Insurance Claims Specialist

Job Summary

A company is looking for an Insurance Specialist responsible for resolving insurance claims denials and processing errors.

Key Responsibilities

• Resolve unpaid/denied claims using proprietary software, phone calls, and client systems
• Review medical documentation to determine appropriate actions for claim resolution
• Maintain familiarity with client preferences and comply with HIPAA privacy laws

Required Qualifications

• High School Diploma or equivalent
• At least one year of physician and/or hospital accounts receivable experience preferred
• Knowledge of UB04 claim forms, EOB's, and medical records preferred
• Experience with Epic, Cerner, Meditech, or other EMR systems preferred
• Basic knowledge of computer functions and ability to work effectively in a remote environment