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 procedures for follow-up with payers to ensure collections and meets department goals
• Provides excellent customer service and assists with denials investigation and resolution

Required qualifications

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