Position Details
About this role
This role supports the collections and denial management departments by verifying insurance information, researching claims, and ensuring HIPAA compliance in a remote healthcare setting.
Key Responsibilities
- Verify member benefits and claims
- Research insurance information
- Organize claim appeal timeframes
- Use Microsoft Outlook for follow-ups
- Disclose PHI in compliance with HIPAA
Technical Overview
Involves handling insurance claims data, using proprietary healthcare databases like EAGLE, NAVI-Net, Epic, and I-SUITE, with proficiency in Microsoft Office tools.
Ideal Candidate
The ideal candidate is an entry-level healthcare support professional with experience in insurance claims processing, familiar with HIPAA standards, and proficient in Microsoft Office applications. Strong communication and investigative skills are essential.
Must-Have Skills
Nice-to-Have Skills
Tools & Platforms
Required Skills
Hard Skills
Soft Skills
Industry & Role
Keywords for Your Resume
Deal Breakers
Lack of experience with insurance claims, No familiarity with HIPAA or PHI, Inability to work remotely effectively
Get matched to jobs like this
Luna finds roles that fit your skills and career goals — no endless scrolling required.
Create a Free Profile