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, timely follow-up, and assisting with denial management in a remote setting.

Key responsibilities

• Submits accurate and timely claims to third-party payers while resolving claim edits and account errors
• Adheres to procedures for follow-up with payers to ensure collections and meets department goals
• 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 ICD-10 and CPT coding processes preferred
• Familiarity with medical terminology preferred
• Ability to utilize payer portals and websites for claim status verification