Medical Claims Specialist

Job Responsibilities:

• Responsible for reviewing, processing, and submitting medical insurance claims to ensure accurate and timely reimbursement from providers such as Medicare, Medicaid, and private insurers. The role also includes following up on denied or unpaid claims and resolving billing discrepancies.

Qualifications:

• Knowledge of medical billing procedures and insurance claims processing
• Familiarity with Medicare, Medicaid, and private insurance guidelines
• Strong attention to detail and accuracy
• Good communication and follow-up skills
• Ability to handle confidential patient information with discretion
• Comfortable working independently and managing multiple claims efficiently