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Insurance Claims Specialist - Part Time - Remote

Posted 4 days ago
Customer Service
Part Time
USA

Overview

The Insurance Claims Specialist is responsible for managing patient account balances, ensuring accurate claim submission, compliance with regulations, and providing excellent customer service.

In Short

  • Manage patient account balances and accurate claim submissions.
  • Follow federal/state billing regulations.
  • Provide customer support and resolve inquiries.
  • Complete reports and clerical duties as needed.
  • Work with leadership to achieve revenue cycle goals.
  • Utilize payer portals for claim status verification.
  • Assist with denial management and investigation.
  • Participate in educational programs for 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 and business math preferred.
  • Ability to use tact and diplomacy in communication.
  • Understanding of revenue cycle operations and third-party reimbursement.
  • Ability to sit for extended periods and operate business equipment.
  • Visual acuity and reading comprehension skills.

Benefits

  • Opportunity to work with a leading healthcare provider.
  • Flexible part-time hours.
  • Engagement in performance improvement initiatives.
  • Access to educational programs for professional growth.
  • Supportive work environment with a focus on customer service.

S.S.M.G

SMG System Medical Group

WVUH West Virginia University Hospitals is the largest health system in West Virginia, comprising over 20 hospitals, including a children's hospital and five specialized institutes. Anchored by a 700-bed academic medical center in Morgantown, WVUH serves as the state's largest private employer with more than 2,700 beds. The organization is dedicated to providing comprehensive healthcare services, including specialized cancer care, and is committed to maintaining high standards of data quality and compliance in its Cancer Registry operations.

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