Insurance Claims Resolution Specialist

The Staff Pad • Longmont, CO

2d

About The Position

The Staff Pad has partnered with one of Colorado’s largest accounts receivable management companies to hire an Insurance Claims Resolution Specialist. Headquartered in Longmont, this industry leader works with organizations across all 50 states, providing expert support in managing revenue cycles.

As an Insurance Claims Resolution Specialist, you are responsible for resolving outstanding balances on insurance accounts for various clients. This role involves handling claims, billing, and appeals to ensure accurate and timely account resolutions.

Requirements

• Minimum of 1 year of experience in insurance follow-up or denials management - must have experience with Medicare.
• OR completion of a medical billing/follow-up certificate or degree
• Ability to analyze accounts for claims resolution
• High school diploma or equivalent

Nice To Haves

• Minimum of 6 months of experience in coverage and eligibility (preferred)
• Familiarity with claim status, appeals, and billing procedures (preferred)
• Basic knowledge of medical billing and coding
• Experience in claims billing and reimbursement analysis
• Proficiency in client systems like EPIC, Affinity, Athena, Meditech, Change Healthcare (Emdeon, ePremis, Relay)

Responsibilities

• Resolve insurance accounts for multiple clients, including claim status checks, appeals, billing, and rebilling corrected claims
• Trace missing payments and escalate coding issues when necessary
• Manage correspondence as assigned by the client
• Post adjustments in client systems when required
• Communicate with payers via phone and web portals
• Provide continuous updates to clients through phone, email, and in-person communication
• Escalate any trends or issues requiring additional attention to the Manager/Supervisor
• Perform other duties as required

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED