Claims Support Admin

Top Job

Located in Phoenix, AZ

 

Job Summary:
The Claims Support Admin will provide administrative support for the day-to-day operations of the claims department and accounts receivable system.

 

Supervisory Responsibilities:

• None

Essential Duties/Responsibilities:

• Process 270/271 eligibility files within Clearinghouse and EHR
• Update participant insurance in the EHR to reflect changes received in eligibility files
• Report on eligibility changes to Benefits Specialist and Clinical Staff to reassess benefits with participants as needed
• Submit medical records to payers as required for claim processing
• Submit authorization requests to payers, as needed
• Organize and distribute incoming mail for the claims department
• Provide administrative support for the claims department
• Consistently meet established performance expectations, including quality, productivity, and adherence to company policies, procedures, and standards
• Perform other duties as required

Required Knowledge/Skills/Abilities:

• Knowledge of business equipment, computers, computer software and office procedures.
• Knowledge of database systems and word processing.
• Knowledge of computerized billing procedures and insurance eligibility verification processes.
• Intermediate skills in Microsoft Excel.
• Ability to perform effectively in an environment where attention to details and tasks is important.
• Ability to organize projects, prioritize workflow and complete multiple tasks simultaneously and accurately.
• Skilled in the preparation of accurate reports from file records and source material and ability to conduct special research as required.
• Ability to achieve a high degree of accuracy in data entry.
• Above average written and verbal communication skills, with emphasis on correct English grammar.
• Ability to exercise independent judgment, initiative and tact in dealing with management, supervisors, and staff.
• Ability to maintain confidentiality.

Education and Experience:

• High School Diploma or equivalent required
• Minimum of two years’ experience providing administrative support in a healthcare setting, preferably in a behavioral health organization
• Familiar with EHR and computerized billing/eligibility functions

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