Insurance Claim Specialist

A company is looking for an Insurance Claim Specialist responsible for managing patient account balances and ensuring compliance with billing regulations.

Key Responsibilities

Submits accurate and timely claims to third party payers

Resolves claim edits and account errors prior to claim submission

Contacts third party payers to resolve unpaid claims

Required Qualifications

High School diploma or equivalent

One (1) year medical billing / medical office experience preferred

Knowledge of federal, state, and local regulations pertaining to professional billing

Ability to utilize payer portals and websites for claim status verification

Experience with HIPAA regulations and confidentiality practices