Claims Support Specialist

Overview

• Provide essential support for claims cleanup and reconciliation in a dynamic healthcare environment.
• Assist with documentation and resolution of claims discrepancies using advanced technology platforms.
• Contribute to social care referral workflows and maintain accurate records.
• Collaborate with teams to ensure compliance with HIPAA guidelines and confidentiality standards.
• Gain valuable experience in healthcare claims processing and public health services.
• Work onsite in a structured Monday to Friday schedule with provided equipment.
• Engage in administrative and project-related tasks to support organizational goals.

Key Responsibilities & Duties

• Review, reconcile, and resolve claims discrepancies to ensure accurate processing.
• Maintain and update claims and referral documentation using organizational systems.
• Utilize technology platforms for managing case information and workflows.
• Support social care referral processes and ensure proper documentation.
• Collaborate with internal teams to address outstanding claims efficiently.
• Ensure compliance with HIPAA guidelines while handling sensitive information.
• Perform additional administrative tasks as required to support the project.

Job Requirements

• High School Diploma or GED required; additional certifications in HIPAA preferred.
• Minimum of 1 year experience in medical billing or claims processing; 2 years preferred.
• Strong organizational skills and attention to detail for managing multiple priorities.
• Proficiency in technology platforms and ability to learn new systems quickly.
• Background in social care services, care coordination, or public health beneficial.
• Excellent communication and problem-solving skills for effective collaboration.
• Knowledge of HIPAA guidelines and confidentiality practices is advantageous.