Medical Claims Specialist
Job Summary
To support a growing healthcare team, the remote Medical Claims Specialist will review and process medical claims, assist patients with inquiries, and communicate with providers and insurance companies to resolve discrepancies.
Key responsibilities:
- Review and process medical claims submitted by healthcare providers
- Assist patients with medical-related inquiries through outbound and inbound calls
- Investigate and analyze claim denials or rejections, taking appropriate actions to rectify issues
Required qualifications:
- 1+ year of verifiable recent experience in medical claims or healthcare insurance
- Strong knowledge of medical terminology, coding, and billing practices (ICD-10, CPT, HCPCS)
- Proficiency with medical billing software and MS Office Suite
- Call center experience preferred but not required
- Great work attitude and willingness to help others
Complete Job Description
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