Medical Claims Technician

Red Rock Behavioral Health Services • Oklahoma City, OK

13d

About The Position

The Medical Claims Technician researches insurance claim denials, determines claim validity, and, when appropriate, adjusts and resubmits claims through multiple methods. The role focuses on accurate claims processing, maximizing appropriate payment, reducing accounts receivable days, and maintaining aged A/R below 120 days. The technician may communicate with Business Office or clinical staff about coverage and denials and performs other duties as required.

Requirements

• One year of experience with insurance billing and claims research is preferred.
• High school education or equivalent, with emphasis on business-related courses.
• Knowledge of ten-key, computer/data entry, spreadsheets, and word processing.
• Communication, analytical, and problem-solving skills.
• Ability to multitask and meet deadlines.
• Detail-oriented and organizational skills.
• Excellent verbal and written communication skills.
• Ability to work independently and collaboratively within a team environment.
• Commitment to the mission of Red Rock BHS.
• Ability to stand or sit for long periods of time.
• Ability to lift, push, or pull a minimum of 25 pounds.
• Ability to travel approximately 10% of the time.
• Ability to use a telephone, PC, fax machine, copy machine, and printer.

Nice To Haves

• One year of experience with insurance billing and claims research.

Responsibilities

• Research claim denials, evaluate claims, and rebill as necessary to help ensure maximum accurate payment and reduce A/R days.
• Communicate with Business Office or clinical staff regarding coverage and denials, when appropriate.
• Sustain aged A/R of less than 120 days.
• Maintain a high level of integrity and commitment to accurate claims processing.
• Perform other duties as required.

Benefits

• Employer pays a generous portion of health insurance.
• Low-cost dental and vision insurance.
• Retirement plan with employer contributions equal to 5% of annual salary.
• Student loan repayment options.
• No-cost Employee Assistance Plan.
• Three weeks of paid time off, increasing annually between years 2 and 10.
• Nine paid holidays.
• One floating holiday to use at the employee's discretion.
• Four rest and relaxation days.
• Three days of education leave.
• Four hours of volunteer leave.
• Eligible for annual pay increases and bonuses.
• Employer-paid long-term disability and life insurance.

What This Job Offers

• Job Type: Full-time
• Education Level: High school or GED