What are the responsibilities and job description for the Medical Claims Specialist position at Chief of Staff KC?
Medical Claims Specialist
Overview
We are seeking a detail-oriented Medical Claims Specialist to support high-volume claims processing and follow-up across multiple service lines. This role is responsible for ensuring timely and accurate claim submission, resolving billing issues, and working closely with payers to drive successful reimbursement.
Key Responsibilities
- Submit a high volume of claims daily across various service areas
- Review, troubleshoot, and correct claim errors to ensure timely processing
- Communicate with payers via phone, portals, and other channels to resolve claim issues
- Accurately document claim activity and updates within internal systems
- Identify and address coding or documentation discrepancies
- Manage and follow up on aging and past-due claims to ensure resolution and payment
- Navigate multiple systems to track, research, and resolve outstanding claims
Qualifications
- High school diploma or GED required
- 2 years of experience in medical claims submission and follow-up, preferably with government payers
- Experience working with multiple payer types and varying state guidelines is a plus
- Background in behavioral health billing is a plus
Ideal Candidate
- Strong attention to detail with excellent organizational skills
- Analytical thinker with effective problem-solving abilities
- Reliable and committed to accuracy and quality work
- Clear and professional communication skills, both written and verbal
- Proficient in Microsoft Office (Excel, Outlook, Teams) and comfortable learning new systems
- Experience with EMR and claims processing software preferred
- Demonstrates integrity and discretion when handling sensitive information
- Adaptable and eager to learn in a fast-paced environment
Salary : $18 - $20