Insurance Claims Specialist

📋 Description Review and process incoming claims in accordance with company policies, guidelines, and regulatory Enter claimant insurance data into claims processing systems accurately. Analyze claim, documents, and medical records to determine accuracy and eligibility. Identify discrepancies and follow up with providers, employers, or claimants as needed. Apply medical knowledge to interpret clinical notes, treatment plans, and diagnostic codes. Ensure timely adjudication while maintaining productivity and quality targets. 🎯 Requirements High school diploma or equivalent; associate degree or certification in medical billing a plus Minimum of 1+ years of claims processing experience in medical claims entry, billing or related Familiarity with medical terminology and reviewing medical records or clinical documentation Familiarity with U.S healthcare system, insurance terminology and claims processing Strong analytical and critical-thinking skills with high attention to detail Excellent written and verbal communication skills