Insurance Claims Specialist

Job Summary

Managing patient account balances, the full-time Insurance Claims Specialist will ensure accurate claim submission and compliance with billing regulations while providing customer support and resolving inquiries in a remote environment.

Key responsibilities:

• Submits accurate and timely claims to third party payers and resolves claim edits prior to submission
• Contacts third party payers to resolve unpaid claims and adheres to follow-up procedures to maximize collections
• Completes reports and performs clerical duties to support departmental operations and achieve revenue cycle goals

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 is preferred
• Familiarity with ICD-10 and CPT coding processes is advantageous
• Ability to understand and communicate effectively in written and oral forms