[Hiring] Claims Specialist @ReWorks Solutions

Role Description

• Process and adjudicate insurance claims according to company policies and regulations, ensuring accuracy and compliance.
• Review and analyze claims to identify any discrepancies or issues requiring resolution.
• Communicate with insurance companies, healthcare providers, and patients to address claims-related inquiries and disputes.
• Collaborate with internal teams to gather necessary documentation and information to support claim decisions.
• Maintain detailed records of claims activity and ensure timely follow-up on outstanding claims.
• Stay updated on industry changes and payer policies to optimize claims processing and reimbursement rates.

Qualifications

• Associate's degree in healthcare administration, business, or a related field; Bachelor's degree preferred.
• Minimum of 2 years of experience in claims processing or a related role in the healthcare industry.
• Strong understanding of medical terminology, coding (CPT, ICD-10, HCPCS), and insurance policies.
• Excellent analytical skills with keen attention to detail.
• Proficient in claims management software and electronic health record (EHR) systems.
• Strong communication skills, both verbal and written, for effective interaction with stakeholders.
• Able to work independently in a remote setting and manage time effectively to meet deadlines.
• Comfortable working U.S. hours.

Requirements

• Remote work from home.

Company Description

• Fraud Disclaimer: ReWorks Solutions will never request payment during recruitment or require in-person office visits.
• All official communication will come from a ReWorks Solutions email address.
• Please verify any suspicious messages with our team directly.