Remote Claims Resolution Specialist I | AR & Denials Expert

Innovaccer Analytics; Oregon; Hybrid; USD 60,000 - 90,000; Full time

Benefits offered by this job

Paid Time Off (20 days)

Health insurance

Vision insurance

Short- and long-term disability

Life insurance

Job summary

Innovaccer Inc. is seeking a Claims Resolution Specialist I to process medical claims in line with Caduceus standards and client guidelines. You will handle AR follow-up, scrub charges, and file appeals on the Athena billing platform, ensuring accuracy across denials and edits.

The role requires 3+ years in claims resolution or medical billing, familiarity with CPT/ICD-10, and the ability to work effectively in a remote environment. Formal certification is a plus.

Qualifications

• 3+ years in claims resolution or medical billing.
• Experience with Athena billing platform preferred.
• Knowledge of CPT, ICD-10, and medical terminology.

Responsibilities

• Process medical claims within established best practices per Caduceus standards.
• Scrub charges for submission and launch appeals via the Athena platform.
• Review and clear claim edits including registration, insurance, and billing issues.

Job description

Innovaccer Inc. is seeking a Claims Resolution Specialist I to process medical claims in line with Caduceus standards and client guidelines. You will handle AR follow-up, scrub charges, and file appeals on the Athena billing platform, ensuring accuracy across denials and edits.

The role requires 3+ years in claims resolution or medical billing, familiarity with CPT/ICD-10, and the ability to work effectively in a remote environment. Formal certification is a plus.