Insurance Follow Up Specialist - Goodyear, AZ

Claim Specialist

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!

We 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 include:

• Independently 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.

Qualifications:

• 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, with the ability to communicate professionally and effectively with payer representatives, providers, managers, and internal teams.
• Experience working in an EHR or practice-management system, payer portals, clearinghouse tools, Microsoft Excel, and Outlook.
• Strong attention to detail, organization, follow-through, and documentation habits.

Preferred Qualifications:

• Behavioral health billing and insurance A/R experience.
• Experience with AdvancedMD or a similar behavioral health EHR/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.

We provide our full-time employees with:

• 75% coverage of health, dental, and vision insurance
• 15 PTO days accrued annually in first year
• 6 paid holidays per year
• 401k matching
• Life Insurance
• Professional development training and opportunities for advancement

We are an equal opportunity employer with a progressive workplace based on teamwork, integrity, and customer service. We are committed to cultivating the long-term professional potential of our team. Applicants from all fields are encouraged to apply. Background check required. Come join a strong team making an impact in the service world of mental health!

It is a conflict of interest for an employee of Mindful Support Services to be a current client of Mindful Therapy Group. We request that individuals who are receiving clinical services at Mindful Therapy Group wait until their care is discontinued before beginning employment.

This position is fully in-office at our Goodyear, AZ office. Monday-Friday, 8:30am-5:00pm. Salary: $20-$25/ hourly depending on experience.