Medical Claims Specialist

Job Summary

Joining a remote team, the part-time Medical Claims & Reimbursement Specialist will review and process medical claims, assist with patient inquiries, and verify claim information to ensure accuracy and compliance with insurance policies.

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 recent experience in medical claims or healthcare insurance
• Proven experience in medical claims processing or a similar role
• Strong knowledge of medical terminology, coding, and billing practices (ICD-10, CPT, HCPCS)
• Proficiency with medical billing software and MS Office Suite
• Great work attitude and willingness to help others