Job description We are seeking a knowledgeable and detail-driven Claims Specialist to join our team. In this role, you'll dig into the details behind every claim, researching coverage, tracking down the information needed to resolve outstanding balances, and driving claims through to final resolution. The ideal candidate brings strong research and problem-solving skills, a solid working knowledge of insurance policies and procedures, and the persistence to see a claim through from denial to close.

This is meaningful work:

the research and follow-through you bring to each claim directly impacts the lives of the patients we serve. You'll grow your expertise while being part of a team that takes real pride in getting claims resolved, right, and on time. If you love solving problems, have a natural curiosity for tracking down answers, and bring the drive and organization to close out what you start, we'd love to meet you. Join a collaborative, well-established team of outstanding professionals who take pride in doing this work well.

What We Offer:

Competitive pay Robust insurance package: medical, dental, and vision coverage, life insurance, short-term and long-term disability, accident, hospital indemnity, and critical illness coverage 401(k) Plan Paid Time Off + paid holidays As a Claims Specialist, you will: Assist patients with understanding and accessing their insurance benefits Communicate directly with insurance companies regarding claims Partner with insurance companies to resolve financial challenges Maintain a healthy, well-managed accounts receivable

Medical Billing & Claim Follow-up Responsibilities:

Prepare and submit billing data and medical claims to insurance companies Ensure patient medical information is accurate and up to date Prepare bills and invoices, and document amounts due for medical procedures and services Collect and review referrals and pre-authorizations Monitor and record late payments Follow up on missed payments and resolve financial discrepancies Investigate and appeal denied claims Maintain billing software by updating rate changes, cash spreadsheets, and current collection reports

What You Bring:

A minimum of 1 year of experience as a medical biller or in a similar role 2+ years of claim follow-up and appeal experience preferred Strong ability to multitask and manage time effectively Excellent written and verbal communication skills Outstanding problem-solving and organizational abilities We're looking for a candidate with experience in insurance verification and two or more years of insurance claim management experience to join a high-performing Insurance Department. Knowledge of Medicaid, Commercial Insurance, and HCFA claims handling is preferred. Working knowledge of Medisoft, Claim MD, and Availity is required.

Job Type:

Full-time Pay:

$19.00 - $24.00 per hour

Benefits:

401(k) Dental insurance Health insurance Life insurance Paid time off Professional development assistance Vision insurance Application Question(s): What is your desired rate of pay?

Experience:

Insurance verification: 1 year (Required) Medical billing: 1 year (Required) Claims follow-up management: 2 years (Required)

Work Location:

In person Ability to

Commute:

Lubbock, TX 79414 (Required) Ability to

Relocate:

Lubbock, TX 79414: Relocate before starting work (Required)

Work Location:

In person

Pay:

$19.00 - $24.00 per hour Expected hours: 40.0 per week

Benefits:

401(k) Dental insurance Health insurance Paid time off Vision insurance

Work Location:

In person