Insurance Claims Specialist

Job Summary

Insurance Claims Specialist is a full-time position responsible for managing patient account balances, ensuring accurate claim submission, compliance with regulations, and assisting with denial management.

Key Responsibilities

• Submits accurate and timely claims to third party payers
• Resolves claim edits and account errors prior to claim submission
• Contacts third party payers to resolve unpaid claims

Required Qualifications

• High School diploma or equivalent
• One (1) year medical billing/medical office experience preferred
• Knowledge of medical terminology preferred
• Knowledge of ICD-10 and CPT coding processes preferred
• Ability to maintain confidentiality according to policy