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 follow-up procedures with third party payers to maximize collections and achieve departmental goals
• Provides excellent customer service to patients and assists with denial management and resolution

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 utilize payer portals for claim status verification and follow-up