Job Description
Job DescriptionWe are looking for a detail-oriented Medical Insurance Claims Specialist to join our team on a contract basis in Spokane, Washington. In this role, you will be responsible for managing third-party medical billing processes, addressing unpaid claims, and supporting patients with insurance-related inquiries. This is an excellent opportunity to contribute to a dynamic healthcare environment while ensuring accuracy and efficiency in claim processing.
Responsibilities:
• Process medical claims for third-party payers and rebill as necessary to ensure accurate submission.
• Investigate unpaid claims, determine payment status, and take corrective action by appealing denials or resubmitting claims.
• Communicate with insurance providers to resolve discrepancies in payments or unpaid services.
• Identify and correct errors in claim information to ensure successful submissions.
• Assist patients with understanding their insurance claims and address their basic billing concerns.
• Provide support for patient collection inquiries during the absence of the Collections Specialist.
• Authorize write-offs for uncollectible balances within designated authority limits.
• Research and resolve credit balances, issuing refunds to the appropriate parties as necessary.
• Complete assigned special projects and additional tasks as required.• Proven experience in medical billing, claims processing, or insurance-related roles.
• Familiarity with third-party payer systems and medical billing procedures.
• Strong knowledge of patient and insurance eligibility verification processes.
• Proficiency in handling insurance claims and resolving issues related to denials or discrepancies.
• Exceptional attention to detail and accuracy in managing financial transactions.
• Excellent communication skills for interacting with patients and insurance providers.
• Ability to work independently while adhering to established procedures and deadlines.
• Experience with credit balance resolution and refund processing is a plus.