Medical Claims Resolution Specialist – Billing & Denials

Staffmark Group; Lafayette (LA); On-site; USD 20,664 - 28,929; Full time

Benefits offered by this job

Comprehensive Health benefits

Competitive weekly pay

Optional 401(k) plan

Added Savings

Long-Term Growth

Job summary

Staffmark Group in Lafayette, LA seeks a Medical Claims Resolution Specialist to support a busy healthcare team with precise coding, clean claims, and thorough billing follow-through. This role requires attention to detail and comfort with fast-paced environments.

You will review policies, EOBs, and patient documentation, handle denial appeals, and collaborate with providers, patients, and internal teams to ensure accurate compensation and timely payments.

Qualifications

• High school diploma or equivalent.
• 1+ year of insurance verification or authorization experience (required).
• 3-5 years of experience in DME or medical billing (preferred).
• Proficient with Microsoft Office.
• Strong understanding of CPT/ICD-10, HCFA 1500, UB04, and medical terminology.
• Familiar with Medicare/Medicaid policies, HIPAA compliance, and EOBs.
• Excellent attention to detail, organization, and communication skills.

Responsibilities

• Reviewing and interpreting insurance policies, EOBs, and patient documentation
• Handling denial appeals, payment reviews, balance billing, and claims processing
• Communicating with insurance providers, patients, and internal departments
• Managing clerical tasks such as emails, calls, and fax correspondence
• Supporting Revenue Cycle Management with updates and escalations
• Assisting with additional projects as needed

Skills

Microsoft Office proficiency

CPT/ICD-10 knowledge

Medicare/Medicaid policies

HIPAA compliance

EOB familiarity

Attention to detail

Organization

Communication skills

Education

High school diploma or equivalent

Job description

Staffmark Group in Lafayette, LA seeks a Medical Claims Resolution Specialist to support a busy healthcare team with precise coding, clean claims, and thorough billing follow-through. This role requires attention to detail and comfort with fast-paced environments.

You will review policies, EOBs, and patient documentation, handle denial appeals, and collaborate with providers, patients, and internal teams to ensure accurate compensation and timely payments.