Claims Support

Job Overview

As a Claims Support Specialist, you’ll handle the administrative and technical aspects of insurance claims processing. This includes preparing forms, ensuring data accuracy and following up on outstanding or denied claims. The ideal candidate is comfortable working independently in a fast-paced, process-driven environment and has a solid background in claims or healthcare administration.

Responsibilities

• Prepare and process medical claims (e.g., CMS-1500) with a high degree of accuracy
• Submit claims through clearinghouses and monitor for rejections or issues
• Cross-check patient information, payer requirements and billing details
• Investigate and resolve claim denials or discrepancies with insurance carriers
• Track pending reimbursements and provide timely follow-ups
• Maintain organized records of claims, statuses and communications
• Support internal billing and care teams with claim updates and documentation needs
• Ensure compliance with payer guidelines and authorization protocols

Job Qualifications and Skills Set

• 1+ years of experience in claims support, billing, or healthcare admin
• Familiarity with CMS-1500 forms and electronic claim submission systems
• Strong understanding of healthcare billing practices and terminology
• Meticulous attention to detail, accuracy is critical in this role
• Excellent communication skills, both written and verbal
• Ability to manage multiple priorities and meet deadlines
• Proficiency with Microsoft Office and/or Google Workspace

Preferred but not required:

• Experience working in a healthcare office or similar environment
• Knowledge of insurance payer platforms or billing software