Healthcare Claims Specialist
8 days ago
Dallas
Job Description JOB ID 22741 - Healthcare Claims Specialist Location: Fully remote – Must be a supported work location Applicants cannot reside in CA, CO, DE, IL, MA, MI, NJ, NY, OR, WA Pay: $18.00 per hour Type: Contract to hire Schedule: M-F, 8:00 AM to 5:00 PM EST Job description: • Generate and prepare insurance claims accurately based on provider documentation and billing notes, ensuring compliance with payer requirements., • Verify claim details, including CPT and ICD-10 coding, patient demographics, insurance eligibility, and authorization/referral requirements prior to submission., • Apply internal billing rules and payer-specific guidelines to minimize errors and reduce claim denials., • Collaborate with coders and billing staff to resolve documentation issues and meet productivity and accuracy benchmarks., • Experience with speciality practice, • Certification or coursework in medical billing, coding, or healthcare admin., • Familiar with medical terminology, insurance billing practices, and revenue cycle processes., • Must have (2) years of recent experience in a healthcare administrative support, billing experience strongly preferred., • Must be MS Office proficient and computer proficient to navigate EMRs., • Must have a private, designated workspace (HIPAA compliant)., • Must submit speed test: 25 Mbps download speed/10 Mbps upload speed., • High school diploma or equivalent, • Background check required, • Drug screening required