Senior Insurance Claims & Appeals Specialist

Watson-Clinic; Lakeland (FL); On-site; USD 42,000 - 60,000; Full time

Job summary

Watson-Clinic in Lakeland, FL is seeking an Insurance Claims Examiner to follow up on open claims and ensure compliance with billing guidelines.

You will review claims, handle disputes and appeals with carriers, and document actions in the billing system. The role requires accuracy, strong organization, and knowledge of CPT/ICD-10 coding.

A background in medical office billing and proficiency with payer portals will help you succeed in this on-site position.

Qualifications

• 3–6 years in a medical business office or related field.
• Experience with claims adjudication for multiple payers.
• Current CPT and ICD-10 coding knowledge.

Responsibilities

• Follow up on open claims per guidelines and review for completeness.
• Resolve disputes and appeals of third-party denials; contest unpaid charges.
• Enter insurance information and stay current on FSCs.
• Assist in education of new employees and monitor workflow in the Insurance Department.

Skills

Claims adjudication

Billing guidelines

Medical terminology

Typing 40 wpm

Windows applications

Education

High School diploma

Tools

Payer portals

Job description

Watson-Clinic in Lakeland, FL is seeking an Insurance Claims Examiner to follow up on open claims and ensure compliance with billing guidelines.

You will review claims, handle disputes and appeals with carriers, and document actions in the billing system. The role requires accuracy, strong organization, and knowledge of CPT/ICD-10 coding.

A background in medical office billing and proficiency with payer portals will help you succeed in this on-site position.