Claims Specialist I

What You’ll Do: 

We’re looking for an experienced Claims Specialist who is passionate about improving the landscape for mental healthcare. This position will help directly improve our Billing operations. 

You will be responsible for all aspects of billing related to claim denials and resolutions. You will report directly to a Team Lead on our Billing team to identify denial trends and investigate affected claims. You will also work closely with our Customer Support teams to assist with provider or client questions related to billing. From day one, you’ll get exposure to what it’s like to build a business from the ground-up and you’ll be able to drive real impact.

As a Claims Specialist I, your responsibilities might evolve as we scale. Your initial responsibilities will include:

• Research and find solutions to denied claims.
• Complete outbound calls to insurance carrier supervisors to investigate denial reasons.
• Resubmit claims with errors, utilizing knowledge of CMS 1500 forms and a broad understanding of data, coding, and policy errors.
• Draft appeals for relevant claim denials, adhering to medical policies for all insurance carriers
• Ensure patient data in software is correct and most up-to-date, contacting the appropriate person for any inconsistencies.
• Prioritize workflows based on the age of claims.

Salary range: Starting rate is $26/hour with consideration for experience

You Are a Good Fit If You Are: 

• Process-Driven: Highly organized, operational thinker, rarely leaving questions unanswered.
• Adaptable: You are comfortable in a fast-paced environment, with priorities changing weekly.
• Healthcare Experienced: Strong understanding of healthcare claims, plan benefits, and patient responsibilities. At least 2 years of experience in Medical Billing or Healthcare setting.
• Team Player: You are collaborative by nature, relish in camaraderie and group wins, and are looked to by colleagues or direct reports as a steadfast partner & source of encouragement
• Tech-Savvy: Adept in chat, email, & phone communications.
• Strong attention to research and payor experience 

If you don’t meet every single requirement, but are still interested in the job, please apply. Nobody checks every box, and Grow believes the perfect candidate is more than just a resume.