What You’ll Do:
As a Claims Specialist I, your responsibilities might evolve as we scale. Your initial responsibilities will include:
- Research and find solutions to denied claims.
- Complete outbound calls to insurance carrier supervisors to investigate denial reasons.
- Resubmit claims with errors, utilizing knowledge of CMS 1500 forms and a broad understanding of data, coding, and policy errors.
- Draft appeals for relevant claim denials, adhering to medical policies for all insurance carriers
- Ensure patient data in software is correct and most up-to-date, contacting the appropriate person for any inconsistencies.
- Prioritize workflows based on the age of claims.
What You Bring:
- Process-driven: Highly organized, operational thinker, rarely leaving questions unanswered.
- Adaptable: You are comfortable in a fast-paced environment, with priorities changing weekly.
- Healthcare Experienced: Strong understanding of healthcare claims, plan benefits, and patient responsibilities. At least 2 years of experience in Medical Billing or Healthcare setting.
- Team Player: You are collaborative by nature, relish in camaraderie and group wins, and are looked to by colleagues or direct reports as a steadfast partner & source of encouragement
Tech-Savvy: Adept in chat, email, & phone communications.
If you don’t meet every single requirement, but are still interested in the job, please apply. Nobody checks every box, and Grow believes the perfect candidate is more than just a resume.
Note: Please upload your resume in PDF format
Hourly Range: $26.44 - $29.37
