
U.S. Healthcare Claim Processor
1 day ago
Are you detail-oriented and skilled in revenue cycle management? This Medical Billing Specialist role is ideal for someone who excels at managing claim queues, communicating with payers, and reducing claim denials.
The successful candidate will work directly in the client's billing system, reviewing and managing denied or aging claims. They will identify root causes of denials and submit appropriate documentation or corrections. Outbound phone calls to insurance payers will be made to check claim statuses, appeal denials, and resolve payment issues.
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 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
- 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
- Experience with denial management and recovery of aged claims
- Previous work with U.S.-based healthcare providers
- Background in a remote RCM role
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