Claims Specialist - (ZR_22412_JOB)
BruntWork Philippines
This a Full Remote job, the offer is available from: Philippines
This is a remote position.
Role Name: Claims Specialist
Schedule:
- Part-time (15 hours per week, flexible scheduling , 5 hours per day for any 3 days between Monday-Thursday)
Client Time zone: US Central Time (CST)
Client Overview
Join a forward-thinking healthcare services organization that’s making a meaningful impact in the Minneapolis metropolitan area. This established company delivers essential health services to diverse communities while maintaining the highest standards of patient care.As part of their commitment to operational excellence, they’re seeking a detail-oriented professional to join their revenue cycle management team.
Job Description
Take ownership of a vital claims management process in a dynamic healthcare environment. This role offers the perfect blend of analytical problem-solving and interpersonal communication as you work with major healthcare payers to optimize claims processing and revenue recovery.You’ll have the opportunity to make an immediate impact by resolving complex claims issues while contributing to the organization’s long-term financial health. This flexible remote position allows you to balance work-life commitments while being part of an innovative healthcare team.
Responsibilities- Manage and resolve denied insurance claims through systematic follow-up and appeals processes
- Conduct professional phone communications with various healthcare payers to expedite claim resolutions
- Navigate multiple payer portals and systems to track and update claim statuses
- Analyse denial patterns and document causes to prevent future issues
- Maintain detailed records of all claims processing activities and outcomes
- Track and report on claims success rates and key performance metrics
- Collaborate with internal team members to optimize the claims management process
- Ensure compliance with all healthcare regulations and privacy requirements
Requirements
Requirements- Proven experience in medical claims processing and management
- Strong verbal communication skills with excellent English proficiency
- Demonstrated ability to navigate healthcare payer systems and portals
- Experience with major payers such as UCare, Medica, and Health Partners preferred
- Knowledge of HIPAA compliance and healthcare privacy requirements
- Superior organizational and time management capabilities
- Problem-solving mindset with attention to detail
- Ability to work independently while maintaining clear communication
- Proficiency in standard office software and claims management systems
- Comfortable working remotely and managing priorities effectively
- Professional demeanour when handling challenging situations
This offer from "BruntWork" has been enriched by Jobgether.com and got a 74% flex score.
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