Insurance Claims Specialist

Job Summary

Managing patient account balances, the full-time Insurance Claims Specialist will submit accurate claims, ensure compliance with billing regulations, and assist with denial management while working remotely.

Key responsibilities

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

Required qualifications

• High School diploma or equivalent
• One 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 communicate effectively and maintain confidentiality in all interactions