Insurance Claim Specialist - Remote

Overview

The Insurance Claim Specialist is responsible for managing patient account balances, ensuring accurate claim submissions, and providing excellent customer service while adhering to federal and state regulations.

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 improve revenue cycle operations.
• Contact third party payers for claim resolution.
• Utilize payer portals for claim status verification.
• Participate in educational programs for personal growth.
• Maintain confidentiality and adhere to HIPAA regulations.
• Communicate effectively with management and team members.

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 tact and diplomacy in communication.
• Familiarity with ICD-10 and CPT coding processes preferred.
• Strong customer service skills.
• Ability to work independently and prioritize tasks.
• Knowledge of revenue cycle operations.
• Proficient in using computers and business equipment.

Benefits

• Opportunity for personal and professional growth.
• Work in a supportive team environment.
• Engagement in performance improvement initiatives.
• Access to educational programs.
• Flexible work environment.