Claims Specialist

Position: Claims Specialist

Hours: 9am-5:00pm, Monday-Friday

Company Profile:

Healthcare Legal Solutions, LLC, is a healthcare collections firm that provides denial management, consulting, and corporate collections services to hospitals and health systems. We are a small, fast-growing firm with lots of opportunities for new employees to prove themselves and a great team culture.

Job Description and Tasks:

We are seeking a Claims Specialist whose primary function will be to investigate claim denials, perform claim rebills, scan & mail documents; handle large volumes of documents, research using hospital and insurance portals, open, sort, and import incoming correspondence; and contact health insurance companies in order to obtain the status of previously submitted appeals. The ideal candidate will have previous work experience with claims, billing, and coding. Candidates will have to work well with attorneys and paralegals, maintain a high-volume workload, thrive under pressure, and be a team player.

Candidates will be required to perform the following duties:

• Investigate Claims Denials
• Handle large volumes of documents, including accurately scanning and mailing documents.
• Utilize increased knowledge of the industry, hospital revenue cycle, and payers/insurance companies to document the account and provide information and details to support paralegal’s/attorney’s pursuit for additional reimbursement
• Work within the client’s Patient Accounting system, payer portals and/or websites, and will utilize proprietary software to research accounts in the work queue
• Be comfortable, skilled, assertive, cordial, and professional on the telephone to follow up on submitted appeals.
• Open, sort, and import incoming correspondence into the office database.
• Navigate through various computer systems and applications to find information about insurance claims.
• Greet and assist onsite guests.
• Answer calls for Claim status and Appeal status.
• Perform any other administrative duties as may be necessary.

Required Qualifications:

• Bachelor’s degree.
• Ability to prioritize and multitask.
• Excellent written and verbal communication skills.
• Proficiency in Microsoft Office, including Word and Excel.
• Highly attentive to detail.
• Excellent organizational and time management skills.
• Clear, concise, and logical writing style.
• Computer-savvy, able to learn new applications/software quickly.

Preferred Qualifications:

• Previous experience in office administration or another related field.
• Basic working knowledge of the US healthcare system.

Interested candidates should submit a resume with their undergraduate GPA. Applications without a resume will not be considered.

Job Type: Full-time

Salary: Starting at $21.00 /hour