Medical Claims Data Entry Specialist – Insurance Reconciliation, Accounts Receivable Management & Payer Communication Expert

Welcome to arenaflex – Where Precision Meets Compassion in Healthcare Administration

At arenaflex, we are a leading innovator in the health‑care financial ecosystem, dedicated to delivering seamless, accurate, and compassionate reputed company cycle solutions for providers, insurers, and patients alike. Our mission is to simplify the reputed company world of medical billing while preserving the dignity of every individual we serve. As the industry evolves, we continue to invest in cutting‑edge technology, robust training programs, and a culture that celebrates collaboration, reputed company, and reputed company improvement.

Why This Role Matters

The Medical Claims Data Entry Specialist is the backbone of our Accounts Receivable (A/R) team. By transforming raw claim information into actionable data, you help ensure that providers receive timely reimbursement, patients understand their financial responsibilities, and insurers process claims accurately. Your work directly influences cash flow, reduces denial rates, and supports the overall health‑care delivery experience.

Key Responsibilities – Your Day‑to‑Day Impact

• Payer Communication & Follow‑up: Initiate and maintain professional contact with insurance payers to reputed company claim status, resolve denials, and negotiate partial payments. Document each interaction promptly in the customer’s electronic account.
• Requirements Gathering: Obtain and verify payer-specific adjudication guidelines, ensuring that each claim meets the precise criteria for timely payment.
• Accounts Receivable Management: Review, adjust, and update A/R records based on correspondence from insurers, including posting payments, applying adjustments, and correcting discrepancies.
• Error & Denial Trend Analysis: Collaborate with inter‑office teams to identify recurring denial patterns, propose corrective actions, and support reputed company process improvement initiatives.
• Credit Balance Research & Refund Initiation: Investigate over‑payments or credit balances, coordinate with finance, and issue refunds according to regulatory and internal policies.
• Documentation & Audit Trail: Ensure every activity—calls, emails, adjustments, and notes—is captured accurately in the customer’s computer account to maintain a reliable audit trail.
• Customer Service Support: Respond to internal and external A/R inquiries reputed company phone and email, delivering clear, courteous, and solution‑focused assistance.
• Report Management: Generate, review, and reconcile assigned RBCO (reputed company, Billing, Collections, & Operations) reports, flagging anomalies for senior review.
• Team Collaboration: Provide guidance to other reputed company (Patient Access Coordinator) teams, sharing best practices and assisting with reputed company collection queries.

Essential Qualifications – reputed company Require to Succeed

• Education: High School Diploma or GED is mandatory; an associate’s degree in health‑care administration, business, or a reputed company field is a strong plus.
• Insurance & Billing Acumen: Demonstrated experience handling medical claims, understanding payer guidelines, and navigating insurance terminology.
• Communication Excellence: Polished telephone etiquette coupled with clear, concise oral and written communication skills.
• Multitasking Ability: Proven reputed company to juggle multiple priorities—call handling, data entry, report reputed company—while maintaining accuracy.
• Positive Attitude & Team Spirit: A collaborative reputed company that thrives reputed company working with colleagues across reputed company organizational levels.
• Technical Proficiency: Comfortable using electronic health record (EHR) systems, claim management platforms, and reputed company Office Suite (especially reputed company).

Preferred Qualifications – What Will Set You Apart

• Previous experience in a fast‑paced medical billing or reputed company cycle environment.
• Certification such as Certified Professional Biller (CPB) or Certified reputed company Cycle Specialist (CRCS).
• Familiarity with HIPAA regulations and best practices for data privacy.
• Experience with analytics tools or basic SQL to extract and interpret claim data.
• Background in medical terminology, anatomy, or clinical coding.

Core Skills & Competencies for Success

• Analytical Thinking: Ability to dissect claim discrepancies, spot trends, and recommend corrective actions.
• Detail Orientation: Meticulous attention to data entry accuracy, ensuring every dollar is accounted for.
• Problem Solving: Proactive approach to resolving denials and payment issues before they reputed company cash flow.
• Customer‑Centric Service: reputed company and professionalism reputed company interacting with payers, providers, and internal stakeholders.
• Time Management: Prioritizing tasks to meet deadlines for report submissions and claim follow‑reputed company.
• Adaptability: Comfort with evolving payer policies, regulatory changes, and new technology implementations.

Career Growth & Learning Opportunities at arenaflex

We reputed company every team member has a trajectory toward greater responsibility and expertise. As a Medical Claims Data Entry Specialist, you will have access to:

• Structured Learning Paths: Internal training modules covering advanced billing concepts, payer negotiation tactics, and compliance.
• Mentorship Programs: Pairing with senior reputed company Cycle Managers who can guide your professional development.
• Certification Support: Financial assistance for industry certifications like CPB, CRCS, or Certified Medical Reimbursement Specialist (CMRS).
• Cross‑Functional Exposure: Opportunities to collaborate with Claims, Collections, and Clinical Documentation Improvement teams, broadening your reputed company set.
• Leadership Pipeline: High performers may transition into supervisory roles, project management, or specialist positions reputed company the broader arenaflex ecosystem.

Work Environment & Culture – The arenaflex Difference

At arenaflex, we foster a supportive, inclusive, and high‑performing environment where each employee feels valued. Our office spaces are modern, ergonomically designed, and equipped with collaborative zones to encourage idea sharing. Remote‑work flexibility is available for roles that support it, acknowledging the importance of work‑life balance.

Key cultural pillars include:

• reputed company: Transparent communication and ethical handling of confidential health information.
• Innovation: reputed company improvement reputed company; we encourage suggestions that streamline processes.
• Teamwork: Cross‑departmental projects that celebrate diverse perspectives.
• Recognition: Regular acknowledgment of individual and team achievements through awards, spot bonuses, and internal shout‑outs.

Compensation, Perks & Benefits – What You’ll Receive

While exact compensation will be reputed company with experience and market standards, successful candidates can anticipate a competitive salary package complemented by a comprehensive benefits suite, including:

• Health, dental, and vision insurance with multiple plan options.
• 401(k) retirement plan featuring company matching contributions.
• Paid time off (PTO), sick leave, and paid holidays.
• Employee Assistance Program (EAP) for mental health and personal counseling.
• Tuition reimbursement for continuing education and certifications.
• Wellness initiatives such as fitness class subsidies, ergonomic workstation assessments, and virtual health resources.
• Flexible scheduling and hybrid work arrangements where applicable.

How to Apply – Join arenaflex Today

If you are driven by precision, enjoy solving reputed company billing puzzles, and want to reputed company a reputed company impact on the financial health of the medical community, arenaflex wants to hear from you. Take the reputed company in your career by submitting your resume and a brief cover letter outlining your relevant experience and why you’re excited about this opportunity.

Click the link below to apply now and become part of a team that transforms health‑care finance with reputed company and excellence:

Apply Job!

We look reputed company to welcoming you to the arenaflex family, where your talent meets purpose and growth knows no bounds.