Responsible for researching and resolving claims to maximize cash collections, reduce denials, and minimize lost revenue. This role manages outstanding insurance and contract claims, works claim edits and denials, and supports individual and project-based denial and claim assignments.
The position is remote and involves regular collaboration with payers, internal teams, and external business partners. The representative also contributes to workflow improvements, payer matrix updates, standard operating procedures, and team discussions while maintaining confidentiality and supporting departmental needs.
Requirements & Qualifications
Knowledge and skills
- Knowledge of medical insurance terminology
- Basic knowledge of ICD-10 and CPT codes
- Proficiency with Windows-based computers, word processing, and spreadsheet data entry
- Strong attention to detail
- Ability to research, identify, and resolve problems and discrepancies
- Ability to communicate professionally and courteously
- Ability to work independently and as part of a team
- Ability to maintain confidentiality
- Ability to organize work effectively and manage multiple tasks
- Basic math skills
- Ability to work overtime when needed
- Ability to work effectively in a remote environment
Education and experience
- High school diploma or equivalent
- Medical insurance or billing experience, or equivalent training/education, is helpful but not required
Benefits & Perks
Benefits
- Medical, dental, and vision insurance
- Health savings accounts (HSA) and flexible spending accounts (FSA)
- 401(k) with employee and employer contributions
- Paid time off, including vacation, sick leave, and company holidays
- Paid parental leave and family support benefits
- Short-term and long-term disability insurance
- Life and AD&D insurance
- Employee assistance programs and wellness resources
- Bonus eligibility, equity, or other incentive programs may be available depending on the role
Location
Ohio, US
Employment Type
Full-time
Experience Level
Entry Level
Remote work allowed
Yes
Posted
3 weeks ago