Insurance Follow Up Specialist - Goodyear, AZ

Mindful Support Services•Seattle, WA

1d•$20 - $25•Onsite

About The Position

Mindful Therapy Group is seeking an experienced claim specialist to independently resolve complex outstanding insurance balances, denials, and claim-processing issues across commercial, Medicare, and Medicaid payers. This is not an entry-level billing or payment-posting role. The specialist takes ownership of claims from initial denial or nonpayment through final resolution, with particular interest in substantial experience working Washington Medicaid claims, eligibility, authorization-related denials, managed-care plans, and state-specific billing or reimbursement requirements. The position is fully in-office at the Goodyear, Arizona office, Monday through Friday, 8:30 a.m. to 5:00 p.m. Compensation is $20–$25 per hour, depending on experience. A background check is required. Employees receiving clinical services at Mindful Therapy Group are asked to wait until their care is discontinued before beginning employment because of a conflict of interest.

Requirements

At least 2 years of direct medical insurance A/R follow-up and claim-resolution experience in a healthcare billing environment.
Hands-on experience working commercial insurance, Medicare, Medicaid, and managed Medicaid claims.
Strong written and verbal communication skills and the ability to communicate professionally with payer representatives, providers, managers, and internal teams.
Experience using an EHR or practice-management system, payer portals, clearinghouse tools, Microsoft Excel, and Outlook.
Strong attention to detail, organization, follow-through, and documentation habits.

Nice To Haves

Behavioral health billing and insurance A/R experience.
Experience with AdvancedMD or a similar behavioral health EHR or practice-management platform.
Experience with payer portals for regional and national commercial payers, including Blue Cross Blue Shield plans, Aetna, Cigna, Optum/UnitedHealthcare, Medicare contractors, and Medicaid managed-care organizations.
Experience working with Apple computers and macOS.
Substantial experience with Washington Medicaid claims, eligibility, authorization-related denials, managed-care plans, and state-specific billing or reimbursement requirements.

Responsibilities

Independently work outstanding insurance accounts receivable, focusing on denied, rejected, and aged claims, including balances aged 120 or more days.
Analyze denial reason codes, payer correspondence, eligibility and benefits information, authorization requirements, coding or claim-edit issues, and filing-limit concerns to determine the appropriate next action.
Submit and track corrected claims, reprocessed claims, reconsiderations, appeals, medical-record submissions, and other payer-required documentation.
Navigate commercial payer portals and communicate directly with payer representatives to obtain claim status, denial details, payment information, and resolution commitments.
Communicate claim status, documentation needs, and action items clearly and professionally to providers and internal partners.
Accurately post insurance payments and adjustments when assigned, ensuring payment activity aligns with remittance advice and claim-resolution outcomes.
Maintain thorough, actionable documentation in AdvancedMD and related tracking tools so team members can understand claim history and next steps.