Insurance Claims Specialist

Job Summary

Managing patient account balances, the full-time Insurance Claims Specialist will be responsible for accurate claim submission, compliance with billing regulations, and timely follow-up to ensure financial viability, all while working remotely.

Key responsibilities

• Submits accurate and timely claims to third-party payers and resolves claim edits prior to submission
• Adheres to procedures for follow-up with payers to ensure collections and meets department goals
• Provides excellent customer service to patients and assists with denial investigations and resolutions

Required qualifications

• High School diploma or equivalent
• One (1) year of medical billing or medical office experience preferred
• Knowledge of medical terminology and business math preferred
• Familiarity with ICD-10 and CPT coding processes preferred
• Ability to maintain confidentiality and adhere to HIPAA regulations