Located in Corpus Christi, TX
Pay: $18.00-$20.00 DOE
Job Full Description
We are seeking a detailed-oriented Claims/Appeals Specialist to join our clients team in their billing department. This role is responsible for reviewing, correcting, and appealing denied or underpaid insurance claims, with strong focus on Medicaid and Medicare. The ideal candidate will have a solid understanding of insurance guidelines, billing processes, and payer requirements.
Key Responsibilities:
- Review denied or rejected claims and determine appropriate action
- Prepare and submit appeals to insurance companies, including Medicaid and Medicare
- Analyze Explanation of Benefits and remittance advice
- Research and resolve claim discrepancies and underpayments
- Communicate with insurance carriers to follow up on claims status
- Work closely with billing and coding teams to ensure accurate claim submission
- Maintain detailed documentation of all claim activity and appeals
- Stay up to date on payer policies, especially Medicaid and Medicare guidelines
Qualifications:
- Experience in medical billing, claims and appeals
- Strong knowledge of Medicaid and Medicare policies and procedures (required)
- Experience working with insurance denials and appeals
- Familiar with EMR systems (eClinical Works)
- Strong attention to detail and problem-solving skills
- Excellent communication and organizational skills
- Knowledge of CPT, ICD-10, and HCPCS coding
Competitive pay based on experience
Benefits offered when hired permanently by our client.
Schedule: Monday - Friday 8am-5pm
Corpus Christi, TX
1018
5449 Bear Lane
Suite 424
Corpus Christi, TX 78405
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