Claims Resolution Specialist

Job Summary

A company is looking for a Claims Resolution Specialist responsible for reviewing Durable Medical Equipment claims for billing accuracy and issue resolution.

Key Responsibilities

• Review and ensure billing accuracy for Durable Medical Equipment claims
• Meet daily productivity goals and contribute to team collaboration
• Stay updated on regulatory changes and assist in resolving unpaid claims

Required Qualifications

• Experience with medical billing or claims processing
• Familiarity with ICD-10, HCPCS, and medical terminology
• Ability to type 45+ words per minute
• Strong computer skills, particularly in Microsoft Office
• Understanding of CMS guidelines and the 1500 claim forms