Insurance Claims Specialist

To ensure the financial viability of the hospitals, the full-time Insurance Claims Specialist will manage patient account balances through accurate claim submission, compliance with billing regulations, and timely follow-up, while providing excellent customer service in a remote environment. Key responsibilities: Submits accurate and timely claims to third-party payers and resolves claim edits prior to submission Contacts third-party payers to resolve unpaid claims and adheres to follow-up procedures to maximize collections Gathers statistics, completes reports, and performs clerical duties as needed to support departmental operations Required qualifications: High school diploma or equivalent One year of medical billing or medical office experience preferred Knowledge of medical terminology and billing regulations Familiarity with ICD-10 and CPT coding processes preferred Ability to utilize payer portals for claim status verification and follow-up