Insurance Claim Specialist

Job Summary

A company is looking for an Insurance Claim Specialist responsible for managing patient account balances and ensuring compliance with billing regulations.

Key Responsibilities

• Submits accurate and timely claims to third party payers
• Resolves claim edits and account errors prior to claim submission
• Contacts third party payers to resolve unpaid claims

Required Qualifications

• High School diploma or equivalent
• One (1) year medical billing/medical office experience preferred
• Knowledge of federal, state, and local regulations pertaining to professional billing
• Ability to utilize payer portals and websites for claim status verification
• Experience with HIPAA regulations and confidentiality practices