Clearinghouse Specialist

Job Summary

Managing daily operations remotely, the full-time Clearinghouse Specialist will identify and correct claims errors, process and submit claims to payers, and provide updates on claim statuses.

Key responsibilities

• Identify and correct errors in claims prior to submission, ensuring accuracy in data and coding
• Review, process, and submit claims through secure electronic channels while managing invalid and rejected claims
• Provide immediate updates on claim statuses and address coding issues as they arise

Required qualifications

• High school diploma or equivalent required; associate degree preferred
• 3+ years of experience in clearinghouse rejections and revenue cycle management
• Extensive experience with electronic claims submissions
• Strong understanding of healthcare billing and coding standards
• Proficient in using Microsoft Office and handling sensitive patient data securely