[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.