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Job description
Claim SpecialistThis position is fully in-office at our Northgate headquarters. Monday-Friday, 8:30am-5:00pm. Salary: $24-$28/ hourly depending on experience.Mindful Therapy Group is a company dedicated to empowering therapists, psychologists and nurse practitioners to dive into private practice, without doing all of the leg work that comes with it. We provide high-quality billing, marketing, and administrative services to independent mental health care providers. Since opening in 2011, we have partnered with over 2,300 providers throughout our 25+ locations, and we are continuing to grow!About the RoleWe are 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 ideal candidate has at least two years of hands-on insurance A/R follow-up and claim-resolution experience, including direct payer outreach, portal-based research, denial management, corrected claims, reconsiderations, appeals, and escalation of recurring payer or workflow issues. They are comfortable taking ownership of a claim from initial denial or nonpayment through final resolution.We are especially interested in candidates with substantial experience working Washington Medicaid claims, eligibility, authorization-related denials, managed-care plans, and state-specific billing or reimbursement requirements.Responsibilities IncludeIndependently work outstanding insurance A/R, with a focus on denied, rejected, and aged claims, including balances aged 120+ 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 to providers and internal partners in a clear, professional, solutions-focused manner.Post insurance payments and adjustments accurately when assigned, including ensuring payment activity aligns with remittance advice and claim-resolution outcomes.Maintain thorough, actionable documentation in the EHR (AdvancedMD) and related tracking tools so other team members can easily understand the claim history and next steps.
Worksite address
seattle, WA, 98101, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.