Claims Processing Specialist

2 weeks ago


Palm Harbor, Florida, United States Global Channel Management Full time

About the position of Claims Processing Specialist

Claims Processing Specialist requires 1-2 years of expertise in the realm of medical billing and claims management.

Key qualifications for the Claims Processing Specialist include:

  • 1-2 years of experience in medical billing and claims processing.
  • Onsite work environment.
  • Capability to manage multiple responsibilities efficiently. Excellent communication and customer service abilities.
  • Intermediate proficiency in MS Outlook, Excel, and data entry tasks.
  • Familiarity with medical billing clearinghouses such as Availity and Emdeon (Change Healthcare) is advantageous, along with knowledge of accounts payable and receivable.
Responsibilities of the Claims Processing Specialist:
  • Engaging with clients, confirming their information, organizing installations, sending communications, creating client accounts, and utilizing product and pricing details to address inquiries and provide estimates.
  • Supporting Medical Billing Claims for governmental entities.
  • Ensuring accurate claims processing and managing follow-ups on denials.
  • Collaborating closely with team members, demonstrating adaptability, adhering to policies and procedures, and offering assistance in other departments as necessary.
  • Delivering exceptional customer service to both internal and external stakeholders.


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