Insurance Claims Specialist

Job Summary

Proactively managing delayed, denied, or underpaid insurance claims, the full-time Insurance Claims Specialist will ensure timely reimbursement by identifying root causes of claim issues, performing payer follow-up, and collaborating with various teams remotely.

Key Responsibilities

• Review and analyze claims to determine root causes and conduct timely follow-up with insurance carriers
• Research payer coverage policies and stay current on guidelines for accurate claim resolution
• Document follow-up activities and ensure compliance with HIPAA and internal policies

Required Qualifications

• High school diploma
• 2 years of experience in insurance follow-up, denial management, or medical billing
• Strong knowledge of insurance billing processes and denial codes
• Proficiency with billing systems and Microsoft Office Suite
• Ability to manage multiple priorities independently in a fast-paced environment