Claim Edit Specialist

To support the revenue cycle management team, the full-time remote Claim Edit Specialist will identify and resolve third-party payer rejections, manage claims that fail scrub rules, and enter charges into the EMR system in collaboration with the certified coding team. Key responsibilities Manage claims returned for failing scrub rules and resolve payer rejections promptly Enter charges and bills into the EMR system, coordinating with the coding team as needed Monitor missing charges and communicate with RCM management regarding any issues Required qualifications 1-3 years of experience in a medical or insurance environment, preferably in a physician practice or billing company Revenue cycle experience is preferred Completion of Modernizing Medicine University courses within 6 months of hire Proficiency in Microsoft Office Suite, especially Excel, with the ability to analyze large data sets Strong organizational skills and the ability to meet deadlines in a fast-paced environment