Medical Claims Resolution Specialist

Staffmark Group•Lafayette, LA

63d•$18

About The Position

Are you an expert in EOBs, insurance claims, and medical billing systems? Do you thrive on resolving issues and getting results? Staffmark is hiring a Medical Claims Resolution Specialist to support a high-performing healthcare team in Lafayette, LA. If you bring experience in medical collections, insurance verification, billing, and coding, this role is your opportunity to take the next step in your career.

Requirements

High school diploma or equivalent
1+ year of insurance verification or authorization experience (required)
Proficient with Microsoft Office
Strong understanding of CPT/ICD-10, HCFA 1500, UB04, and medical terminology
Familiar with Medicare/Medicaid policies, HIPAA compliance, and EOBs
Excellent attention to detail, organization, and communication skills

Nice To Haves

3-5 years of experience in DME or medical billing (preferred)

Responsibilities

Reviewing and interpreting insurance policies, EOBs, and patient documentation
Handling denial appeals, payment reviews, balance billing, and claims processing
Communicating with insurance providers, patients, and internal departments
Managing clerical tasks such as emails, calls, and fax correspondence
Supporting Revenue Cycle Management with updates and escalations
Assisting with additional projects as needed