Claims Specialist for Healthcare Revenue Cycle
2 days ago
We are seeking a detail-oriented Claims Specialist to support the revenue cycle operations of a U.S.-based healthcare client.
About the Role:This role is primarily focused on reducing claim denials and recovering aging or stale claims. You'll be working directly in the client's billing system, managing claim queues, and communicating with payers to ensure timely and accurate reimbursement.
This is an ideal opportunity for someone with experience in medical billing or claims follow-up who thrives in a fast-paced, process-driven environment.
Key Responsibilities:- Log into the client's billing system to review and manage denied or aging claims
- Work claim queues to identify root causes of denials and submit appropriate documentation or corrections
- Make outbound phone calls to insurance payers to check claim statuses, appeal denials, and resolve payment issues
- Escalate recurring denial trends or system/process bottlenecks to the client's RCM lead
- Maintain accurate and detailed notes of all payer interactions and claim activities
- Assist with additional RCM workflows as needed to support clean and efficient revenue operations
- 1-3 years of experience in medical billing, revenue cycle management, or claims follow-up
- Familiarity with payer portals and billing systems (e.g., Kareo, Athena, AdvancedMD, etc.)
- High attention to detail and ability to work independently on repetitive or process-heavy tasks
- Strong written and verbal communication skills in English
- Comfortable speaking with payers over the phone and navigating insurance systems
- Competitive compensation package
- Opportunity to work in a fast-paced, dynamic environment
- Potential for professional growth and development
Please note that this is a remote position and requires a high level of self-motivation and discipline to succeed.
How to Apply:If you are a motivated and detail-oriented individual with experience in medical billing or claims follow-up, please submit your application for consideration.
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