Claims Specialist Remote Jobs in North Dakota (US)
This page tracks remote claims specialist openings that are location-eligible for North Dakota.
This page tracks remote claims specialist openings that are location-eligible for North Dakota.
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2149 Jobs
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Endurance Warranty has been honored with multiple Stevie Awards for being a great place to work, and we’re growing rapidly. We’re a fast-paced company offering limitless opportunities to grow your career. Thanks to our dedicated employees, we provide best-in-class auto repair coverage to customers across the country, protecting people from unexpected and costly breakdowns for almost 15 years. At Endurance, we embrace the entrepreneurial spirit, and you’ll play a role in shaping this dynamic industry. We offer great pay, amazing benefits, and the opportunity to learn and grow. When you work for Endurance, you’re working for a company that cares about you and your future. We empower employees to lead, drive change and give back where they work and live. Our people are our greatest strength, and we’re proud to work as a diverse team to serve our customers and our community. Therefore, we’ve been honored as a top place to work, including multiple StevieⓇ Awards for the best workplace and great employer. For the last several years, Endurance has also earned a spot-on Selling Power’s “50 Best Companies to Sell For” and consistently makes industry lists from Crain’s and Inc. magazine for our continuous and significant growth. Experts in the industry recognize that our employees care as well—Consumer Affairs highly recommends Endurance, and our customers highly rate us on Google, Trustpilot, and other major online review sites. Come accelerate your career with us. We’ll give you the tools you need to succeed at work and the flexibility to enjoy life outside of your job.
Role Description A Claims Invoice Processor is responsible for receiving, verifying and issuing payments to repair facilities, vendors and contract holders. This position also includes answering internal and external phone inquiries and providing information and explanations on the various levels of contract coverage and terms. - Review invoices for accuracy and issue payment to repair facilities nationwide - Analyze information in contracts and claim system to apply appropriate benefit amounts - Distribute internal information to aid Claims Adjudication Department - Answer phone inquiries and provide information and explanations on the various levels of contract coverage and terms - Manage workflow, process and complete all payment requests and documents according to established procedures - Be a team member, work effectively in a friendly team environment - Being interactive and communicative with management and co-workers in a visible manner is an essential function of the job; therefore, camera usage is required for training, team meetings, and meetings with management. - Other Job Duties, as assigned Qualifications - Minimum High School graduate or GED is Required - Strong organizational and customer service skills with ability to problem solve and multitask - Must be detail oriented with a high level of accuracy in data entry skills - The ability to maintain confidentiality of sensitive information - Possess excellent written and verbal communication skills - Must be able to communicate effectively with contract holders, agents, dealers, internal staff/upper management and customers - Call center experience preferred - Proficient working on a PC, working knowledge of MS Office - Able to learn new programs quickly - Type at least 40 wpm, and document information while discussing the claim over the phone - The candidate(s) offered this position would be required to submit to a background investigation Requirements - Compensation: $18.00/hour Benefits - Competitive salary - 401(k) with company match after 90-days of employment - Medical, Dental and Vision Insurance - Voluntary Life Insurance - Internet Stipend - A company culture that supports balancing your work and personal life, including company events, bonding experiences and a work from home environment
WPS, a health solutions company, is a leading not-for-profit health insurer and federal government contractor headquartered in Madison, Wisconsin. WPS offers health insurance plans for individuals, families, seniors, and group health plans for small to large businesses. We process claims and provide customer support for beneficiaries of the Medicare program and manage benefits for millions of active-duty and retired military personnel across the U.S. and abroad. WPS has been making healthcare easier for the people we serve for nearly 80 years. Proud to be military and veteran ready. WPS’ culture is where the great work and innovations of our people are seen, fueled, and rewarded. We accomplish this by creating an open and empowering employee experience. We recognize the benefits of employee engagement as an investment in our workforce—both current and future—to effectively seek, leverage, and include differing and unique perspectives that fuel agility and innovation on high-performing teams. This results in people bringing their authentic selves to work every day in an organization that successfully adapts to business changes and new opportunities.
