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 to resolve issues related to claims.

In Short

• Manage patient account balances and claim submissions.
• Ensure compliance with 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.
• Contact third party payers to resolve unpaid claims.
• Utilize payer portals for claim status verification.
• Maintain confidentiality of patient information.
• Participate in educational programs for personal growth.
• Assist in departmental performance improvement initiatives.

Requirements

• High School Graduate or equivalent.
• CRCR Certification within 90 days of hire.
• Three years of medical billing/medical office experience.
• Excellent oral and written communication skills.
• Knowledge of medical terminology and third party payers.
• Ability to maintain current knowledge of billing requirements.
• Proficiency in using computers and relevant software.
• Ability to work in an office environment.
• Strong customer service and telephone etiquette.
• Ability to prioritize tasks effectively.

Benefits

• Opportunity for personal and professional growth.
• Work within a large health system.
• Engagement in performance improvement initiatives.
• Access to educational programs.
• Collaboration with a supportive team environment.