Medical Claims/Insurance Validation Specialist

$36,400 - $45,240/Yr

Caddis Capital Management - Draper, UT

Full-time - Entry Level

Draper, UT

101-250 employees

About the position

The Medical Claims/Insurance Validation Specialist at Caddis Capital Management is responsible for validating insurance claims, billing insurance companies, and following up on accounts receivable. This role requires exceptional customer service skills and a solid understanding of Medicare and other commercial payer insurances. The specialist will assist patients with billing inquiries and coordinate collections on unpaid claims, ensuring efficient claims processing and maintaining confidentiality.

Responsibilities

• Validating and verifying medical insurance claims.
• Following up on claim denials and requests for additional information.
• Handling customer and third-party payer concerns related to billing.
• Assisting in developing and updating policies and procedures for claims processing.
• Maintaining customer billing information and documentation.
• Attending department meetings and workshops to stay current with job responsibilities.
• Maintaining knowledge of reimbursement issues for third-party payments.
• Performing other duties as assigned by management.

Requirements

• High school diploma or GED required.
• Bilingual in Spanish and English preferred.
• 1-2 years of experience in medical billing or insurance verification preferred.
• Strong computer literacy, particularly with Microsoft Office Suite.
• Excellent verbal and written communication skills.
• Organizational skills and attention to detail.
• Ability to handle heavy phone traffic and meet deadlines.

Nice-to-haves

• Prior experience with medical insurance providers.
• Experience in home medical equipment (HME) is a plus.
• Associate's degree is preferred.
• Familiarity with insurance rules and regulations.

Benefits

• Health savings account
• Health insurance
• Dental insurance
• Paid time off
• Employee assistance program
• Vision insurance
• 401(k) matching
• Employee discount
• Flexible schedule
• Life insurance
• Referral program