Claims Corrections Specialist

This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Claims Corrections Specialist based in United States.

This role supports accurate and efficient medical billing operations within a healthcare revenue cycle environment.

You will be responsible for correcting charges, insurance assignments, payments, adjustments, and billing errors to help ensure claims are processed accurately.

The position combines hands-on claims correction with payer rejection resolution, denial management, payment interpretation, and detailed documentation.

You will work closely with Revenue Cycle Management (RCM) teams to identify recurring issues and maintain efficient billing workflows.

Success in this role requires strong knowledge of medical billing codes, insurance processes, and the ability to work accurately in a production-driven environment.

You will also contribute to tracking trends and projects that can improve billing accuracy and operational performance.

This is a remote opportunity suited to a detail-oriented professional who takes ownership, communicates effectively, and is committed to supporting high-quality healthcare operations.

Accountabilities:

• Charge Corrections: Update charges within the Practice Management system when primary insurance information changes or when billing and payment errors require correction.
• Insurance Reassignment: Reappoint charges associated with changes to secondary or tertiary insurance coverage to ensure claims are correctly assigned and processed.
• Payer Rejections: Review and resolve file rejections from insurance payers in a timely and accurate manner.
• Insurance Changes & Denials: Process assigned tasks related to insurance changes and claim denials promptly while maintaining accurate follow-up.
• Payment & EOB Review: Interpret insurance payments, denials, and reprocessed claims using Explanation of Benefits (EOB) information to determine appropriate corrections and next steps.
• Corrected Claims: Prepare and submit corrected claims according to applicable payer guidelines and requirements related to insurance denials.
• Error Tracking & Documentation: Maintain accurate documentation and tracking mechanisms for billing errors, insurance changes, corrections, and related activities.
• Project Support: Work on assigned RCM projects and initiatives as directed by the RCM Manager, ensuring tasks are completed accurately and on schedule.
• Cross-Functional Collaboration: Work closely with the RCM Manager and broader RCM teams to maintain clear communication, effective coordination, and efficient workflows.
• Process Improvement: Identify recurring billing, payment, insurance, or claims issues and help surface trends that may support improvements in revenue cycle processes.
• Additional Support: Take on other responsibilities and assignments as needed to support departmental and organizational objectives.

Requirements

• Education: High school diploma or equivalent required.
• Medical Billing Experience: At least 2 years of cash posting and/or medical billing experience in a physician practice setting is required.
• Related Experience: One year of experience in a directly related role is preferred.
• Medical Coding Knowledge: Working knowledge of medical billing terminology and HCPCS, CPT, and ICD codes.
• Revenue Cycle Management: Broad understanding of Revenue Cycle Management (RCM) processes, including claims, payments, denials, insurance changes, and billing corrections.
• Data Entry: Experience with alphanumeric data entry, with a strong emphasis on speed, accuracy, and attention to detail.
• Production Environment: Ability to work effectively in a production-oriented environment while consistently achieving accuracy and performance objectives.
• Technology Skills: Proficiency with productivity applications such as Microsoft Word, Excel, and Outlook, as well as billing platforms and other medical information systems.
• Office Equipment: Ability to operate standard office equipment and work effectively within a technology-enabled administrative environment.
• Communication: Strong verbal and written communication skills, including active listening and the ability to clearly present findings, issues, and recommendations.
• Collaboration: Ability to work effectively with colleagues and management at all levels while demonstrating initiative, sound judgment, professionalism, and accountability.
• Customer Service: Excellent customer service skills and a professional approach to internal and external interactions.
• Organization & Accuracy: Strong attention to detail and the ability to manage multiple tasks while maintaining accurate documentation and timely follow-up.
• Reliability: Consistent attendance and dependability are essential functions of the role.

Benefits

• Work Arrangement: Fully remote position within the United States.
• Employment: Full-time opportunity.
• Professional Environment: Opportunity to contribute to healthcare revenue cycle operations supporting physician practices and patient care.
• Career Exposure: Hands-on experience across claims correction, insurance changes, denials, payer rejections, payment interpretation, and broader RCM processes.
• Process Improvement: Opportunity to contribute to identifying trends, improving workflows, and strengthening billing accuracy and operational efficiency.