Certified Medical Audit Specialist

A company is looking for a Priority Claims Specialist III.

Key Responsibilities

Ensure accurate and timely payment for services provided, maintaining compliance with relevant laws and policies

Utilize billing and collections systems to resolve unpaid or denied claims and manage appeals

Communicate effectively with insurance companies and internal partners regarding account issues and resolutions

Required Qualifications

High school education or equivalent

5+ years of related experience in insurance reimbursement, medical policy, or patient collection laws

Experience in a medical office setting

Associate's degree preferred

Experience with NextGen and / or OnBase is a plus