Claims Intake Specialist

Job Summary
We are seeking a proactive and detail-oriented Claims Intake Specialist to join our dynamic team. In this vital role, you will be responsible for efficiently managing the initial intake of insurance claims, verifying coverage, and ensuring accurate documentation. Your energetic approach will help streamline the claims process, support compliance with workers' compensation law, and facilitate timely resolution of claims. This position offers an exciting opportunity to contribute to a fast-paced environment where organization and communication are key to success.

Duties

• Receive and review incoming insurance claims, ensuring all necessary medical documentation and records are complete and accurate
• Verify insurance coverage, including Medicare, Medicaid, and other health plans, using financial software systems
• Organize and file medical records, claim forms, and supporting documents systematically for easy retrieval
• Conduct initial assessments of claims using ICD-9, ICD-10, CPT coding, HCPCS codes, DRG classifications, and ICD coding standards
• Collaborate with medical providers and adjusters to clarify claim details and resolve discrepancies promptly
• Maintain detailed logs of all claim activities, including filing dates, status updates, and correspondence
• Ensure compliance with workers' compensation law and medical billing regulations throughout the intake process

Skills

• Proven clerical experience with strong organizational skills to manage multiple claims efficiently
• Expertise in filing systems, medical documentation management, and insurance verification procedures
• Knowledge of medical terminology, ICD-9/ICD-10 coding standards, CPT coding, HCPCS codes, DRG classifications, and ICD coding practices
• Familiarity with workers' compensation law and medical billing processes
• Ability to interpret medical records accurately and utilize financial software effectively
• Strong attention to detail in handling sensitive information such as medical records and legal documents
• Excellent communication skills for coordinating with healthcare providers, insurance companies, and internal teams

Join us in delivering exceptional service by ensuring claims are processed accurately and efficiently! Your dedication will help us maintain high standards of compliance while supporting our mission to provide outstanding care coordination.

Job Types: Full-time, Part-time, Contract, Temporary

Pay: $23.64 - $28.47 per hour

Benefits:

• 401(k)
• Flexible schedule
• Health insurance
• Paid time off
• Professional development assistance
• Retirement plan
• Work from home

Work Location: Remote