Role Description Process all MVH overseas claims from receipt through resolution in accordance with MVH regulations, guidelines, and quality standards, with expertise in coordination of benefits (COB), DEERS eligibility, and claims development. - Process all MH overseas claim types by determining corrective action to be taken on various types of errors pended by edit system and resolving interactive edits. - Translate, research, and verify claims information to determine if all requirements have been met. - Review submitted claim information and select correct procedure code and diagnosis code using ICD-9, ICD-10, CPT4, and HCPCS manuals. - Obtain development information from external contacts and add successful development information to notepad via PC. - Access patient/sponsor files and update information accordingly. Qualifications - High School Diploma or GED or equivalent experience. - U.S. citizenship is required for this position due to Department of Defense restrictions. - One (1) or more years of experience in a claims processing role. - Demonstrated proficiency in data entry with a strong ability to maintain focus and accuracy. - Ability to effectively utilize available resources to further research and verify claims. - Strong written communication skills. - Demonstrates the ability to work independently and take initiative. Requirements - Ability to translate a foreign language. - Two (2) or more years of prior health insurance experience, i.e., Claims Processor, Customer Service Representative, or Billing Representative preferred. Benefits - Remote work available. - Performance bonus and/or merit increase opportunities. - 401(k) with a 100% match for the first 3% of your salary and a 50% match for the next 2% of your salary (100% vested immediately). - Competitive paid time off. - Health insurance, dental insurance, and telehealth services start DAY 1. - Professional and Leadership Development Programs.
Role Description We seek a meticulous and customer-focused individual to join our team as a Claims Processor. This role requires a combination of research acumen, attention to detail, and exceptional customer service skills. As a key member of our organization, you will be responsible for: - Processing medical claims accurately. - Conducting thorough audits to ensure compliance with regulations and policies. - Providing excellent service to our clients and healthcare providers. Key Responsibilities - Review and process medical claims submitted by members or providers promptly and accurately. - Verify the accuracy and completeness of claim information, including patient demographics, diagnoses, procedures, and billing codes when available. - Ensure compliance with insurance policies and industry standards. - Investigate and resolve any discrepancies or issues related to claim submissions. - Conduct comprehensive medical claims audits to identify errors, discrepancies, or fraudulent activities. - Analyze claim documentation, including medical records and billing statements, to ensure adherence to coding guidelines and reimbursement policies. - Research complex medical billing and coding issues to support claims processing and audit activities. - Interpret coding guidelines, reimbursement policies, and legal requirements to determine appropriate claim adjudication. - Provide recommendations for improving claims submission procedures and enhancing reimbursement accuracy. - Serve as members' primary point of contact regarding claims inquiries and resolution. - Respond promptly to customer inquiries and concerns with professionalism and empathy. - Collaborate with cross-functional teams to address customer issues and ensure timely resolution. Qualifications - Strong knowledge of medical terminology, medical coding, and insurance billing practices. - Excellent analytical skills with the ability to interpret complex healthcare regulations and guidelines. - Exceptional attention to detail and accuracy in data entry and documentation. - Effective verbal and written communication skills with a customer-centric approach. - Ability to work independently and collaboratively in a fast-paced, deadline-driven environment. - Excellent verbal, written and interpersonal communication skills. - Must be a self-motivator and self-starter. - Exceptional listening and analytical skills. - Solid time management skills. - Ability to multitask and successfully operate in a fast-paced, team environment. - Must adapt well to change and successfully set and adjust priorities as needed. Education/Experience - High School Diploma or equivalent. - Proven experience in medical claims processing and healthcare reimbursement. Technical Knowledge - SalesForce Experience. - Google Suite Experience. - Claims Management Software experience. Benefits - Competitive salary and benefits package. - Dynamic and innovative work environment. - Opportunities for professional growth and development. - Remote work.
