Health Specialist Jobs

About The Position

Requirements

• High school graduation or equivalent.
• Minimum of 1 year of medical billing and denials, customer service, and relevant finance experience in a healthcare organization is listed as a preferred qualification.

Nice To Haves

• Bachelor’s degree in healthcare or business administration.
• Certification in medical billing.
• Experience in medical billing and denials, customer service, and relevant finance in a healthcare organization.

Responsibilities

• Submit and track insurance claims; resolve denials and billing edits; process remittances and adjustments; and ensure timely, accurate account resolution in accordance with payer requirements.
• Review denied or underpaid claims, prepare appeal letters, gather supporting documentation, and collaborate across departments to improve claim outcomes.
• Respond to patient inquiries, verify insurance eligibility and authorizations, maintain thorough documentation, and communicate with Revenue Cycle teams.
• Maintain HIPAA confidentiality, meet productivity benchmarks, stay current with billing policies, and manage workload using effective time management, organization, and communication skills.