Claims Submission Specialist

Job Summary

To support accurate claim submissions, the full-time Claims Submission Specialist will identify and resolve medical claim-related issues, monitor billing rejections, and maintain insurance records while working remotely Monday through Friday during corporate day shifts.

Key responsibilities

• Review pre-service validation reports and verify authorizations, member IDs, and payer assignments
• Resolve claim rejections within clearinghouse applications to minimize reimbursement delays
• Maintain and update insurance payer profiles within company databases to ensure information accuracy

Required qualifications

• High School Diploma or equivalent
• Two years of experience in healthcare billing exceptions, claim rejections, or revenue cycle workflows
• Experience with electronic health records, medical billing software, and clearinghouse applications
• Proficient in Microsoft Excel, Word, and Outlook