Revecore has been at the forefront of specialized claims management, helping healthcare providers recover meaningful revenue to enhance quality patient care in their communities. We’re powered by people, driven by technology, and dedicated to our clients and employees. If you’re looking for a collaborative and diverse culture with a great work/life balance, look no further.
Role Description The VA Claims Specialist will investigate health insurance claims and bills to ensure claims resolution. Responsibilities include: - Following up on unresolved claims - Facilitating payment of claims for Veterans' Affairs and its affiliates Training: - Comprehensive training begins on your first day and lasts 8-10 business days - Led by instructors with interactive discussions and hands-on activities - Participation is essential for success Qualifications - Working knowledge of Microsoft Office (Word, Excel, Outlook) - Technical proficiency to work on multiple computer screens and software applications simultaneously - Ability to maintain strong performance in a fast-paced environment with productivity metrics - Organizational skills while multi-tasking - Critical thinking and problem-solving skills - Clear communication skills, both verbally and in writing - Investigative mindset - Experience in a professional office environment - General understanding of insurance billing (a plus, but not required) - Experience with billing and appealing denied health claims (a plus, but not required) Requirements - A private, distraction-free environment to work within your home - On-Camera Presence: Being on camera is essential for building trust and collaboration - A secure internet connection - Home internet with speeds >20 Mbps for downloads and >10 Mbps for uploads - Workspace must accommodate all workstation equipment (laptop, monitor, keyboard, mouse, docking station, and headset) - Employment is contingent upon eligibility to work in the U.S., employment history verification, and a background check Benefits - Paid training and incentive plans - Medical, dental, vision, and life insurance benefits available on day 1 - Excellent work/life balance - Employee Resource Groups build community and foster a culture of belonging and inclusion - 401(k) contributions matched - Career growth opportunities - 12 paid holidays and generous paid time off
Liberty Mutual is an equal opportunity employer. We will not tolerate discrimination on the basis of race, color, national origin, sex, sexual orientation, gender identity, religion, age, disability, veteran's status, pregnancy, genetic information or on any basis prohibited by federal, state or local law.
Role Description Under limited supervision, we provide loss prevention consulting services within the Property and Marine Loss Prevention department, specializing in equipment breakdown risk. Completes Boiler and Pressure Vessel inspection, conducts extensive research, data collection, evaluation, and analysis to make recommendations that help control customers’ sources of risk, loss, and costs. Serves as a technical expert in mechanical systems and equipment breakdown exposures. 50% + Travel required, but the selected candidate would be fully remote when not traveling. - Conducts on-site inspections of boilers, pressure vessels, and mechanical systems to identify hazards and assess risk. - Compiles facts from site visits, reports, and databases to evaluate existing processes, determine severity/frequency of issues, and identify improvement needs. - Assesses and benchmarks on customer performance against internal and industry standards, including NBIC requirements. - Interprets and analyzes data to determine best course of action and solutions that satisfy customer risk service needs. - Utilizes advanced software applications and Microsoft systems to develop innovative, cost-effective solutions. - Investigates cause-and-effect relationships and prepares technical reports summarizing findings and recommendations. - Organizes data into clear, actionable formats and presents reports outlining improvement plans and cultural/behavioral changes. - Maintains effective partnerships with customers, learning their business to identify risk management objectives and needs. - Provides technical support and training to assist with implementation of recommendations and action plans. - Actively pursues professional development to better meet customer expectations. - May participate in acquiring new business by following up on leads and presenting proposals. Qualifications - Bachelor’s