Medical Claims Resolution Specialist(s)

Jacksonville, NC 28540

Posted: 12/05/2024 Employment Type: Temporary Industry: Outreach/Behavioral Health Job Number: 321 Pay Rate: $16.00/hour

Job Description

Remote - Medical Claims Resolution Specialists needed, multiple openings!

(Contract Based)

$16.00/hour

We are seeking a highly organized and detail-oriented individuals to join an established behavioral health agency as remote Claims Resolution Specialists.

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 at least 6 months* 

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.

** Candidates must live within the company's service area in North Carolina ** 

Additional Information

Remote position.

Opportunity to contribute to a growing and dynamic organization.

Work in a mission-driven environment, supporting access to quality mental healthcare.

#claims #claimsresolution #claimsresearch #staffing  #neasepersonnel  #nowhiring  #medicalclaims  #pittcounty  #cravencounty   #newhanovercounty  #onslowcounty  

Apply Online

Send an email reminder to:

Share This Job:

Related Jobs:

Login to save this search and get notified of similar positions.

About Jacksonville, NC

Ready to kickstart your career in Jacksonville, North Carolina? This vibrant coastal city offers a perfect blend of southern charm, historic landmarks like the Lejeune Memorial Gardens, and endless opportunities for growth and success. Enjoy the scenic beauty of the Crystal Coast, indulge in fresh seafood at local restaurants, and explore the thriving arts scene with visits to the Council for the Arts or the Jacksonville Center for the Arts. With its proximity to Camp Lejeune, professional sports teams like the East Carolina Cardinals, and outdoor recreation at Onslow Pines Park, Jacksonville is the ideal place to launch your next career adventure. Browse our diverse job listings today and discover why Jacksonville is the perfect place to work and live.