Medical Claims Specialist
Posted 2025-03-15The Medical Claims Specialist is responsible for daily follow-up of Accounts Receivable, denials and appeals. Works with patients and insurance carriers to resolve billing and claims issues per individual carrier guidelines.
Position requires two or more years' experience in billing processing claims, appeals and denials. Must have a strong understanding of medical terminology, ICD-10 codes, CPT codes, HCPCS and the ability to understand an EOB (Explanation of Benefits). Able to communicate with WC carriers, Insurance Carriers and patients to resolve outstanding matters in a timely manner. Training period will be conducted on site. Excellent problem-solving skills, attention to detail and organization skills required.
Requires attention to detail, ability to exercise good judgment and discretion as well as time management skills. Effective verbal and phone communication skills. Coding certification preferred but not required. Must be able to work in a cooperative manner and maintain effective working relationships with management/supervisors, co-workers, customers and vendors.
Compensation ranges from $19 to $24 an hour. Remote work - Candidates must reside in the Research Triangle area within the State of North Carolina.
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