Quality & Claims Specialist (Medical Billing & Insurance)

Socket.dev; Hartford (VT); On-site; USD 42,000 - 65,000; Full time

Job summary

Reliable Respiratory, INC in Vermont is seeking a Quality Specialist to review patient charts and sales orders to ensure information accuracy, eligibility, and prior authorization, supporting successful claim payments while delivering exceptional service to patients, payors, providers, and colleagues. The role requires attention to detail, problem-solving, and strong communication.

You will collaborate with product line teams, providers, and patients to obtain current documentation and maintain

Qualifications

• 18 years of age or older.
• Must be eligible to work in the United States without current or future sponsorship.
• Associate’s degree required or 2 years of relevant experience.

Responsibilities

• Provide exceptional service and accurate processing of patient charts and sales orders.
• Verify insurance eligibility with payors and update documentation as needed.
• Assist with billing adjustments and date recalculations to ensure correct billing.
• Collaborate with providers, patients, and product-line teams to obtain current information.
• Stay current on insurance guidelines, authorization, and billing requirements.
• Participate in meetings and complete assigned tasks in a timely manner.

Skills

Problem solving

Active listening

Timely decision making

Attention to detail

Initiative

Communication

Customer service

Time management

Team collaboration

Education

Associate’s degree

Tools

Microsoft Office

Job description

Reliable Respiratory, INC in Vermont is seeking a Quality Specialist to review patient charts and sales orders to ensure information accuracy, eligibility, and prior authorization, supporting successful claim payments while delivering exceptional service to patients, payors, providers, and colleagues. The role requires attention to detail, problem-solving, and strong communication.

You will collaborate with product line teams, providers, and patients to obtain current documentation and maintain