Remote Claims Resolution Specialist I (Medical Billing)

Florida Cancer Specialists & Research Institute; Florida; Remote; USD 42,000 - 66,000; Full time

Job summary

Florida Cancer Specialists & Research Institute is seeking a Claims Resolution Specialist to review medical insurance claims for resolution and payment. You will respond to inquiries or denials from insurance carriers, research documentation requests, and coordinate with providers to secure timely payments.

The role requires knowledge of medical terminology, ICD-9, CPT codes, and experience with medical billing or collections.

Qualifications

• Knowledge of medical billing, ICD-9, and CPT codes.
• Understanding of explanation of benefits (EOB).
• At least one year of medical billing or collections experience.
• Experience with Centricity Practice Management software preferred.
• Excellent communication and interpersonal skills.

Responsibilities

• Review all medical insurance claims for resolution and payment.
• Resolve any incoming inquiries or payment denials from insurance providers; research, compile, and respond to documentation requests.
• Contact insurance carriers to collect on open account balances.

Skills

Medical billing

Insurance terminology

Customer service

Attention to detail

Tools

Centricity EMR

Job description

Florida Cancer Specialists & Research Institute is seeking a Claims Resolution Specialist to review medical insurance claims for resolution and payment. You will respond to inquiries or denials from insurance carriers, research documentation requests, and coordinate with providers to secure timely payments.

The role requires knowledge of medical terminology, ICD-9, CPT codes, and experience with medical billing or collections.