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Robert Half Logo Robert Half · Insurance

Medical Insurance Claims Specialist

United States, Spokane · Job Posted March 26, 2026
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Job Description

We are looking for a detail-oriented Medical Insurance Claims Specialist to join our team on a contract basis in Spokane, Washington. In this role, you will be responsible for managing third-party medical billing processes, addressing unpaid claims, and supporting patients with insurance-related inquiries. This is an excellent opportunity to contribute to a dynamic healthcare environment while ensuring accuracy and efficiency in claim processing.

Job Responsibility

  • Process medical claims for third-party payers and rebill as necessary to ensure accurate submission
  • Investigate unpaid claims, determine payment status, and take corrective action by appealing denials or resubmitting claims
  • Communicate with insurance providers to resolve discrepancies in payments or unpaid services
  • Identify and correct errors in claim information to ensure successful submissions
  • Assist patients with understanding their insurance claims and address their basic billing concerns
  • Provide support for patient collection inquiries during the absence of the Collections Specialist
  • Authorize write-offs for uncollectible balances within designated authority limits
  • Research and resolve credit balances, issuing refunds to the appropriate parties as necessary
  • Complete assigned special projects and additional tasks as required

Requirements

  • Proven experience in medical billing, claims processing, or insurance-related roles
  • Familiarity with third-party payer systems and medical billing procedures
  • Strong knowledge of patient and insurance eligibility verification processes
  • Proficiency in handling insurance claims and resolving issues related to denials or discrepancies
  • Exceptional attention to detail and accuracy in managing financial transactions
  • Excellent communication skills for interacting with patients and insurance providers
  • Ability to work independently while adhering to established procedures and deadlines

Nice to have

Experience with credit balance resolution and refund processing is a plus

What we offer

  • medical, vision, dental, and life and disability insurance
  • eligible to enroll in our company 401(k) plan
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