Insurance Claims Specialist

Job Summary

A company is looking for an Insurance Claims 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 ensure compliance with HIPAA 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, EOBs, and medical records preferred
• At least one year of Epic experience preferred
• Basic computer functions knowledge and ability to work effectively in a remote environment