Claims Resolution Specialist I

Florida Cancer Specialists•Florida - Remote, FL

1d•Remote

About The Position

The Claims Resolution Specialist I reviews medical insurance claims for resolution and payment. The role resolves inquiries and payment denials from insurance providers, researches and compiles documentation requested by insurance carriers, and responds to those requests in a timely manner. The specialist also contacts insurance carriers to collect open account balances. The position requires knowledge of insurance carrier billing and reimbursement, medical terminology, ICD-9 and CPT codes, and a thorough understanding of explanations of benefits (EOBs). At least one year of prior medical billing or medical collections experience is required. Experience with EMR or GE Centricity Practice Management software and experience in medical oncology, radiology, radiation, laboratory, or pathology are preferred. Excellent communication and interpersonal skills are required. The role is remote in Florida. Employment offers are contingent on background screening and drug testing. New hires must receive required vaccinations, including influenza, unless an exemption is approved.

Requirements

Excellent knowledge of insurance carrier billing and reimbursement.
Knowledge of medical terminology, ICD-9, and CPT codes.
In-depth understanding of explanations of benefits (EOBs).
At least one year of prior medical billing or medical collections experience.
Excellent communication and interpersonal skills.

Nice To Haves

Experience with EMR or GE Centricity Practice Management software.
Experience in medical oncology, radiology, radiation, laboratory, or pathology.

Responsibilities

Review medical insurance claims for resolution and payment.
Resolve inquiries and payment denials from insurance providers.
Research and compile documentation requested by insurance carriers and respond in a timely manner.
Contact insurance carriers to collect open account balances.