[Remote] Claims Billing Specialist I

Note: The job is a remote job and is open to candidates in USA. EMPLOYERS is a dynamic provider of workers' compensation insurance and services, seeking a Claims Billing Specialist I. This role involves reviewing and processing billing inquiries and medical bills, ensuring compliance with company policies and HIPAA, while maintaining efficient billing and claims operations. Responsibilities • Conduct business at all times with the highest standards of personal, professional, and ethical conduct • Research and process provider billing inquiries, identifying discrepancies and applying standard resolution steps • Review, calculate, then process in-house payments • Review medical bills and accurately complete claims management system work items and assigned tasks • Communicate with providers and internal staff to gather required documentation • Review and respond to incoming mail, emails, telephone calls, and fax transmissions • Maintain accurate documentation in claims systems • Ensure all billing activities comply with company policies, regulatory requirements, and applicable standards (including HIPAA) • Adhere to turnaround time parameters established by company policies and procedures • Maintain confidentiality of all data and records in accordance with HIPAA and state regulations • Participate in training to build knowledge of workers’ compensation billing and payment practices • Perform special projects as assigned • Other duties as assigned Skills • 1 - 3 years of experience in workers comp claims or medical billing • Demonstrated skill in working independently within role responsibility while demonstrating multitasking skills, determining the relative importance of each, and completing assignments accordingly while maintaining a professional demeanor • Excellent communication skills fostering a responsive customer service environment • Excellent time management and organizational skills allowing for support of numerous levels in the operation • Ability to understand statutes, regulations and company policies and procedures • Must be detail-oriented with demonstrated ability to handle multiple tasks simultaneously • Ability to demonstrate initiative and to meet designated deadlines • Proficiency in MS Office Suite (Word, Excel, Outlook) and other relevant software tools • Proven ability to handle sensitive and confidential information with discretion and professionalism • Must have High School diploma or equivalent • Some college preferred with experience and/or training in data management and paper media production Benefits • Comprehensive benefits package Company Overview • Employers is a provider of workers' compensation insurance for small businesses. It was founded in 1913, and is headquartered in Reno, Nevada, USA, with a workforce of 501-1000 employees. Its website is http://www.employers.com. Apply To This Job