Insurance Claims Resolution Specialist

10 Children's Healthcare of Atlanta, Inc.; United States; On-site; USD 42,000 - 64,000; Full time

Job summary

Children’s Healthcare of Atlanta is seeking a Billing/Collections Specialist to manage daily billing of claims and follow-up with payors to ensure timely reimbursement. The role requires knowledge of UB04 and HCFA 1500 guidelines, strong communication, and attention to detail.

The ideal candidate has 1 year of insurance billing/collections experience, familiarity with major payors, and proficiency with medical terminology and billing software.

Qualifications

• 1 year of experience in insurance billing or collections.
• Knowledge of third-party requirements and policies including Medicaid and BCBS.
• Must have excellent telephone communication and customer service skills.

Responsibilities

• Performs daily billing of claims to third-party insurance following UB04/HCFA 1500 guidelines.
• Prepares and submits final bills, secondary claims, rebills, and late charges daily.
• Performs routine follow-up on unpaid insurance claims to resolve delays in reimbursement.

Skills

Third-party knowledge

Phone communication

Written communication

Medical terminology

Goal oriented

Typing 45 wpm

Computer skills

Education

High school diploma

Some college

2 years experience in billing/collections

Tools

Epic Resolute

Dentrix Dental

Clearinghouse

Job description

Children’s Healthcare of Atlanta is seeking a Billing/Collections Specialist to manage daily billing of claims and follow-up with payors to ensure timely reimbursement. The role requires knowledge of UB04 and HCFA 1500 guidelines, strong communication, and attention to detail.

The ideal candidate has 1 year of insurance billing/collections experience, familiarity with major payors, and proficiency with medical terminology and billing software.