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Medical Claims Resolution Specialist(s)

Nease Personnel
Greenville, NC Temporary
POSTED ON 1/15/2025
AVAILABLE BEFORE 4/11/2025

Remote - Medical Claims Resolution Specialists needed, multiple openings !

Contract Based)

16.00 / hour

We are seeking a highly organized and detail-oriented individuals to join an established behavioral health agency as remote Claims Resolution Specialists .

In this role, you will be the  point of contact regarding claim issues, providing exceptional support and ensuring a smooth claims experience.

Prior experience is mandatory, at least 3 years previous experience needed.

  • Position will last at least 6 months

Responsibilities :

  • Review and address claim issues received via phone, email, and a ticketing system.
  • Research and gather information related to claim denials and approvals.
  • Communicate resolutions and summaries of claim issues clearly and concisely to providers.
  • Log and track all contact with providers.
  • Assist the Claims Department with additional duties as needed.

    • Qualifications :

  • Previous experience in medical claims processing, including reviewing claims, denials, and member eligibility.
  • Excellent communication and interpersonal skills, both written and verbal.
  • Strong analytical and problem-solving abilities.
  • Ability to work independently and manage multiple tasks simultaneously.
  • Proficient in Microsoft Office Suite (Word, Excel, Outlook).
  • Prior experience with a claims management system is a plus.
  • Candidates must live within the company's service area in North Carolina

    • Remote position.

    Opportunity to contribute to a growing and dynamic organization.

    Work in a mission-driven environment, supporting access to quality mental healthcare.

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    Salary : $16

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