Medical Claims Insurance Specialist - Remote

Talentify.io; United States; Remote; USD 35,000 - 50,000; Full time

Job summary

A leading company in the healthcare revenue cycle management industry is seeking an individual to help analyze and resolve patient billing and claims issues. This opportunity offers a supportive work environment with room for career advancement. The ideal candidate will possess strong communication and analytical skills, with a solid understanding of medical billing processes. Join a team where your contributions make a significant impact on patient care and operational efficiency.

Qualifications

• Minimum of 1 year of insurance follow-up experience, including appeals resolution.
• Strong written and oral communication skills.
• Thorough knowledge of revenue cycle management, medical terminology, and billing practices.

Responsibilities

• Analyze, audit, and resolve outstanding, denied, or incorrectly paid claims.
• Review and respond to payer correspondence and submit appeals for denied claims.
• Contact insurance companies to expedite payments.

Skills

Communication

Analytical Skills

Problem-Solving

Attention to Detail

Education

High school diploma

Job description

Employer Industry: Healthcare Revenue Cycle Management

Why consider this job opportunity:
- Opportunity for career advancement and growth within the organization
- Supportive and collaborative work environment
- Chance to make a positive impact on patient billing and insurance processes
- Engage in process improvement initiatives to enhance operational efficiency
- Develop a thorough understanding of revenue cycle management and medical billing practices

What to Expect (Job Responsibilities):
- Analyze, audit, and resolve outstanding, denied, or incorrectly paid claims
- Review and respond to payer correspondence and submit appeals for denied claims
- Contact insurance companies and navigate payer websites to expedite insurance payments
- Resolve patient billing inquiries and document all actions in the accounts receivable system
- Participate in special projects and process improvement initiatives as requested

What is Required (Qualifications):
- High school diploma
- Minimum of 1 year of insurance follow-up experience, including knowledge of the appeals resolution process
- Strong written and oral communication skills
- Analytical and problem-solving capabilities with close attention to detail
- Thorough working knowledge of revenue cycle management, medical terminology, and billing practices

How to Stand Out (Preferred Qualifications):
- Familiarity with ICD-9, ICD-10, CPT-4 coding, and Medicare reimbursement guidelines
- Ability to read and interpret Explanation of Benefits (EOB) documents
- Highly self-motivated with the ability to work independently and meet deadlines

#HealthcareRevenueCycle #MedicalBilling #InsuranceFollowUp #CareerOpportunity #ProcessImprovement

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