Insurance Claim Specialist

Job Summary

Ensuring accurate and timely reimbursement, the full-time Insurance Claim Specialist will review, process, and resolve medical claims remotely, while communicating with payers and internal teams to address discrepancies and facilitate account resolution.

Key responsibilities:

• Review claims for accuracy and completeness of patient, insurance, and billing information prior to submission
• Identify and resolve claim edits, rejections, and denials using established payer guidelines
• Document all account activity and communications within billing systems to support resolution efforts

Required qualifications:

• High school diploma or equivalent
• One (1) year of healthcare revenue cycle, medical billing, or accounts receivable experience
• Must be at least 19 years of age to witness legal consents