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Claims Resolution Specialist

8/26/2025

No location specified

Job Summary

A company is looking for a Claims Resolution Specialist - Appeals.

Key Responsibilities
  • Coordinate provider invoice activities to ensure timely reimbursement of receivables
  • Research and resolve claims denials and prepare appeals as necessary
  • Provide guidance and communication regarding claims processing protocols to internal and external customers
Required Qualifications
  • High School Diploma or equivalent
  • Two years of medical claims processing and reimbursement experience
  • Knowledge of healthcare collection procedures and relevant software applications
  • Familiarity with HIPAA, coding standards, and Microsoft Office applications
  • Strong organizational and time management skills

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