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Health Insurance Claims Specialist - Largo
prosperinfusion
Largo · FL · us
1d ago
97%
Strong
Job description
Delivering personalized, in-home care to patients with rare diseases across Florida.About Prosper InfusionProsper Infusion is a specialized home infusion pharmacy focused on bringing high-quality therapies directly to patients—removing the burden of traveling to infusion centers and elevating the standard of care through a concierge-level experience.Role: Health Insurance Claims SpecialistThis position reports to the Billing Manager and is essential to ensuring our services are reimbursed accurately. Insurance companies frequently deny or underpay claims—your role is to dig into the details, challenge discrepancies, and drive appropriate payment.Location: Largo Satellite OfficeOn-site only (Monday–Friday, 8:30 AM – 5:00 PM)Must be comfortable working independently, including times when you may be the only team member in the officeIf you’re seeking a remote role, this position will not be a fitWhat You’ll DoContact insurance companies to investigate denied or underpaid claims and work toward resolutionTrack and manage a pipeline of claims, ensuring all required documentation is complete and up to datePartner with internal teams to support patient care and resolve billing issues efficientlyCommunicate professionally and confidently with insurance representatives and team membersTake ownership of claim outcomes, including escalating issues when neededAsk questions and think critically to uncover the root cause of payment issuesQualificationsBachelor’s degree preferred, but not requiredAt least 1 year of experience in healthcare or an office-based roleStrong verbal and written communication skillsExcellent organizational and time-management abilitiesDetail-oriented with strong problem-solving skillsAbility to manage multiple priorities and follow up consistentlyWho You AreYou’re persistent, resourceful, and comfortable pushing for answers. You don’t accept vague responses, and you’re confident navigating conversations with insurance companies to get results. You take ownership of your work and thrive in a role where follow-through and accountability matter.