degree with coursework in math, engineering or related areas (or equivalent) and at least 5 years of directly related consulting experience in loss prevention or progressive safety/health field. - Candidates are typically working towards (or obtained) an advanced degree and/or professional certification in one or more of the following areas: CSP, ARM, CRM, CPCU, CIH, or CPE. - Advanced knowledge, skills and experience in a specialized field, service planning and delivery, risk assessment, risk analysis, solutions management and progress measurement. - Fully effective interpersonal, writing and other communication skills required to develop and maintain relationships with customers, peers, and industry contacts. - Demonstrated ability to retrieve and enter information using various proprietary software applications and create/modify documents and complex spreadsheets using Microsoft Office suite. - Position requires regular travel. Requirements - Strong background in mechanical systems or loss control engineering. - NBIC In-Service (IS) Commission strong preferred for posted position, but trainee opportunities available; other relevant certifications a plus. Benefits The typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as employees grow and develop within the role. Some roles at Liberty Mutual have a corresponding compensation plan which may include commission and/or bonus earnings at rates that vary based on multiple factors set forth in the compensation plan for the role. At Liberty Mutual, our goal is to create a workplace where everyone feels valued, supported, and can thrive. We build an environment that welcomes a wide range of perspectives and experiences, with inclusion embedded in every aspect of our culture and reflected in everyday interactions. This comes to life through comprehensive benefits, workplace flexibility, professional development opportunities, and a host of opportunities provided through our Employee Resource Groups. Each employee plays a role in creating our inclusive culture, which supports every individual to do their best work. Together, we cultivate a community where everyone can make a meaningful impact for our business, our customers, and the communities we serve. We value your hard work, integrity and commitment to make things better, and we put people first by offering you benefits that support your life and well-being. To learn more about our benefit offerings please visit: Liberty Mutual Benefits Company Description Liberty Mutual is an equal opportunity employer. We will not tolerate discrimination on the basis of race, color, national origin, sex, sexual orientation, gender identity, religion, age, disability, veteran's status, pregnancy, genetic information or on any basis prohibited by federal, state or local law.
At Davies North America, we’re at the forefront of innovation and excellence, blending cutting-edge technology with top-tier professional services. As a vital part of the global Davies Group, we help businesses navigate risk, optimize operations, and spearhead transformation in the insurance and regulated sectors.
Role Description We are seeking a highly experienced Senior Liability Claims Adjuster to manage complex, high-exposure claims for governmental entities in Florida across multiple lines, including: - Auto Liability - General Liability - Law Enforcement Liability - Public Officials Liability - Employment Practices Liability This role requires advanced technical expertise, strong analytical capabilities, and the ability to independently investigate, evaluate, and resolve claims with minimal supervision. The ideal candidate will demonstrate sound judgment, discretion, and a strong commitment to delivering exceptional client outcomes in a public sector environment. Key Responsibilities - Independently investigate, evaluate, and resolve complex and high-severity claims across multiple liability lines - Analyze claim exposures and determine appropriate strategies for resolution and settlement - Evaluate coverage, liability, and damages, and establish and adjust reserves accordingly - Handle claims involving governmental entities with an understanding of public sector immunities, statutes, and litigation nuances - Collaborate with defense counsel to develop and execute litigation and defense strategies - Communicate effectively with clients, claimants, attorneys, experts, and other stakeholders - Negotiate favorable settlements on high-value and complex claims - Ensure compliance with client guidelines, Davies policies