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Robert Half Logo Robert Half · Insurance

Medical Insurance Claims Specialist

United States, Worthington · Job Posted January 17, 2026
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Job Description

We are looking for an experienced Medical Insurance Claims Specialist to join our team in Worthington, Ohio. In this long-term contract role, you will play a key part in ensuring accurate processing of medical claims and verifying patient insurance eligibility. This position offers the opportunity to work in the dynamic social care/services industry, contributing to efficient billing and claims management.

Job Responsibility

  • Process medical insurance claims with a high level of accuracy and attention to detail
  • Verify patient eligibility and insurance coverage to ensure proper billing procedures
  • Collaborate with healthcare providers and insurance companies to resolve claim discrepancies
  • Maintain comprehensive records of claims and billing activities for audit purposes
  • Identify and address issues with insurance claims to prevent delays in processing
  • Review and analyze patient data to ensure compliance with insurance requirements
  • Assist in the preparation and submission of claims to insurance carriers
  • Provide support and guidance to team members regarding claims procedures and policies
  • Stay updated on changes in medical billing regulations and insurance policies
  • Communicate effectively with patients and stakeholders to address billing inquiries

Requirements

  • Proven experience in medical claims processing and insurance eligibility verification
  • Strong knowledge of medical billing procedures and healthcare industry standards
  • Familiarity with insurance claims systems and patient data management
  • Excellent attention to detail and organizational skills
  • Ability to collaborate effectively with healthcare providers and insurance companies
  • Proficiency in analyzing and resolving claim-related discrepancies
  • Strong communication skills for interacting with patients and stakeholders
  • Knowledge of relevant regulations and compliance standards in medical billing

What we offer

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