Insurance Claims Specialist

Job Summary

To support the financial viability of healthcare operations, the full-time Insurance Claims Specialist will manage patient account balances, ensure accurate claim submissions, 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 follow-up procedures with payers to maximize collections and achieve departmental goals
• Provides excellent customer service to patients and performs clerical duties as needed to support department operations

Required qualifications

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