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Insurance Claims Specialist - Remote

Posted 1 week ago

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.

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