What are the responsibilities and job description for the Insurance Claims Specialist position at RightClick?
Our client is a leading organization, actively advancing in various specialized fields within their dynamic industry. They are dedicated to excellence, and their rapid growth reflects their success. They are looking for a Insurance Claims Specialist who will be responsible for reviewing and resolving denied insurance claims to ensure accurate payment. This role involves investigating denials, reconciling accounts, appealing claims, and collaborating with insurance representatives for prompt resolution. This is an onsite position based in Westchester County, NY.
Insurance Claims Specialist’s Responsibilities and Duties
- Process rejections, denials, and third-party payer correspondence.
- Resolve non-payment issues and rebill claims accurately.
- Review payor contracts to determine proper claim processing and payment.
- Navigate EMR systems to ensure claims are processed efficiently.
Insurance Claims Specialist’s Qualifications and Skills
- Experience in hospital billing, follow-up, and denial management preferred.
- Knowledge of medical terminology preferred.
- Familiarity with EMR systems, EPIC preferred.
- Strong problem-solving, multitasking, and organizational skills.
- Proficiency in Microsoft Office, especially Excel, for reporting.
RightClick is an equal opportunity employer who agrees not to discriminate against any employee or job applicant irrespective of race, color, creed, alienage, religion, sex, national origin, age, disability, gender (including gender identity), marital status, sexual orientation, citizenship or any other characteristic protected by law.
