Claims Specialist - Healthcare

Job Summary

Working on a hybrid schedule, the full-time Claims Specialist - Healthcare will manage the preparation of billing data, ensure compliance with contractual provisions, and handle invoice submissions while collaborating with team members both in the office and remotely.

Key responsibilities

• Prepare billing data for payer submissions and maintain accurate records
• Ensure compliance with contractual provisions and submit invoices to appropriate parties
• Collect on unpaid claims and apply payments to the general ledger

Required qualifications

• High School Diploma / GED or 3 years of relevant equivalent experience in lieu of diploma/GED
• 0-2+ years of experience in office, business, operations, customer service, or healthcare field
• Familiarity with insurance portals and basic math skills
• Proficiency in desktop applications, including Word and Excel
• Ability to work independently with minimal supervision