Medical Claims Specialist

Job Summary

A company is looking for a remote Medical Benefits and Claims Specialist.

Key Responsibilities:

• Review and process medical claims submitted by healthcare providers
• Assist patients with medical-related inquiries through outbound and inbound calls
• Verify claim information and resolve discrepancies with providers, insurance companies, and patients

Required Qualifications:

• 1 year or more of recent experience in medical claims or healthcare insurance
• Proven experience in medical claims processing or a similar role
• Strong knowledge of medical terminology, coding, and billing practices (ICD-10, CPT, HCPCS)
• Proficiency with medical billing software and MS Office Suite
• Great work attitude and willingness to help others