Insurance Claims Specialist

Job Summary

Insurance Claims Specialist is a full-time position responsible for managing patient account balances, ensuring accurate claim submissions, compliance with regulations, and assisting with denial management while providing excellent customer service.

Key Responsibilities

• Submits accurate and timely claims to third party payers and resolves claim edits prior to submission
• Follows up with third party payers to ensure collections and assists with denials investigation
• Completes reports and performs clerical duties to support departmental operations

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 hospital billing
• Ability to operate business equipment and perform tasks requiring manual dexterity
• Experience with ICD-10 and CPT coding processes preferred