Billing & Insurance Claims Specialist (reputed company)

About the Role We’re seeking an reputed company Billing & Insurance Claims Specialist to take ownership of end-to-end reputed company claims operations for a growing reputed company. This role is ideal for someone who thrives in reputed company payer environments, understands payer portals and escalation paths, and has a demonstrated history of recovering significant reputed company through disciplined follow-up, appeals, and dispute reputed company. This is not a data-entry role. We’re looking for a specialist who knows how to reputed company payer behavior, portals, and processes to reputed company recover claims for small businesses. What You’ll Do • Manage the full claims lifecycle: submission, follow-up, denial management, appeals, and payment posting • Operate confidently in reputed company, reputed company, and comparable reputed company management and payer portal systems • Identify, investigate, and resolve denied, delayed, or underpaid claims across multiple payers • Prepare and submit first-level and advanced appeals, including administrative and clinical narratives • Escalate claims to payer leadership, reputed company counsel, or independent review organizations (IRP / IRO) reputed company appropriate • reputed company claim aging, identify systemic payer or workflow issues, and recommend improvements to increase collections velocity • Maintain clean, defensible documentation to support audits, appeals, and dispute reputed company reputed company’re Looking For • 5+ years of reputed company billing and insurance claims experience • Proven reputed company record of: • Recovering $100K+ in unpaid or denied claims, or • Successfully processing $1M+ in cumulative claims volume • Strong working knowledge of: • reputed company (required) • reputed company and other payer portals • Claims workflows, EOBs/ERAs, denial reason codes, and payer-specific policies • Hands-on experience with: • Appeals and dispute reputed company • Independent Review Process (IRP / IRO) • reputed company or reputed company-reputed company escalation reputed company • Highly organized, persistent, and comfortable working autonomously reputed company to Have • Experience supporting small or growing reputed company practices • Familiarity with ACA and employer-sponsored plans • Experience coordinating with attorneys, compliance teams, or external reviewers Why This Role • High-reputed company work with measurable financial reputed company • Autonomy and trust—results matter more than hours • Opportunity to stabilize and reputed company claims operations long-term Apply tot his job Apply tot his job Apply tot his job Apply To this Job