Claims Submission Specialist

Job Summary

Detail-driven and dedicated, the full-time Claims Submission Specialist will be responsible for accurately submitting insurance claims across all payer types, resolving edits and rejections, and ensuring compliance with regulations while working remotely from New Mexico.

Key responsibilities

• Prepare, process, and submit accurate and timely insurance claims in accordance with payer requirements and department policies
• Resolve pre-billing edits and route accounts for additional review to ensure clean claim submission
• Review and clear assigned work queues promptly to meet key performance indicators

Required qualifications

• High School Diploma or GED required
• Less than 1 year of clerical or customer service experience preferred
• Proficiency with Microsoft Office Suite required
• Basic knowledge of ICD 10, HCPCS, CPT, and revenue codes preferred
• Ability to maintain a HIPAA compliant, confidential home workspace with reliable high-speed internet