and procedures, and all applicable Florida statutory, regulatory, and ethical requirements - Maintain accurate, timely, and detailed claim documentation that supports claim outcomes - Manage caseload priorities while maintaining service standards and quality expectations Qualifications - Minimum of 5+ years of claims adjusting experience with consistent high performance - Demonstrated experience handling complex, high-exposure liability claims - Experience with public entity or governmental claims strongly preferred - Multi-line experience required (Auto, GL, EPL, Law Enforcement, Public Officials) - Florida Adjuster License (or ability to obtain) required - Experience in a TPA and/or client-facing environment preferred - Extensive knowledge of multi-line liability claims handling, including public entity exposures - Strong understanding of Florida claims regulations and governmental liability considerations - Advanced investigative, analytical, and decision-making skills - Proven ability to negotiate complex and high-value claims - Experience managing litigated claims and working closely with defense counsel - Excellent verbal and written communication skills - Strong organizational skills with the ability to manage competing priorities - Proficiency in claims management systems and Microsoft Office applications Benefits - Medical, dental, and vision plans to support your health and that of your family - A 401(k) plan with employer matching - Time-off policies, including Discretionary Time Off (DTO) for exempt employees and Paid Time Off (PTO) for non-exempt employees - Paid holidays - Life insurance and short-term and long-term disability coverage Benefit offerings, eligibility, and required employer contributions may vary based on role, classification, and applicable federal, state, and local laws, including those tied to an employee’s primary work location. Where required by law, the Company provides paid sick leave, paid family and parental leave, and other mandated benefits in accordance with applicable state and local requirements. Company Description Imagine being part of a team that’s not just shaping the future but actively driving it. At Davies North America, we’re at the forefront of innovation and excellence, blending cutting-edge technology with top-tier professional services. As a vital part of the global Davies Group, we help businesses navigate risk, optimize operations, and spearhead transformation in the insurance and regulated sectors.
Working to protect what matters most throughout the world.
Role Description At Gallagher Bassett, we're there when it matters most because helping people through challenging moments is more than just our job, it’s our purpose. Every day, we help clients navigate complexity, support recovery, and deliver outcomes that make a real difference in people’s lives. It takes empathy, precision, and a strong sense of partnership—and that’s exactly what you’ll find here. We’re a team of fast-paced fixers, empathetic experts, and outcomes drivers — people who care deeply about doing the right thing and doing it well. Whether you're managing claims, supporting clients, or improving processes, you’ll play a vital role in helping businesses and individuals move forward with confidence. Here, you’ll be supported by a culture that values teamwork, encourages curiosity, and celebrates the impact of your work. Because when you’re here, you’re part of something bigger. You’re part of a team that shows up, stands together, and leads with purpose. Qualifications - High School Diploma. - Minimum of 5 years related claims experience. - Appropriate licensing and/or certification in all states in which claims are being handled. - Knowledge of accepted industry standards and practices. - Computer experience with related claims and business software. Requirements - Claims Background: Auto and General Liability - Jurisdictional Experience: Any - Active Adjusters' licenses: Any - Location: This role is eligible for fully remote work Benefits - Medical/dental/vision plans, which start from day one! - Life and accident insurance - 401(K) and Roth options - Tax-advantaged accounts (HSA, FSA) - Educational expense reimbursement - Paid parental leave - Digital mental health services (Talkspace) - Flexible work hours (availability varies by office and job function) - Training programs - Gallagher Thrive program – elevating your health through challenges, workshops and digital fitness programs for your overall wellbeing - Charitable matching gift program - And more...
