Claims Specialist - Healthcare Insurance Professional

Claims Specialist - Healthcare Insurance Professional - Remote (#R10255)

• Location: Remote
• Employment Type: Full-Time
• Hourly Rate: $35.00/hour

About Greenlife Healthcare Staffing:

Greenlife Healthcare Staffing is a leading nationwide recruitment agency dedicated to connecting healthcare professionals with top-tier opportunities. We partner with hospitals, clinics, nursing homes, multi-specialty groups, and private practices to match talented individuals with roles that align with their skills and career goals.

Position Overview:

An established peer-review and compliance organization is seeking a candidate with experience in billing and coding with a claims background for a Claims Specialist - Healthcare Insurance Professional role. The position supports independent dispute resolutions through CMS (Center for Medicaid Services). Experience with multispecialty coding and billing is highly preferred.

Why Join Us?

• Competitive Compensation: $35.00/hour
• Work Schedule: Full-time, Monday–Friday
• Comprehensive Benefits: Comprehensive benefits package
• Professional Growth: Develop specialized expertise in healthcare reimbursement
• Impactful Work: Optimize revenue integrity and financial outcomes

Key Responsibilities:

• Review claims for accuracy and compliance.
• Assist with appeals and disputes.
• Interpret payer policies and communicate updates.
• Identify reimbursement trends and risks.
• Support the revenue cycle and compliance team.

Greenlife Healthcare Staffing - Empowering Healthcare Professionals, Enriching Lives.

Requirements

Qualifications:

• Job qualifications & certifications:
• 2+ years of insurance company experience
• Understanding of claims processing and payer guidelines.
• Skills:
• Strong analytical skills
• Familiarity with healthcare reimbursement
• Excellent communication abilities