Medical Insurance Claims Specialist

Job Title: Accounts Receivable / Insurance Claims Specialist
Job Type: Full-time

Benefits:

• Competitive compensation
• Group healthcare
• Respectful and professional work environment

Full Job Description
We are seeking an Accounts Receivable / Insurance Claims Specialist to support all aspects of the insurance claim cycle, reporting metrics, and documentation control.

This position requires a detail-oriented, organized, and motivated self-starter who can work independently, manage a high volume of work, and follow through on unresolved accounts while maintaining accuracy and professionalism. Candidates with payment posting experience are strongly preferred.

Essential Functions:

• Research and secure payment for aged accounts receivable
• Review accounts for timely filing requirements
• Evaluate reimbursements for correct contract payment application
• Resolve claim denials and monitor resubmission status
• Record and maintain claim-related correspondence
• Prepare periodic reports and metrics
• Handle incoming and outgoing calls with insurance carriers and patients
• Review credit balance accounts
• Perform other duties as assigned

Qualifications:

• Associate degree or 2+ years of equivalent work experience required
• Ability to work independently and take initiative as a self-starter
• Strong mathematical aptitude and organizational skills
• Proficiency in Microsoft Office Suite
• Ability to handle a high volume of work with daily, weekly, and monthly deadlines
• Ability to identify inconsistencies and adapt to process changes
• Strong interpersonal and communication skills
• Ability to work successfully in a team-oriented environment
• 10-key proficiency
• Ability to remain seated for extended periods of time

Position Summary:
This role is responsible for insurance follow-up, denial resolution, reimbursement review, reporting, and documentation management. The ideal candidate is dependable, efficient, professional, and able to take ownership of their work from start to finish.

Job Type: Full-time

Pay: $19.25 - $23.00 per hour

Benefits:

• 401(k)
• Flexible schedule
• Health insurance
• Paid time off

Experience:

• Medical Billing: 1 year (Required)
• Microsoft Office: 5 years (Required)

Work Location: In person