Lead Insurance Claims Specialist

Job Summary

A company is looking for a Lead Insurance Claims Specialist HB-PB.

Key Responsibilities

• Submits accurate and timely claims to third-party payers and resolves claim edits and account errors
• Adheres to procedures for follow-up with third-party payers to ensure collections and meets department goals
• Assists with denial management and provides customer service to patients and staff

Required Qualifications

• High School Graduate or equivalent
• HFMA Certified Revenue Cycle Representative (CRCR) Certification within 90 days of hire
• Six (6) years of medical billing/medical office experience, including nine (9) months with hospital insurance claims
• Completion of sixteen hours of revenue cycle continuing education annually