Job Description
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