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 exceptional customer service 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 department operations and improve revenue cycle processes

Required qualifications

• High School diploma or equivalent
• One (1) year of medical billing or medical office experience
• Knowledge of medical terminology preferred
• Familiarity with ICD-10 and CPT coding processes preferred
• Ability to maintain confidentiality and comply with HIPAA regulations