Healthcare Claims Support Specialist

Innovative Integrated Health, Inc.; United States; Remote; USD 26,000 - 32,000; Full time

Benefits offered by this job

401(k)

Dental insurance

Employee assistance program

Employee discount

Flexible spending account

Health insurance

Health savings account

Life insurance

Paid sick time

Paid time off

Referral program

Retirement plan

Vision insurance

Job summary

Innovative Integrated Health, Inc. is seeking an Entry level Claims Customer Service Representative in Fresno, CA.

The role supports providers by handling medical and dental claim inquiries via phone and email, resolving status issues, denials, and payment discrepancies while upholding HIPAA and regulatory standards. The position requires attention to detail, effective communication, and the ability to manage multiple tasks in a fast-paced environment.

Qualifications

• Proficient in Microsoft Office and claims processing software.
• Familiarity with ICD-10, CPT, HCPCS terminology and EOPs.
• Strong oral and written communication abilities.

Responsibilities

• Respond to Provider inquiries regarding medical and dental claims via phone and email.
• Research and resolve issues related to claims status, denials, and payment discrepancies.
• Maintain up-to-date knowledge of benefit plans, claim adjudication guidelines, and HIPAA regulations.
• Document all interactions and claim actions accurately in the system.

Skills

Microsoft Office

Claims processing

ICD-10 knowledge

Strong communication

Multi-tasking

Team collaboration

Education

High School Diploma or GED

Tools

Claims software

Job description

Innovative Integrated Health, Inc. is seeking an Entry level Claims Customer Service Representative in Fresno, CA.

The role supports providers by handling medical and dental claim inquiries via phone and email, resolving status issues, denials, and payment discrepancies while upholding HIPAA and regulatory standards. The position requires attention to detail, effective communication, and the ability to manage multiple tasks in a fast-paced environment.