Insurance Claims Specialist

Job Summary

Managing patient account balances, the full-time Insurance Claims Specialist will ensure accurate claim submission, compliance with billing regulations, and timely follow-up while providing excellent customer service in a remote setting.

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 as needed to support departmental operations

Required qualifications:

• High School diploma or equivalent
• One (1) year of medical billing or medical office experience preferred
• Knowledge of medical terminology and billing regulations is preferred
• Familiarity with ICD-10 and CPT coding processes is preferred
• Ability to use payer portals and websites for claim status verification