Insurance Claims Specialist

A company is looking for an Insurance Specialist responsible for resolving insurance claims denials and processing errors.

Key Responsibilities

Resolve unpaid / denied claims using proprietary software, phone calls, and client systems

Review medical documentation to determine appropriate actions for claim resolution

Maintain familiarity with client preferences and comply with HIPAA privacy laws

Required Qualifications

High School Diploma or equivalent

At least one year of physician and / or hospital accounts receivable experience preferred

Knowledge of UB04 claim forms, EOB's, and medical records preferred

Experience with Epic, Cerner, Meditech, or other EMR systems preferred

Basic knowledge of computer functions and ability to work effectively in a remote environment