum High School diploma or equivalent, associate degree or higher preferred

All qualified candidates are encouraged to apply today!

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