Insurance Claims Resolution Specialist
The Staff Pad
full-time
Posted on:
Location Type: Remote
Location: Colorado • United States
Visit company websiteExplore more
Salary
💰 $16 - $20 per hour
Job Level
About the role
- Resolve insurance accounts for multiple clients, including claim status checks, appeals, billing, and rebilling corrected claims
- Trace missing payments and escalate coding issues when necessary
- Manage correspondence as assigned by the client
- Post adjustments in client systems when required
- Communicate with payers via phone and web portals
- Provide continuous updates to clients through phone, email, and in-person communication
- Escalate any trends or issues requiring additional attention to the Manager/Supervisor
- Perform other duties as required
Requirements
- Minimum of 1 year of experience in insurance follow-up or denials management - must have experience with Medicare.
- Ability to analyze accounts for claims resolution
- High school diploma or equivalent
- Minimum of 6 months of experience in coverage and eligibility (preferred)
- Familiarity with claim status, appeals, and billing procedures (preferred)
- Basic knowledge of medical billing and coding
- Experience in claims billing and reimbursement analysis
- Proficiency in client systems like EPIC, Affinity, Athena, Meditech, Change Healthcare (Emdeon, ePremis, Relay)
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
insurance follow-updenials managementclaims resolutionmedical billingcodingclaims billingreimbursement analysisbilling procedurescoverage and eligibility analysisappeals
Soft skills
communicationanalytical skillsproblem-solvingattention to detailorganizational skills