Insurance Claims Specialist

Managing insurance claims for clients, the full-time remote Account Resolution Specialist III will ensure timely payment processing, handle claim denials and appeals, and maintain accurate financial records for healthcare organizations. Key responsibilities Submit and review medical claims to ensure compliance with federal, state, and payer-specific requirements Investigate claim errors and denials, and follow up with payers to resolve outstanding accounts receivable Prepare and submit appeals with supporting documentation in accordance with payer guidelines Required qualifications High school diploma or equivalent Minimum 2 years of experience in securing medical claim payments and managing claim follow-up Experience with EMR/EHR systems such as Meditech, Epic, or similar platforms Strong knowledge of ICD-10, CPT/HCPCS, and payer guidelines Proficiency in Microsoft Office Suite and various desktop applications