Insurance Claims Specialist

Job Summary

A company is looking for an Insurance Claim Specialist who will 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 submission
• Gather statistics, complete reports, and perform clerical duties as needed

Required Qualifications

• High School diploma or equivalent
• One (1) year of medical billing or medical office experience preferred
• Knowledge of federal, state, and local regulations pertaining to professional billing
• Ability to use payer portals and websites for claim status verification
• Understanding of ICD-10 and CPT coding processes preferred