JOB ID 22741 - Healthcare Claims Specialist

Location: Fully remote – Must be a supported work location
Applicants cannot reside in CA, CO, DE, IL, MA, MI, NJ, NY, OR, WA

Pay: $18.00 per hour

Type: Contract to hire

Schedule: M-F, 8:00 AM to 5:00 PM EST

Job description:

1. Generate and prepare insurance claims accurately based on provider documentation and billing notes, ensuring compliance with payer requirements.
2. Verify claim details, including CPT and ICD-10 coding, patient demographics, insurance eligibility, and authorization/referral requirements prior to submission.
3. Apply internal billing rules and payer-specific guidelines to minimize errors and reduce claim denials.
4. Collaborate with coders and billing staff to resolve documentation issues and meet productivity and accuracy benchmarks.
5. Maintain HIPAA compliance and organizational standards while working remotely in a dedicated workspace with reliable high-speed internet (25 Mbps download / 10 Mbps upload).

Nice to have:

• Experience with speciality practice
• Certification or coursework in medical billing, coding, or healthcare admin.
• Familiar with medical terminology, insurance billing practices, and revenue cycle processes.
• Basic understanding of CPT, ICD-10, and HCPCS coding.

Requirements:

• Must have (2) years of recent experience in a healthcare administrative support, billing experience strongly preferred.
• Must be MS Office proficient and computer proficient to navigate EMRs.
• Must have a private, designated workspace (HIPAA compliant).
• Must submit speed test: 25 Mbps download speed/10 Mbps upload speed.
• High school diploma or equivalent
• Background check required
• Drug screening required