Health Claims Specialist

Responsibilities: Bill and investigate health insurance claims for hospitals and medical providers to ensure maximum payment. Research unresolved claims for commercial health, Medicare, and Medicaid while contributing to denial reports and audits.

Requirements: Requires experience resolving health insurance claims and proficiency in filing UB04 and 1500 HCFA forms. Must be experienced with EPIC software and capable of working in a fast-paced, remote environment with productivity metrics.

Key skills: Claims Research, Medical Billing, UB04 Filing, HCFA 1500 Filing, Subrogation, Epic Software, Microsoft Office, Medicare Billing, Medicaid Billing, Commercial Health Insurance Billing

Keywords: Health Claims, Revenue Cycle Management, UB04, HCFA 1500, Subrogation, Epic, Medicare, Medicaid, Commercial Health, Medical Billing, Claims Management, Denial Management, Healthcare Finance, Remote Work