Medical Claims Specialist
Medical Claims Specialist – Full-Time Position – Remote – Must Reside in the Research Triangle Area, NC
We are a dynamic, fast-paced specialty medical practice committed to delivering exceptional care and service to our patients. We’re seeking an experienced, detail-oriented Medical Claims Specialist to join our team and help ensure accurate and timely processing of all insurance and billing needs.
Key Responsibilities:
- Review and submit medical claims to insurance carriers via electronic or paper billing systems.
- Verify insurance eligibility and benefits for patients.
- Investigate and resolve claim denials, rejections, and payment discrepancies.
- Coordinate with healthcare providers, coders, and billing staff to ensure proper documentation and coding.
- Follow up with insurance companies on unpaid or underpaid claims.
- Appeal denied claims in accordance with payer-specific guidelines.
- Maintain detailed records of billing activities and communications.
- Ensure compliance with HIPAA and payer-specific regulations.
- Assist patients with understanding their insurance coverage and balances if needed
Required Skills and Qualifications:
- Minimum 2 years of experience in medical claims processing or billing.
- Strong understanding of CPT, ICD-10, and HCPCS codes.
- Familiarity with EOBs (Explanation of Benefits), ERA/835 files, and payer portals.
- Proficiency in practice management software (e.g., Athena, Epic, Kareo).
- Excellent attention to detail, organization, and communication skills.
- Ability to work independently and meet deadlines.
What We Offer:
- Comprehensive health, dental, and vision coverage.
- Retirement plan with employer contributions.
- Paid Time Off program.
- Supportive team environment with room to grow.
- The chance to make a meaningful impact on patients’ access to care.
#INDADMIN
Recommended Jobs
Appointment Scheduling Coordinator
Appointment Scheduling Coordinator – Full-Time Position – Raleigh Location Raleigh Orthopaedic is hiring an Appointment Scheduling Coordinator for our Centralized Call Center to schedule appointments…
Explore Vibrant Charlotte as a Traveling Nurse!
RN PCU job in Charlotte, NC Explore vibrant Charlotte as a traveling nurse specializing in telemetry/step-down! Embrace the excitement of a new city while providing top-notch patient care at renowned…
Ramp Operations Manager
Job Description Job Description G2 is looking for two candidates to fill the Ramp Operations Manager roles at Charlotte Douglas International Airport (CLT) . The ideal candidate will have 2 or m…
Physician Assistant OR Nurse Practitioner Pine Hall, NC (20 miles N of Winston-Salem)
Physician Assistant OR Nurse Practitioner Pine Hall, NC (20 miles N of Winston-Salem) Monday-Friday We are looking for a Physician Assistant or Nurse Practitioner to join our medical group full t…
Traumatic Brain Injury (TBI) Client Support
Location: Boxford, MA Job Type: Full-Time / Part-Time Schedule: Monday, Tuesday, Thursday 10a-4p, Wednesday 12p-8p More hours available in area Position Summary: We are seeking a skill…
BUSINESS STRATEGY CONSULTANT-PRICING (HYBRID-CHARLOTTE, NC)
A family of companies and experiences As the leading foodservice and support services company, Compass Group USA is known for our great people, great service and our great results. If you’ve be…
Make Ready
Job Description Job Description Apartment Community Make Ready Join Our Team! Skilled Maintenance Tech Wanted – Keep our community thriving! Apply now! The Liberty Group is immediately hirin…
Pharmacist
Job Description Job Description Salary: $80-105/hr. Pharmacist Job Responsibilities: Serves patients by preparing medications, giving pharmacological information to multidisciplinary health…
Mental Health Counselor (Pay Per Visit)
Job Description Job Description Are you a mental health counselor passionate about helping people manage through physical injury and/or chronic pain? Join us in making a difference at Integrative…
Financial Advisor - Bilingual Preferred
Job Description Job Description Benefits: Retirement Bonus based on performance Company parties Dental insurance Flexible schedule Health insurance Opportunity for advancemen…