Medical Claims Specialist
Job Summary
Joining a remote team, the Medical Claims Specialist will review and process medical claims, assist patients with inquiries, and verify claim information while working flexible hours between 8 am and 8 pm EST.
Key responsibilities:
- Review and process medical claims submitted by healthcare providers
- Communicate with providers, insurance companies, and patients to resolve discrepancies
- Investigate and analyze claim denials or rejections and take 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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