Senior Insurance Claims Specialist - Remote

Overview

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

In Short

• Manage patient account balances and claim submissions.
• Ensure compliance with federal and state billing regulations.
• Provide customer support and resolve inquiries.
• Assist with denial management and follow-up.
• Complete reports and clerical duties as needed.
• Work with leadership to improve revenue cycle operations.
• Utilize payer portals for claim status verification.
• Participate in educational programs for personal growth.
• Maintain confidentiality and adhere to HIPAA regulations.
• Serve as a resource for co-worker inquiries.

Requirements

• High School Graduate or equivalent.
• CRCR Certification within 90 days of hire.
• Three years of medical billing/office experience.
• Knowledge of medical terminology preferred.
• Excellent oral and written communication skills.
• Ability to use tact and diplomacy.
• Knowledge of third party payer requirements.
• Familiarity with ICD-10 and CPT coding processes preferred.
• Ability to work in an office environment.
• Excellent customer service skills.

Benefits

• Competitive salary and benefits package.
• Opportunities for professional development.
• Supportive work environment.
• Access to educational programs.
• Flexible work arrangements.