Medical Claims Resolution Specialist

Job Description:

Now hiring Medical Claims Resolution Specialist

Location: Lafayette, LA

Pay Rate: $18.00 per hour

Schedule: 8:00 AM - 5:00 PM | Monday - Friday

Behind Every Paid Claim Is Someone Like You

Step into a Medical Claims Resolution Specialist role in Lafayette, supporting a busy healthcare team with precise coding, clean claims, and expert billing follow-through. If you're detail-oriented and thrive in fast-paced healthcare environments, you'll fit right in.

A 4.5-star score and 92% of people saying they'd recommend us. Those are numbers you can feel good about clocking in to.

Start your next chapter in medical billing.

Requirements:

• High school diploma or equivalent
• 1+ year of insurance verification or authorization experience (required)
• 3-5 years of experience in DME or medical billing (preferred)
• Proficient with Microsoft Office
• Strong understanding of CPT/ICD-10, HCFA 1500, UB04, and medical terminology
• Familiar with Medicare/Medicaid policies, HIPAA compliance, and EOBs
• Excellent attention to detail, organization, and communication skills

Benefits:

• Comprehensive Health benefits - Medical, Dental + Vision
• Competitive weekly pay - no waiting
• Optional 401 (k) plan - a flexible way to save
• Added Savings - Discounts that stretch your budget
• Long-Term Growth - Advance your career

Job Duties:

• Reviewing and interpreting insurance policies, EOBs, and patient documentation
• Handling denial appeals, payment reviews, balance billing, and claims processing
• Communicating with insurance providers, patients, and internal departments
• Managing clerical tasks such as emails, calls, and fax correspondence
• Supporting Revenue Cycle Management with updates and escalations
• Assisting with additional projects as needed

About Us

At Staffmark, we connect hardworking people with great companies, creating opportunities that make a lasting impact.

Staffmark is an equal opportunity employer. All applicants will receive consideration without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status, or any other legally protected status. Staffmark offers reasonable accommodations for qualified individuals with disabilities; contact your local branch for inquiries. Staffmark is an E-Verify employer. See our Privacy Notice for Candidates and Employees/Contractors at https://smgroupna.com/privacy-notice-for-candidates-and-employees-contractors. By applying, you consent to receive AI-generated and non-AI-generated calls, texts, or emails from Staffmark Group, its affiliates, and partners. Frequency varies and message/data rates may apply. Reply STOP to cancel or HELP for help.