Billing and Claims Specialist
On-site
Core
Determines coverage for medical, dental, and vision procedures by studying health policy provisions and resolves billing questions and issues.
Role type
Medical claims adjudication specialist
Builds
Resolved medical, dental, and vision claims and billing inquiries
Domain
Healthcare insurance and claims processing
Required skills
Benefit plan interpretation, provider billing practices, claim adjudication, HIPAA compliance, customer service, critical thinking, problem-solving
Preferred skills
Bachelor's degree in health sciences, 2+ years of medical claims specialist experience