Remote Medical Claims Specialist

Rising Medical Solutions; Milwaukee (WI); On-site; USD 33,000 - 39,000; Full time

Benefits offered by this job

Health insurance (4 different plans to choose from)

Paid time off

401(k)

Professional Development Reimbursement Program

Job summary

A healthcare solutions company is seeking a Claims Specialist in Milwaukee, WI. The role involves reviewing and processing claims while maintaining compliance and enhancing client relationships. Candidates should have 2-4 years of healthcare experience and a high school diploma is required. Preferred qualifications include medical coding certification and strong analytical skills. Benefits include health insurance and flexible time off.

Qualifications

• 2-4 years of insurance or healthcare experience, preferably in claims or medical billing.
• Knowledge of CPT and ICD coding and healthcare billing practices.
• Experience in a fast-paced, multi-faceted environment.

Responsibilities

• Review, process, and coordinate claims accurately.
• Analyze and process claims for accuracy and benefits coverage.
• Retain and strengthen client relationships.
• Assist members with reimbursement issues.

Skills

Knowledge of Group Health Insurance

Strong knowledge of medical terminology

Excellent analytical skills

Customer-service orientation

Excellent oral and written communication skills

Time-management and organization skills

Strong interpersonal and conflict resolution skills

Ability to work independently and as part of a team

Attention to detail

Education

High school diploma required; Associate's or Bachelor's degree preferred

CPC or equivalent medical coding certification preferred

Job description

A healthcare solutions company is seeking a Claims Specialist in Milwaukee, WI. The role involves reviewing and processing claims while maintaining compliance and enhancing client relationships. Candidates should have 2-4 years of healthcare experience and a high school diploma is required. Preferred qualifications include medical coding certification and strong analytical skills. Benefits include health insurance and flexible time off.