Claims Inquiry Representative

Job Summary

A company is looking for a Claims Inquiry Representative responsible for handling web-form inquiries and reviewing DME claims for billing accuracy.

Key Responsibilities

• Respond to web-form inquiries from provider/plan partners
• Review DME claims for billing accuracy and investigate root causes
• Maintain documentation and ensure compliance with legal and regulatory standards

Required Qualifications

• High school diploma required
• Former medical billing experience required
• Strong computer/keyboarding skills, including Microsoft Office applications
• Familiarity with 1500 claim forms, DMEPOS services, ICD-10, HCPCS, and medical terminology
• Ability to work independently in a fast-paced team environment