Insurance Claims Specialist

Job Summary

A company is looking for an Insurance Claims Specialist to manage patient account balances and ensure compliance with billing regulations.

Key Responsibilities

• Submit accurate and timely claims to third-party payers
• Resolve claim edits and account errors prior to claim submission
• Contact third-party payers to resolve unpaid claims and assist with denial management

Required Qualifications

• High School diploma or equivalent
• One year of medical billing or medical office experience preferred
• Knowledge of federal, state, and local regulations pertaining to hospital billing
• Ability to maintain confidentiality according to policy
• Familiarity with medical terminology is preferred