Claims Resolution Specialist

Job Summary

A company is looking for a Claims Resolution Specialist responsible for reviewing Durable Medical Equipment claims for billing accuracy and issue resolution.

Key Responsibilities

• Review and process DME claims for billing accuracy while maintaining documentation
• Achieve daily productivity goals and contribute to team collaboration
• Stay informed on regulatory changes and contribute to department growth

Required Qualifications

• Previous medical billing or claims experience
• Familiarity with ICD-10, HCPCS, and medical terminology
• Understanding of CMS guidelines and medical policy
• Proficiency in Microsoft Office, especially Excel
• Ability to type 45+ words per minute