Medical Claims & Denials Specialist

Trinity Health; Minot (ND); Hybrid; USD 40,000 - 55,000; Full time

Job summary

Paycom - ATS in Minot, ND, is seeking an Account Representative to support the revenue cycle by preparing, reviewing, and submitting accurate medical claims to third-party payers. You will verify patient demographics, insurance data, and coding, collaborating with clinical teams and billing staff to gather missing information.

You will monitor claim status, correct denials, ensure timely reimbursement, and maintain thorough documentation.

Qualifications

• One year in accounting or clerical environment preferred.
• Six months experience in processing insurance claims preferred.
• One year experience in customer service preferred.
• Strong typing and data entry accuracy.

Responsibilities

• Prepare, review, and submit compliant medical claims through approved billing and EDI systems.
• Verify accuracy of patient demographics, insurance information, coding, and supporting documentation prior to claim submission.
• Collaborate with internal departments to obtain missing or corrected information required for claim completion.
• Monitor the status of submitted claims, identify delays, and resolve issues that impact timely reimbursement.
• Review and correct denied or rejected claims, ensuring resubmission within payer timelines and regulatory requirements.
• Maintain comprehensive documentation of billing activities, communications, and follow up actions.

Skills

Medical billing

Customer service

Data entry

Excel

Communication

Education

High school diploma

Tools

Billing software

EDI systems

Job description

Paycom - ATS in Minot, ND, is seeking an Account Representative to support the revenue cycle by preparing, reviewing, and submitting accurate medical claims to third-party payers. You will verify patient demographics, insurance data, and coding, collaborating with clinical teams and billing staff to gather missing information.

You will monitor claim status, correct denials, ensure timely reimbursement, and maintain thorough documentation.