Financial Claims Resolution Specialist

2 days ago


Birmingham, Alabama, United States Westerkamp Group, LLC Full time

Westerkamp Group, LLC is an expanding company specializing in Revenue Cycle Management services in the health care industry.

Company Overview

We are growing and currently seeking a Financial Claims Resolution Specialist to provide patient and third-party hospital denials follow-up and professional follow-up for our clients.

Job Description

The Financial Claims Resolution Specialist works as a member of our client team and is responsible for monitoring denials, appeals, and resolutions from participating insurance carriers.

Required Skills and Qualifications
  • Must have a full understanding of insurance follow-up processes (Billing, Collections, Credit Balances, Managed Care, Medicare, Medicaid, and Commercial practices).
  • Ability to review account balances and denials and perform steps to overturn the denials.
  • Ability to adhere to strict compliance guidelines related to HIPAA.
  • Excellent telephone and communication skills.
  • Strong analytical capabilities.
  • Well-developed interpersonal skills to work with guarantors and various third-party insurance departments.
  • Basic knowledge of CPT, ICD-9, and ICD-10 codes.
  • The ability to work independently and accomplish goals working on a wide variety of special projects within the business office.
Salary and Benefits

We offer a competitive salary and benefits package.

Equal Employment Opportunity

We provide equal employment opportunities to all employees and applicants for employment and prohibit discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.



  • Birmingham, Alabama, United States Auto-Owners Insurance Full time

    Job OverviewAuto-Owners Insurance is seeking an experienced Claims Resolution Specialist to handle insurance claims in the field. As a key member of our team, you will be responsible for investigating and resolving claims in a timely and accurate manner.About the RoleThis position requires strong analytical and problem-solving skills, as well as excellent...


  • Birmingham, Alabama, United States Guidehouse Full time

    About the RoleWe are seeking a skilled Medical Claims Resolution Specialist to join our team at Guidehouse.This role is perfect for individuals who enjoy working in healthcare and have strong analytical skills.


  • Birmingham, Alabama, United States Kemper Full time

    Job DescriptionKemper is a leading specialized insurer dedicated to providing exceptional customer experiences. As a Claims Recovery Specialist in our Birmingham or Dallas office, you will play a crucial role in identifying and pursuing subrogation opportunities.About the RoleThis position involves conducting thorough investigations of claims with limited...


  • Birmingham, Alabama, United States Hudson Automotive Group, Inc Full time

    Job OverviewWe are looking for a skilled and motivated Warranty Administrator to join our team at Hudson Automotive Group, Inc. In this role, you will play a critical part in ensuring the success of our business by providing top-notch customer service and managing warranty claims efficiently.About the JobThis is an exciting opportunity for someone who is...


  • Birmingham, Alabama, United States Westerkamp Group, LLC Full time

    Job OverviewWe are seeking a skilled Denial Claims Specialist to join our team at Westerkamp Group, LLC. Based in Birmingham, AL, this role involves working closely with clients to provide patient and third-party hospital denials follow-up.Key Responsibilities:Maintain up-to-date knowledge of insurance follow-up processes, including billing, collections,...


  • Birmingham, Alabama, United States 4P Consulting Inc. Full time

    4P Consulting Inc. is seeking a highly skilled Financial Reconciliation Specialist to join our team.Job Description:The successful candidate will be responsible for reviewing and reconciling invoices, purchase orders, and financial records to ensure accuracy and compliance with organizational policies and procedures.This role involves identifying and...


  • Birmingham, Alabama, United States Guidehouse Full time

    About the RoleWe are seeking a skilled Professional Overpayment Resolution Specialist to join our team at Guidehouse.Job SummaryThis role involves processing overpayments made to the Management Services Organization (MSO) under general supervision and according to established policies and procedures. The successful candidate will perform various duties...


  • Birmingham, Alabama, United States Cronin & Company LLC Full time

    Job SummaryCronin & Company LLC is seeking a skilled Financial Accountant Specialist to join our team in North Shelby County.The estimated annual salary for this position is $45,000 - $65,000 based on industry standards and market trends.Key Responsibilities:Obtain and record primary financial data for clients' accounting recordsCompute and accurately...


