Account Representative – Claims Specialist

This is a fully remote position, open to applicants in Florida, +7 more states.

📋 Description

• Make outbound calls to insurance providers to investigate and resolve claims.

• Evaluate and process medical claims to guarantee accurate billing and reimbursement.

• Input and update claim details across various systems with precision.

• Follow up on pending claims to optimize recovery for clients.

• Adhere strictly to HIPAA regulations and company policies.

• Utilize knowledge of medical billing forms (UB-04, CMS-1500) when necessary.

⛳️ Requirements

• A high school diploma or GED is mandatory.

• Excellent verbal communication and problem-solving abilities.

• Capability to work independently in a remote setting.

• Proficient in navigating various systems and tools.

• Skilled in Microsoft Office and Google Workspace.

• Preferred (but not mandatory): Previous experience in medical billing, claims processing, or insurance follow-up.

• Knowledge of EMR systems (Epic, Meditech, Athena, Cerner) is advantageous.

• Understanding of medical terminology or third-party liability is beneficial.

• Familiarity with UB-04 and CMS-1500 forms is required.

🏝️ Benefits

• Fully remote position (equipment supplied).

• 11 paid holidays.

• 120 hours of PTO (with increments over time).

• Birthday PTO.

• Options for medical, dental, and vision insurance.

• Access to a Benefits Hub that provides employee discounts and wellness resources.

• Company-paid life insurance.

• 401(k) plan with company matching.

• Employee recognition programs.