Medical Insurance Claims Specialist

Description We are looking for a Medical Insurance Claims Specialist to join a growing revenue cycle team in Durham, North Carolina. This contract-to-permanent opportunity is ideal for someone who thrives in a complex claims environment, can work independently, and is motivated to resolve payer-related issues with persistence and sound judgment. The role supports specialized insurance and billing operations, requiring close attention to payer guidelines, regional differences, and accurate claim follow-up. This position offers strong training, career growth potential, and a hybrid schedule with onsite work Monday through Wednesday.

Responsibilities:
• Manage medical insurance claims across an assigned group of states, taking ownership of payer follow-up and resolution activities within your region.
• Review and address claim issues by interpreting payer requirements, identifying coverage or billing discrepancies, and pursuing appropriate next steps for reimbursement.
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