Lead Insurance Claims Specialist

Job Summary

A company is looking for a Lead Insurance Claims Specialist.

Key Responsibilities

• Manage patient account balances, ensuring accurate claim submission and compliance with regulations
• Resolve claim edits and account errors prior to submission, and follow up with third party payers
• Assist with denial management and provide customer service support to patients and staff

Required Qualifications

• High School Graduate or equivalent
• HFMA Certified Revenue Cycle Representative (CRCR) Certification within 90 days of hire
• Six (6) years of medical billing/medical office experience, with nine (9) months directly related to hospital insurance claims
• Completion of sixteen hours of revenue cycle continuing education required annually