Position
Claims Submission Specialist
Clean claims out the door, the first time.
A claims submission specialist scrubs and transmits claims to clearinghouses and direct payers every business day, fixes front-end errors, and submits secondary and tertiary claims. Staffing For Doctors claims specialists hold clean-claim rates above 98% so the cash cycle stays short.
What is a claims submission specialist?
A claims submission specialist scrubs and transmits claims to clearinghouses and direct payers every business day, fixes front-end errors, and submits secondary and tertiary claims. Staffing For Doctors claims specialists hold clean-claim rates above 98% so the cash cycle stays short.
What a claims submission specialist does day-to-day
Our claims specialists pick up the daily claims worklist, validate coding, demographics, and payer information, scrub against payer-specific edits in Availity, Waystar, and Change Healthcare, and resubmit corrected claims same-day. They flag persistent front-end issues back to charge entry and the office manager.
Daily responsibilities of a claims submission specialist
- Daily claim scrubbing and clearinghouse submission
- Front-end edit work (demographics, coding, COB)
- Secondary and tertiary claim transmission
- Rejection analysis and same-day resubmission
- Payer-rule maintenance and edit tuning
- Daily claims-out and rejection-rate reporting
Tools & EHRs supported
Local market guides for hiring a claims submission specialist
Deep dives on payer mix, compliance, and regional demand for the states with the heaviest claims submission specialist virtual-staffing volume.
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About hiring a claims submission specialist from Staffing For Doctors.
Other roles practices pair with a Claims Submission
Medical Biller
A medical biller owns the day-to-day billing workload - coding review, charge entry, claims submission, ERA posting, denial work, and patient statement follow-up. They work inside your EHR and clearinghouse to keep clean-claim rates high and AR aging low.
See the roleDenial & Appeals Specialist
A denial and appeals specialist owns the denial worklist - reading EOBs, identifying the root cause, drafting appeals with clinical justification, and tracking each appeal to a decision. They turn denied claims back into paid claims and feed root-cause findings into front-end fixes.
See the rolePayment Posting Specialist
A payment posting specialist posts ERAs, EOBs, patient payments, and bank deposits into your EHR or PM system, reconciles to the bank, identifies underpayments and contractual variances, and routes anything that doesn't balance to the AR team. Staffing For Doctors posters hold 100% same-day posting.
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