Healthcare Claims Resolution Specialist

Mobile Medical Response; Saginaw (MI); On-site; USD 42,000 - 52,000; Full time

Job summary

Mobile Medical Response in Saginaw, MI seeks an Entry level Claims Follow-up Specialist to resolve payer questions and inquiries related to Medicare/Medicaid, BCBS, Patient Pay and Commercial Payers.

You will handle follow-ups, process refunds, collect payments, verify billing information, and support both patients and payers while maintaining HIPAA compliance.

Strong communication and data-entry skills with basic Office software are required.

Qualifications

• High School Diploma required.
• Must be at least 18 years old.
• Experience with Medicare/Medicaid billing preferred.
• Strong verbal and written communication.
• Proficient with Microsoft Word and Excel.
• Able to maintain HIPAA and confidentiality.

Responsibilities

• Follow up on Medicare/Medicaid and BCBS payer inquiries.
• Process payments and help establish payment plans.
• Enter patient demographics and maintain accurate records.
• Answer incoming calls and assist patients and payers.
• Maintain HIPAA compliance.

Skills

Billing knowledge

Communication

English proficiency

Data entry

MS Word/Excel

Education

High School Diploma

Tools

Insurance websites: C-Snap, Champs, Web Denis

Job description

Mobile Medical Response in Saginaw, MI seeks an Entry level Claims Follow-up Specialist to resolve payer questions and inquiries related to Medicare/Medicaid, BCBS, Patient Pay and Commercial Payers.

You will handle follow-ups, process refunds, collect payments, verify billing information, and support both patients and payers while maintaining HIPAA compliance.

Strong communication and data-entry skills with basic Office software are required.