Claims Submission Specialist

Job Summary

A company is looking for a Claims Submission Specialist to ensure accurate and timely submission of insurance claims.

Key Responsibilities:

• Submit professional claims (CMS-1500) electronically to Medicare, Medicaid, and commercial payers
• Monitor claims through their full lifecycle and resolve rejections and denials
• Collaborate with internal teams to ensure accuracy in coding and documentation

Required Qualifications:

• 2+ years of experience in healthcare claims submission or medical billing
• Strong understanding of CPT/HCPCS codes related to remote care and chronic disease management
• Familiarity with claim clearinghouses and EHR/PM systems
• Experience working with older adult populations and chronic disease services is a plus
• Must be authorized to work as an independent contractor (1099)