Insurance Claims Specialist - Remote

Overview

The Insurance Claims Specialist is responsible for managing patient account balances, ensuring accurate claim submissions, and providing excellent customer service to resolve inquiries and issues.

In Short

• Manage patient account balances and claim submissions.
• Ensure compliance with billing regulations.
• Provide customer support and resolve inquiries.
• Complete reports and clerical duties as needed.
• Work with leadership to achieve revenue cycle goals.
• Contact third party payers for claim resolution.
• Utilize payer portals for claim status verification.
• Participate in educational programs for personal growth.
• Maintain confidentiality and comply with HIPAA regulations.
• Communicate effectively with management regarding workflow issues.

Requirements

• High School diploma or equivalent.
• One year of medical billing/medical office experience preferred.
• Excellent oral and written communication skills.
• Knowledge of medical terminology preferred.
• Ability to use computers and business equipment.
• Knowledge of ICD-10 and CPT coding processes preferred.
• Excellent customer service and telephone etiquette.
• Ability to maintain knowledge of revenue cycle operations.
• Ability to understand written and oral communication.
• Ability to use tact and diplomacy in dealing with others.

Benefits

• Work in a supportive team environment.
• Opportunities for personal and professional growth.
• Engagement in performance improvement initiatives.
• Access to educational programs.
• Work with a leading health system in West Virginia.