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Medical Claims Resolution Specialist

Career Insights for Claims Adjuster / Specialist (General)

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Scorecard

Based on Louisiana data

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What they do

A Claims Adjuster or Specialist investigates and evaluates insurance claims. Specializes in a particular type of insurance. Inspects property damage, including damage to homes, buildings and cars; reviews claims after they are submitted; may authorize or deny payment for claims. May work directly for insurers or on behalf of claimants.

$73,571 / year median in Louisiana

+16% projected growth

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Job Description

Now hiring
Medical Claims Resolution Specialist Location:
Lafayette, LA Pay Rate:
$18.00 per hour
Schedule:
8:00 AM
  • 5:00 PM | Monday
  • Friday Behind Every Paid Claim Is Someone Like You Step into a Medical Claims Resolution Specialist role in Lafayette, supporting a busy healthcare team with precise coding, clean claims, and expert billing follow-through.
If you're detail-oriented and thrive in fast-paced healthcare environments, you'll fit right in. A 4.5-star score and 92% of people saying they'd recommend us. Those are numbers you can feel good about clocking in to. Start your next chapter in medical billing.
Requirements:
High school diploma or equivalent 1+ year of insurance verification or authorization experience (required) 3-5 years of experience in DME or medical billing (preferred) Proficient with Microsoft Office Strong understanding of
CPT/ICD-10, HCFA
1500, UB04, and medical terminology Familiar with Medicare/Medicaid policies, HIPAA compliance, and EOBs Excellent attention to detail, organization, and communication skills
Benefits:
Comprehensive Health benefits
  • Medical, Dental + Vision Competitive weekly pay
  • no waiting Optional 401 (k) plan
  • a flexible way to save Added Savings
  • Discounts that stretch your budget Long-Term Growth
  • Advance your career
Job Duties:
Reviewing and interpreting insurance policies, EOBs, and patient documentation Handling denial appeals, payment reviews, balance billing, and claims processing Communicating with insurance providers, patients, and internal departments Managing clerical tasks such as emails, calls, and fax correspondence Supporting Revenue Cycle Management with updates and escalations Assisting with additional projects as needed