Role Description The Workers’ Compensation Specialist is responsible for administering and coordinating all aspects of the company’s workers’ compensation program. This role ensures timely reporting and management of workplace injuries, facilitates communication among employees, medical providers, insurance carriers, and management, and supports return-to-work initiatives. The specialist works to minimize claim costs while ensuring compliance with federal, state, and company policies. Key Responsibilities - Claims Administration - Manage the full lifecycle of workers’ compensation claims from initial injury reporting through claim closure. - Ensure timely and accurate reporting of workplace injuries to insurance carriers, third-party administrators (TPAs), and regulatory agencies. - Maintain detailed and confidential claim records and documentation. - Monitor claim status and follow up regularly with insurance adjusters and medical providers. - Employee Support and Communication - Serve as the primary point of contact for injured employees regarding workers’ compensation claims. - Educate employees and managers on workers’ compensation processes, benefits, and responsibilities. - Coordinate communication among employees, supervisors, healthcare providers, insurance carriers, and legal representatives. - Return-to-Work Coordination - Manage and administer workers’ compensation leave of absence, return-to-work and modified-duty programs. - Review work restrictions and collaborate with management to identify appropriate accommodations. - Track employee recovery progress and facilitate successful transitions back to work. - Compliance and Risk Management - Ensure compliance with all applicable federal, state, and local workers’ compensation laws and regulations. - Monitor OSHA recordkeeping requirements and assist with injury reporting and documentation. - Maintain workers’ compensation policies and procedures. - Support workplace safety initiatives aimed at reducing injuries and claims. - Reporting and Analysis - Prepare and distribute workers’ compensation reports, claim summaries, and trend analyses. - Track key performance indicators, including claim frequency, severity, lost-time cases, and claim costs. - Identify trends and recommend strategies to reduce workplace injuries and associated costs. - Assist with annual workers’ compensation audits and insurance renewals. - Vendor and Carrier Management - Partner with insurance carriers, TPAs, medical providers, and legal counsel to ensure effective claim management. - Participate in claim review meetings and provide recommendations for claim resolution. - Review invoices and claim-related expenses for accuracy and compliance. Qualifications - Preferred Bachelor’s degree in Human Resources, Business Administration, Occupational Health, Risk Management, or a related field preferred. - Equivalent combination of education and experience may be considered. - 0–3 years of experience managing workers’ compensation claims, leave administration, or risk management programs. - Experience working with insurance carriers, TPAs, and return-to-work programs. - Multi-state workers’ compensation experience preferred. - Strong knowledge of workers’ compensation laws, regulations, and claim management practices. - Understanding of OSHA reporting and workplace safety principles. - Excellent communication, interpersonal, and conflict-resolution skills. - Strong organizational and time-management abilities. - Ability to manage multiple claims and priorities simultaneously. - Proficiency with HRIS systems, claims management software, and Microsoft Office Suite (Excel, Word, PowerPoint). - Ability to maintain confidentiality and exercise sound judgment. Preferred Certifications - Associate in Claims (AIC) - Certified Workers’ Compensation Professional (CWCP) - Professional in Human Resources (PHR) or SHRM-CP - Occupational Safety certifications are a plus Physical Requirements - Ability to sit and work at a computer for extended periods. - Occasional travel to company locations, trials or claim review meetings as needed. Key Performance Indicators (KPIs) - Timely claim reporting and resolution. - Reduction in lost-time incidents. - Return-to-work program effectiveness. - Workers’ compensation claim cost management. - Regulatory compliance and audit results. - Employee satisfaction with claims administration process.
Working to protect what matters most throughout the world.
Role Description At Gallagher Bassett, we're there when it matters most because helping people through challenging moments is more than just our job, it’s our purpose. Every day, we help clients navigate complexity, support recovery, and deliver outcomes that make a real difference in people’s lives. Here, you’ll be supported by a culture that values teamwork, encourages curiosity, and celebrates the impact of your work. Role specifics: - Claims Background: Workers compensation lost time, indemnity claims - Jurisdictional Experience: KY, GA, NC, SC - Active Adjusters' licenses: KY, GA, NC, SC - Location: This role is eligible for fully remote work How you'll make an impact: - Apply claims management experience to execute decision-making to analyze claims exposure, plan the proper course of action, and appropriately resolve claims. - Interact extensively with various parties involved in the claim process to ensure effective communication and resolution. - Provide exceptional customer service to our claimants on behalf of our clients, exhibiting empathy through each step of the claims process. - Handle claims consistent with clients' and corporate policies, procedures, and standard methodologies in accordance with statutory, regulatory, and ethics requirements. - Document and communicate claim activity timely and efficiently, supporting the outcome of the claim file. About You: - Investigate, evaluate, and resolve complex workers compensation claims applying your analytical skills to make informed decisions and bring claims to resolution. - Work in partnership with our clients to deliver innovative solutions and enhance the claims management process. - Think critically, solve problems, plan, and prioritize tasks to optimally serve clients and claimants. Qualifications - High School Diploma. - Minimum of 5 years related claims experience. - Appropriately licensed and/or certified in all states in which claims are being handled. - Knowledge of accepted industry standards and practices. - Computer experience with related claims and business software. Requirements - Bachelor's Degree (Desired). Benefits - Medical/dental/vision plans, which start from day one! - Life and accident insurance - 401(K) and Roth options - Tax-advantaged accounts (HSA, FSA) - Educational expense reimbursement - Paid parental leave - Digital mental health services (Talkspace) - Flexible work hours (availability varies by office and job function) - Training programs - Gallagher Thrive program – elevating your health through challenges, workshops and digital fitness programs for your overall wellbeing - Charitable matching gift program - And more...
