Claims Specialist

Easter Seals Blake Foundation•Casa Grande, AZ

11d

About The Position

The Claims Specialist works with insurance carriers to ensure timely reimbursement of billed charges and claims. The role supports accounts receivable operations, reimbursement follow-up, financial reporting, audit preparation, and communication with payors, agency contacts, members, and external agencies. Easterseals Blake Foundation provides behavioral health, child welfare, and services for individuals with intellectual and developmental disabilities across Arizona. This position works in a normal office environment with frequent in-person, computer, and phone interruptions and interactions with employees and members of the public. Additional hours or days may be required depending on circumstances. The salary range is $19.00–$21.00, depending on education and experience.

Requirements

Associate’s degree in Accounting or Business Administration, or a high school diploma/GED and three years of accounts receivable experience.
At least 18 years of age.
Current, unrestricted Arizona driver’s license, with no more than two minor moving violations or one accident within the past three years.
Three years of driving experience.
Pass a criminal background check.
Ability to obtain and maintain an Arizona DPS Level 1 fingerprint clearance card; the employer provides it.
Ability to establish and maintain a team atmosphere of communication and collaboration.
Ability to maintain up-to-date guidelines in response to industry and payor demands.
Self-directed approach and sensitivity to cultural and linguistic diversity.
Excellent customer service in stressful situations.
Professional appearance, communications, and actions.
Excellent interpersonal and written communication skills.
High level of computer proficiency.
Ability to lift normal office equipment and materials up to 25 pounds, with or without accommodation.
Visual acuity to read information from computer screens and forms.
Ability to speak clearly and hear communications in person, by phone, or through other electronic methods.
Manual dexterity for typing and writing.
Ability to stoop, squat, reach, pull, push, stretch, use stairs, and stand or sit for long periods, with or without accommodation.
May need to work additional hours or days depending on circumstances.

Nice To Haves

Bilingual Spanish.

Responsibilities

Reconcile accounts receivable from the customer level to the general ledger.
Review revenue postings for accuracy as needed.
Review and prepare adjustment entries, including debit memos, credit memos, and journal entries.
Review the accounts receivable aging report weekly.
Review and maintain receivable payors in the EHR system.
Write appeals and correspond with assigned payors about reimbursement issues.
Work with Medical Billing to help ensure funds are received promptly.
Monitor resubmission of denied or rejected billings, including medical claims.
Prepare a weekly accounts receivable status report for assigned payors for management.
Research revenue transactions from financial statements for management.
Review files and financial data in preparation for the annual audit.
Assist with collections as needed.
Recommend accounts receivable process improvements.
Participate in ongoing professional development and meetings.
Maintain comprehensive communication with agency contacts, members, and external agencies.
Model professional standards and ethics in accordance with the EBF Code of Conduct, Strategic Plan, Mission, and Vision.
Perform other duties as assigned.