Claims Resolution Specialist

Job Summary

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

Key Responsibilities

• Review and ensure billing accuracy of DME claims while maintaining documentation and account records
• Achieve daily productivity goals and contribute to team collaboration and problem-solving
• Stay updated on Medicare/State/Contract funding procedures and internal policies for compliance

Required Qualifications

• Previous medical billing or claims experience
• Familiarity with ICD-10, HCPCS, and medical terminology
• Experience with 1500 claim forms and DMEPOS services
• Strong Microsoft Office skills, particularly in Excel
• Ability to type 45+ words per minute