Claims Resolution Specialist

Reviewing medical insurance claims for resolution and payment, the full-time Claims Resolution Specialist will handle inquiries and payment denials from insurance providers while working remotely. Key responsibilities Review all medical insurance claims to ensure proper resolution and payment Respond to documentation requests from insurance carriers in a timely manner Contact insurance carriers to collect on open account balances Required qualifications Excellent knowledge of insurance carrier billing and reimbursement, including medical terminology, ICD-9, and CPT codes In-depth understanding of explanation of benefits (EOB) At least one year of prior medical billing or medical collections experience Experience with EMR or GE Centricity Practice Management software is preferred Experience in Medical Oncology, Radiology, Radiation, Laboratory, or Pathology is preferred