  • Birmingham, Alabama, United States Leave Your Mark Full time

    Job Summary:We are seeking a highly skilled Financial Operations Specialist to join our team at Leave Your Mark. As a key member of our financial operations team, you will play a crucial role in maintaining financial records, managing accounts payable and receivable, and ensuring accuracy in financial transactions.About the Role:This is a full-time position...


  • Birmingham, Alabama, United States Argent Financial Group Full time

    Job OverviewArgent Financial Group is a leading wealth management firm seeking a skilled Systems Specialist to maintain our system software platforms. The ideal candidate will have a strong background in operational systems, troubleshooting, and reporting.The Systems Specialist will be responsible for:Maintaining system software platformsAssisting user...


  • Birmingham, Alabama, United States Saxon Global Full time

    Saxon Global seeks a Financial Services Compliance Specialist to join their team. The successful candidate will have 3+ years of experience working with Firco Compliance Link and a strong understanding of business analysis activities, tasks, tools, and deliverables.Job DescriptionThe Firco Compliance Analyst role involves working with RDS business to ensure...


  • Birmingham, Alabama, United States PNC Financial Services Group Full time

    OverviewPNC Financial Services Group is a leading financial institution with a strong commitment to innovation and customer satisfaction. As a Cloud Architecture Senior Specialist, you will be part of the AWS Cloud Product team and report into a Portfolio Owner Manager Sr.


  • Birmingham, Alabama, United States Regions Financial Full time

    Company OverviewRegions Financial is a leading financial institution committed to excellence in serving our customers and communities.Job Summary:We are seeking a highly skilled Compliance Leadership Specialist to lead our team of compliance experts in advising on business decisions, ensuring activities follow rules and regulations, contributing to process...


  • Birmingham, Alabama, United States BMSS, LLC Full time

    OverviewBMSS, LLC is a top 100 advisory and CPA firm in the U.S. with four locations in Alabama and one in Mississippi.About the RoleWe are seeking a client-focused leader to join our financial due diligence and transaction advisory services team as a Financial Advisory Services Specialist.Job DescriptionThis role involves providing transaction advisory...


  • Birmingham, Alabama, United States SCA Health Full time

    Job SummaryWe are seeking a highly skilled Lead Financial Analyst to join our team at SCA Health.About SCA HealthSCA Health is transforming specialty care in our communities by aligning physicians, health plans and health systems around a common goal: delivering exceptional care and healing to our patients and communities we serve.Key ResponsibilitiesPerform...


  • Birmingham, Alabama, United States SCA Health Full time

    About SCA HealthAs a leading healthcare company, SCA Health is dedicated to delivering high-quality patient care and innovative solutions. With over 11,000 teammates across the nation, we strive to create value in specialty care by aligning physicians, health plans, and health systems around a common goal: delivering exceptional outcomes and experiences for...


  • Birmingham, Alabama, United States Jobot Full time

    About UsWe are a full-service insurance brokerage and consulting firm specializing in commercial insurance, risk management, claims management, and loss control.


  • Birmingham, Alabama, United States Boulo Solutions Full time

    About the Role:As a Cash Management Specialist at Boulo Solutions, you will be responsible for executing daily time-sensitive transfers of funds with strict adherence to regulations and bank policy. This deadline-driven position requires a working knowledge of regulations and an ability to act decisively in routine situations.About You:We are looking for a...


  • Birmingham, Alabama, United States Dentons Sirote Full time

    Company OverviewA leading law firm, Dentons Sirote, seeks a skilled Tax Litigation Specialist to join its dynamic team. With offices nationwide, our firm provides expert guidance on tax controversies and dispute resolution.


  • Birmingham, Alabama, United States PNC Financial Services Group Full time

    About the RoleWe are seeking a highly skilled Software Engineer Lead to join our team at PNC Financial Services Group.Job OverviewThis is an exciting opportunity for a senior software engineer with extensive experience in Salesforce Lightning Framework, Apex programming, and UI/UX design. As a leader, you will be responsible for technical design and...