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 while adhering to billing regulations.

In Short

• Manage patient account balances and claim submissions.
• Ensure compliance with federal and state billing regulations.
• Provide customer support and resolve inquiries.
• Perform clerical duties and complete reports.
• Work with leadership to optimize revenue cycle operations.
• Adhere to HIPAA regulations regarding patient information.
• Contact third party payers for claim resolution.
• Utilize payer portals for claim status verification.
• Participate in educational programs for job growth.
• Maintain confidentiality in all communications.

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 business software.
• Familiarity with ICD-10 and CPT coding preferred.
• Strong customer service and telephone etiquette.
• Ability to work independently and prioritize tasks.
• Understanding of revenue cycle operations.
• Ability to maintain confidentiality and professionalism.

Benefits

• Competitive salary and benefits package.
• Opportunities for professional development.
• Supportive work environment.
• Access to educational resources.
• Participation in performance improvement initiatives.