Insurance Claims Specialist - Remote

Overview

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

In Short

• Manage patient account balances and claims submission.
• Ensure compliance with federal/state billing regulations.
• Provide customer support and resolve inquiries.
• Assist with denial management and follow-up.
• Complete reports and clerical duties as required.
• Work with leadership to improve revenue cycle operations.
• Maintain confidentiality in patient interactions.
• Participate in educational programs for personal growth.
• Communicate effectively with management regarding workflow issues.
• Contribute to performance improvement initiatives.

Requirements

• High School diploma or equivalent.
• One year of medical billing or medical office experience preferred.
• Excellent oral and written communication skills.
• Knowledge of medical terminology preferred.
• Ability to use computers and various software.
• Knowledge of ICD-10 and CPT coding preferred.
• Strong customer service and telephone etiquette.
• Ability to work tactfully and diplomatically with others.
• Understanding of revenue cycle operations and payer relations.
• Ability to maintain productivity and efficiency in tasks.

Benefits

• Competitive salary and benefits package.
• Opportunities for personal and professional growth.
• Supportive work environment with a focus on teamwork.
• Access to educational programs and resources.
• Participation in performance improvement initiatives.