Insurance Claims Specialist

Job Summary

Managing patient account balances, the part-time Insurance Claims Specialist will be responsible for accurate claim submission, compliance with billing regulations, and timely follow-up to ensure financial viability, all while providing excellent customer service in a remote environment.

Key responsibilities

• Submits accurate and timely claims to third-party payers and resolves claim edits prior to submission
• Adheres to procedures for follow-up with payers to ensure collections and achieves departmental goals
• Gathers statistics and completes reports while performing additional clerical duties as needed

Required qualifications

• High School diploma or equivalent
• One (1) year of medical billing or medical office experience
• Knowledge of ICD-10 and CPT coding processes preferred
• Familiarity with medical terminology preferred
• Ability to maintain confidentiality in handling patient information