Medical Claims Resolution Specialist | Contract Position Available In Beaufort, North Carolina
Tallo's Job Summary: Remote - Medical Claims Resolution Specialist needed! $16.00/hour contract position through June 2025 with an established behavioral health agency. Requires 3+ years of prior medical claims processing experience. Responsibilities include addressing claim issues, researching denials, and communicating resolutions to providers. Strong communication, analytical, and organizational skills are essential.
Job Description
Medical Claims Resolution Specialist | Contract Washington, NC 27889
Posted:
05/12/2025
Employment Type:
Temporary
Industry:
Medical
Job Number:
321
Pay Rate:
$16.00/hour
JOB DESCRIPTION
Remote – Medical Claims Resolution Specialist needed! (Contract Based) $16.00/hour We are seeking a highly organized and detail-oriented individual to join an established behavioral health agency as remote Claims Resolution Specialist. In this role, you will be the point of contact regarding claim issues, providing exceptional support and ensuring a smooth claims experience.
- Prior experience is mandatory, at least 3 years previous experience needed.
- Position will last through June 2025
Responsibilities:
Review and address claim issues received via phone, email, and a ticketing system.
Research and gather information related to claim denials and approvals.
Communicate resolutions and summaries of claim issues clearly and concisely to providers.
Log and track all contact with providers.
Assist the Claims Department with additional duties as needed.
JOB REQUIREMENTS
Qualifications:
Previous experience in medical claims processing, including reviewing claims, denials, and member eligibility.
Excellent communication and interpersonal skills, both written and verbal.
Strong analytical and problem-solving abilities.
Ability to work independently and manage multiple tasks simultaneously.
Proficient in Microsoft Office Suite (Word, Excel, Outlook).
Prior experience with a claims management system is a plus.
- Prior experience is mandatory, at least 3 years previous experience needed.
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