Account Representative – Claims Specialist
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Job Description
Account Representative supporting claims recovery efforts for healthcare providers. Handling communications with insurance companies on outstanding medical claims while maintaining compliance with industry standards.
Responsibilities:
- Place outbound calls to insurance carriers to research and resolve claims
- Review and process medical claims to ensure accurate billing and reimbursement
- Enter and update claim information across multiple systems with accuracy
- Follow up on outstanding claims to maximize recovery for clients
- Maintain strict compliance with HIPAA and company policies
- Apply knowledge of medical billing forms (UB-04, CMS-1500) when applicable
Requirements:
- High school diploma or GED required
- Strong verbal communication and problem-solving skills
- Ability to work independently in a remote environment
- Comfortable navigating multiple systems and tools
- Proficiency in Microsoft Office and Google Workspace
- Preferred (not required): Experience in medical billing, claims processing, or insurance follow-up
- Familiarity with EMR systems (Epic, Meditech, Athena, Cerner)
- Familiarity with medical terminology or third-party liability
- Knowledge of UB-04 and CMS-1500 forms
Benefits:
- Fully remote role (equipment provided)
- 11 paid holidays
- 120 hours of PTO (with increases over time)
- Birthday PTO
- Medical, dental, and vision insurance options
- Access to a Benefits Hub offering employee discounts and wellness resources
- Company-paid life insurance
- 401(k) with company match
- Employee recognition programs
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