Acadia Healthcare is a leading provider of behavioral healthcare services nationwide. Our organization values input from employees and fosters collaboration to create a team-oriented service delivery system.
Role Description - Responsible for updating patient Billing Episodes and crediting account, as appropriate. - Review and resolve prior authorization/precertification/referral issues that are not valid and contact insurance carriers to verify/validate requirements to ensure accuracy and avoid potential denial. - Validates all necessary referrals/prior authorizations/pre-certifications for scheduled services are on file and shared with all appropriate staff and are valid for the scheduled services performed. - Ensure all account activity is documented in the appropriate system and shared with all appropriate staff timely and thoroughly. - Manage clinic emails throughout the day, responding in a timely manner. - Identify, correct, and forward potential reimbursement problems to Revenue Cycle Manager. - Proactively interact with Clinics and other appropriate staff sharing benefits, authorizations, and eligibility. - Responsible for billing all patient claims in a timely manner (weekly billing, secondary and out-of-network plans). - Review claims issues, make corrections as needed, and rebill. Utilize claims clearinghouse, EMRs, and payor portals to review and correct claims and to resubmit electronically when available. - Evaluate bill cycles and change/update when necessary. - Print daily billing reports – both electronic and paper claims. Monitor validation percent. - Work daily claims rejection lists including but not limited to; claims rejected due to auto eligibility process during weekly billing and “Rejected” claims due to eligibility, coordination of care and authorization as part of accounts receivable. - Gather and interpret data from the system and understand appropriate courses of action to take and initiate time-sensitive and strategic steps resulting in payment. - Call and status outstanding claims with third party payors. - Review explanation of benefits to ascertain that claim processed and paid correctly. - Document account follow-up where appropriate. - Identify trends and work with the Revenue Cycle Manager for resolution. - Perform other duties as assigned. Qualifications - High school diploma or equivalent; prefer some college or technical school coursework. - 2+ years of healthcare billing/AR experience, preferred. - Healthcare payor claims follow-up or accounts receivable experience. - Healthcare background with payor appeals experience. - Advanced computer skills including Microsoft Office; especially Word, Excel, and PowerPoint. - Knowledge of office administration procedures with the ability to operate most standard office equipment. - Ability to work professionally with sensitive, proprietary data & information while maintaining confidentiality. - Excellent interpersonal skills include the ability to interact effectively and professionally with individuals at all levels; both internal and external. - Exercises sound judgment in responding to inquiries; understands when to route inquiries to the next level. - Self-motivated with strong organizational skills and superior attention to detail. - Must be able to manage multiple tasks/projects simultaneously within inflexible time frames. Ability to adapt to frequent priority changes. - Capable of working within established policies, procedures and practices prescribed by the organization. - English sufficient to provide and receive instructions/directions. Benefits - Comprehensive Medical, Dental, & Vision insurance - Competitive 401(k) plan with company match - Company paid group term life insurance and short-term disability - Generous PTO: Paid vacation, personal time, sick leave, and extended sick leave - Employee Assistance Program (EAP) offering continued support to employee lifestyle and well-being - Career advancement opportunities across a leading national network
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